JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Fairview Hospital

5 / 5

At a glance

Fairview Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.249Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.937Better than national
Central Line Associated Bloodstream Infection: Number of Device Days17640Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases17.631Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases9Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.510Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.218Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.892Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16547Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases17.040Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.469Better than national
SSI - Colon Surgery: Lower Confidence Limit0.167Better than national
SSI - Colon Surgery: Upper Confidence Limit0.857Better than national
SSI - Colon Surgery: Number of Procedures527Better than national
SSI - Colon Surgery: Predicted Cases14.567Better than national
SSI - Colon Surgery: Observed Cases6Better than national
SSI - Colon Surgery0.412Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures74Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.661Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.455Same as national
MRSA Bacteremia: Upper Confidence Limit1.712Same as national
MRSA Bacteremia: Patient Days144707Same as national
MRSA Bacteremia: Predicted Cases9.646Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia0.933Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.370Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.734Better than national
Clostridium Difficile (C.Diff): Patient Days122675Better than national
Clostridium Difficile (C.Diff): Predicted Cases62.427Better than national
Clostridium Difficile (C.Diff): Observed Cases33Better than national
Clostridium Difficile (C.Diff)0.529Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients4.7Same as national44
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national1846
Death rate for heart attack patients9Better than national246
Death rate for CABG surgery patients1.8Same as national102
Death rate for COPD patients5.8Better than national211
Death rate for heart failure patients7.7Better than national644
Death rate for pneumonia patients10.9Better than national474
Death rate for stroke patients13.3Same as national221
Pressure ulcer rate0.09Better than national7214
Death rate among surgical inpatients with serious treatable complications172.39Same as national97
Iatrogenic pneumothorax rate0.20Same as national8073
In-hospital fall-associated fracture rate0.30Same as national8437
Postoperative hemorrhage or hematoma rate2.11Same as national1921
Postoperative acute kidney injury requiring dialysis rate1.64Same as national902
Postoperative respiratory failure rate8.31Same as national858
Perioperative pulmonary embolism or deep vein thrombosis rate4.20Same as national2050
Postoperative sepsis rate2.41Better than national845
Postoperative wound dehiscence rate1.63Same as national619
Abdominopelvic accidental puncture or laceration rate0.86Same as national1824
CMS Medicare PSI 90: Patient safety and adverse events composite0.73Better than national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-2.6Not available280
Hospital return days for heart failure patients-23.7Not available756
Hospital return days for pneumonia patients34.4Not available502
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national3412
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national216
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national301
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.3Same as national301
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national832
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national280
Rate of readmission for CABG9.5Same as national101
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.1Same as national255
Heart failure (HF) 30-Day Readmission Rate18.2Same as national756
Rate of readmission after hip/knee replacement5.3Same as national28
Pneumonia (PN) 30-Day Readmission Rate17.7Same as national502

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating42074
Doctor communication - star rating32074
Communication about medicines - star rating32074
Discharge information - star rating42074
Cleanliness - star rating42074
Quietness - star rating22074
Overall hospital rating - star rating42074
Recommend hospital - star rating42074
Summary star rating42074

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumevery high
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination848044
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better251387
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better241358
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32722
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen377855
Head CT results8614
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients87194
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing84509
Appropriate care for severe sepsis and septic shock65156
Septic Shock 3-Hour Bundle6653
Septic Shock 6-Hour Bundle8132
Severe Sepsis 3-Hour Bundle85156
Severe Sepsis 6-Hour Bundle95103
Discharged on Antithrombotic Therapy100244
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis919255
Intensive Care Unit Venous Thromboembolism Prophylaxis923116

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Fairview Hospital rated?
Fairview Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Fairview Hospital have emergency services?
Yes. Fairview Hospital operates a 24/7 emergency department.
Where is Fairview Hospital located?
Fairview Hospital is located at 18101 Lorain Avenue, Cleveland, OH 44111.
What type of hospital is Fairview Hospital?
Fairview Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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