JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Hillcrest Hospital

5 / 5

At a glance

Hillcrest 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 18 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 Limit0.149Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.765Better than national
Central Line Associated Bloodstream Infection: Number of Device Days16808Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases16.310Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.368Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.242Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.911Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days19003Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases18.133Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.496Better than national
SSI - Colon Surgery: Lower Confidence Limit0.356Same as national
SSI - Colon Surgery: Upper Confidence Limit1.610Same as national
SSI - Colon Surgery: Number of Procedures327Same as national
SSI - Colon Surgery: Predicted Cases8.601Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery0.814Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures76Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.690Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.170Same as national
MRSA Bacteremia: Upper Confidence Limit1.026Same as national
MRSA Bacteremia: Patient Days154298Same as national
MRSA Bacteremia: Predicted Cases10.805Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.463Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.313Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.643Better than national
Clostridium Difficile (C.Diff): Patient Days136981Better than national
Clostridium Difficile (C.Diff): Predicted Cases65.766Better than national
Clostridium Difficile (C.Diff): Observed Cases30Better than national
Clostridium Difficile (C.Diff)0.456Better 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 patients2.9Same as national75
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.7Better than national2916
Death rate for heart attack patients10.5Same as national335
Death rate for CABG surgery patients2Same as national98
Death rate for COPD patients8.2Same as national193
Death rate for heart failure patients8.1Better than national899
Death rate for pneumonia patients10.3Better than national799
Death rate for stroke patients11.3Same as national310
Pressure ulcer rate0.18Same as national10240
Death rate among surgical inpatients with serious treatable complications158.94Same as national93
Iatrogenic pneumothorax rate0.12Same as national11381
In-hospital fall-associated fracture rate0.24Same as national11562
Postoperative hemorrhage or hematoma rate1.54Same as national2293
Postoperative acute kidney injury requiring dialysis rate1.00Same as national939
Postoperative respiratory failure rate3.79Better than national958
Perioperative pulmonary embolism or deep vein thrombosis rate2.86Same as national2493
Postoperative sepsis rate4.22Same as national930
Postoperative wound dehiscence rate1.41Same as national659
Abdominopelvic accidental puncture or laceration rate0.94Same as national2481
CMS Medicare PSI 90: Patient safety and adverse events composite0.59Better 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 patients0.7Not available366
Hospital return days for heart failure patients3.5Not available1026
Hospital return days for pneumonia patients1.8Not available838
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national5136
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national839
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.4Same as national377
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy3.4Better than national377
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1407
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national366
Rate of readmission for CABG10.8Same as national97
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national216
Heart failure (HF) 30-Day Readmission Rate19.7Same as national1026
Rate of readmission after hip/knee replacement4.8Same as national82
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national838

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 rating32144
Doctor communication - star rating32144
Communication about medicines - star rating22144
Discharge information - star rating32144
Cleanliness - star rating42144
Quietness - star rating22144
Overall hospital rating - star rating32144
Recommend hospital - star rating42144
Summary star rating32144

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 vaccination878412
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 better208401
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 better200376
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36212
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better49814
Left before being seen287741
Head CT results7832
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9761
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing104212
Appropriate care for severe sepsis and septic shock58158
Septic Shock 3-Hour Bundle5452
Septic Shock 6-Hour Bundle8826
Severe Sepsis 3-Hour Bundle80158
Severe Sepsis 6-Hour Bundle9291
Discharged on Antithrombotic Therapy100245
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296233
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis842500

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 Hillcrest Hospital rated?
Hillcrest Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Hillcrest Hospital have emergency services?
According to CMS records, Hillcrest Hospital does not report a 24/7 emergency department.
Where is Hillcrest Hospital located?
Hillcrest Hospital is located at 6780 Mayfield Road, Mayfield Heights, OH 44124.
What type of hospital is Hillcrest Hospital?
Hillcrest 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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