JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Fort Sanders Regional Medical Center

3 / 5

At a glance

Fort Sanders Regional Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse 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 Limit0.008Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.746Better than national
Central Line Associated Bloodstream Infection: Number of Device Days7903Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.614Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.151Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.212Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.085Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10934Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.498Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.522Same as national
SSI - Colon Surgery: Lower Confidence Limit0.005Better than national
SSI - Colon Surgery: Upper Confidence Limit0.477Better than national
SSI - Colon Surgery: Number of Procedures366Better than national
SSI - Colon Surgery: Predicted Cases10.343Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.097Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.037Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.605Same as national
SSI - Abdominal Hysterectomy: Number of Procedures160Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.368Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.731Same as national
MRSA Bacteremia: Lower Confidence Limit0.441Same as national
MRSA Bacteremia: Upper Confidence Limit1.993Same as national
MRSA Bacteremia: Patient Days95449Same as national
MRSA Bacteremia: Predicted Cases6.947Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia1.008Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.018Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.138Better than national
Clostridium Difficile (C.Diff): Patient Days88502Better than national
Clostridium Difficile (C.Diff): Predicted Cases69.891Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.057Better 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 patients3.5Same as national77
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national1331
Death rate for heart attack patients14.4Same as national122
Death rate for CABG surgery patients2.6Same as national52
Death rate for COPD patients10.1Same as national142
Death rate for heart failure patients14Same as national218
Death rate for pneumonia patients17.9Same as national258
Death rate for stroke patients14.5Same as national420
Pressure ulcer rate0.51Same as national4617
Death rate among surgical inpatients with serious treatable complications188.12Same as national63
Iatrogenic pneumothorax rate0.21Same as national5522
In-hospital fall-associated fracture rate0.29Same as national5762
Postoperative hemorrhage or hematoma rate1.63Same as national1324
Postoperative acute kidney injury requiring dialysis rate1.32Same as national711
Postoperative respiratory failure rate6.82Same as national666
Perioperative pulmonary embolism or deep vein thrombosis rate2.54Same as national1392
Postoperative sepsis rate3.45Same as national598
Postoperative wound dehiscence rate1.87Same as national428
Abdominopelvic accidental puncture or laceration rate0.70Same as national1328
CMS Medicare PSI 90: Patient safety and adverse events composite0.76Same as 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 patients9.6Not available121
Hospital return days for heart failure patients79.3Not available250
Hospital return days for pneumonia patients41.3Not available253
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national2106
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national1386
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.3Same as national125
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national125
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national516
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national121
Rate of readmission for CABG11.2Same as national50
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.8Same as national162
Heart failure (HF) 30-Day Readmission Rate21.7Same as national250
Rate of readmission after hip/knee replacement5Same as national59
Pneumonia (PN) 30-Day Readmission Rate17.9Same as national253

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 rating31119
Doctor communication - star rating31119
Communication about medicines - star rating21119
Discharge information - star rating31119
Cleanliness - star rating31119
Quietness - star rating31119
Overall hospital rating - star rating31119
Recommend hospital - star rating41119
Summary star rating31119

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 volumehigh
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 vaccination923296
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 better254488
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 better242442
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better44043
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 seen451323
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96448
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing115203
Appropriate care for severe sepsis and septic shock60383
Septic Shock 3-Hour Bundle68114
Septic Shock 6-Hour Bundle8468
Severe Sepsis 3-Hour Bundle79383
Severe Sepsis 6-Hour Bundle90222
Discharged on Antithrombotic Therapy96614
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 290535
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis922086

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 Fort Sanders Regional Medical Center rated?
Fort Sanders Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Fort Sanders Regional Medical Center have emergency services?
Yes. Fort Sanders Regional Medical Center operates a 24/7 emergency department.
Where is Fort Sanders Regional Medical Center located?
Fort Sanders Regional Medical Center is located at 1901 W Clinch Ave, Knoxville, TN 37916.
What type of hospital is Fort Sanders Regional Medical Center?
Fort Sanders Regional Medical Center 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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