JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Grandview Medical Center

3 / 5

At a glance

Grandview 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 24 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.003Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.327Better than national
Central Line Associated Bloodstream Infection: Number of Device Days13651Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases15.073Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.066Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.126Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13406Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases23.866Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.393Same as national
SSI - Colon Surgery: Upper Confidence Limit1.299Same as national
SSI - Colon Surgery: Number of Procedures546Same as national
SSI - Colon Surgery: Predicted Cases14.722Same as national
SSI - Colon Surgery: Observed Cases11Same as national
SSI - Colon Surgery0.747Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.384Same as national
SSI - Abdominal Hysterectomy: Number of Procedures260Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.164Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.077Better than national
MRSA Bacteremia: Upper Confidence Limit0.823Better than national
MRSA Bacteremia: Patient Days118255Better than national
MRSA Bacteremia: Predicted Cases9.919Better than national
MRSA Bacteremia: Observed Cases3Better than national
MRSA Bacteremia0.302Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.105Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.368Better than national
Clostridium Difficile (C.Diff): Patient Days103406Better than national
Clostridium Difficile (C.Diff): Predicted Cases48.447Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.206Better 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 patients4.2Same as national317
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national2540
Death rate for heart attack patients12.8Same as national184
Death rate for CABG surgery patients5.4Worse than national128
Death rate for COPD patients8.8Same as national133
Death rate for heart failure patients12.6Same as national523
Death rate for pneumonia patients15.4Same as national404
Death rate for stroke patients13.2Same as national290
Pressure ulcer rate0.25Same as national6684
Death rate among surgical inpatients with serious treatable complications157.50Same as national156
Iatrogenic pneumothorax rate0.18Same as national9695
In-hospital fall-associated fracture rate0.25Same as national9927
Postoperative hemorrhage or hematoma rate2.02Same as national3266
Postoperative acute kidney injury requiring dialysis rate1.88Same as national1918
Postoperative respiratory failure rate6.80Same as national1958
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national3369
Postoperative sepsis rate6.81Same as national1840
Postoperative wound dehiscence rate1.79Same as national733
Abdominopelvic accidental puncture or laceration rate0.62Same as national2214
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients22.2Not available190
Hospital return days for heart failure patients14.7Not available621
Hospital return days for pneumonia patients-16.8Not available422
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Worse than national3971
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national441
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.9Same as national45
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national45
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1321
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.9Same as national190
Rate of readmission for CABG12.2Same as national121
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17Same as national142
Heart failure (HF) 30-Day Readmission Rate19.9Same as national621
Rate of readmission after hip/knee replacement4.7Same as national305
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national422

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 rating32132
Doctor communication - star rating32132
Communication about medicines - star rating22132
Discharge information - star rating32132
Cleanliness - star rating12132
Quietness - star rating42132
Overall hospital rating - star rating32132
Recommend hospital - star rating42132
Summary star rating32132

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 vaccination335744
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 better174427
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 better176415
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen162315
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7567
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5036
Safe Use of Opioids - Concurrent Prescribing167943
Appropriate care for severe sepsis and septic shock64192
Septic Shock 3-Hour Bundle7850
Septic Shock 6-Hour Bundle8731
Severe Sepsis 3-Hour Bundle76192
Severe Sepsis 6-Hour Bundle94108
Discharged on Antithrombotic Therapy98407
Anticoagulation Therapy for Atrial Fibrillation/Flutter8198
Antithrombotic Therapy by End of Hospital Day 288332
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Grandview Medical Center rated?
Grandview Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Grandview Medical Center have emergency services?
Yes. Grandview Medical Center operates a 24/7 emergency department.
Where is Grandview Medical Center located?
Grandview Medical Center is located at 3690 Grandview Parkway, Birmingham, AL 35243.
What type of hospital is Grandview Medical Center?
Grandview Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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.

Report an issue with this page