Acute Care Hospitals · Voluntary non-profit - Private
Hillcrest Hospital
- 6780 Mayfield Road, Mayfield Heights, OH 44124
- (440) 312-4500
- Acute Care Hospitals
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.149 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.765 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 16808 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 16.310 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 6 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.368 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.242 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.911 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 19003 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 18.133 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 9 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.496 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.356 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.610 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 327 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 8.601 | Same as national |
| SSI - Colon Surgery: Observed Cases | 7 | Same as national |
| SSI - Colon Surgery | 0.814 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 76 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.690 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.170 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.026 | Same as national |
| MRSA Bacteremia: Patient Days | 154298 | Same as national |
| MRSA Bacteremia: Predicted Cases | 10.805 | Same as national |
| MRSA Bacteremia: Observed Cases | 5 | Same as national |
| MRSA Bacteremia | 0.463 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.313 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.643 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 136981 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 65.766 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 30 | Better than national |
| Clostridium Difficile (C.Diff) | 0.456 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 2.9 | Same as national | 75 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 2.7 | Better than national | 2916 |
| Death rate for heart attack patients | 10.5 | Same as national | 335 |
| Death rate for CABG surgery patients | 2 | Same as national | 98 |
| Death rate for COPD patients | 8.2 | Same as national | 193 |
| Death rate for heart failure patients | 8.1 | Better than national | 899 |
| Death rate for pneumonia patients | 10.3 | Better than national | 799 |
| Death rate for stroke patients | 11.3 | Same as national | 310 |
| Pressure ulcer rate | 0.18 | Same as national | 10240 |
| Death rate among surgical inpatients with serious treatable complications | 158.94 | Same as national | 93 |
| Iatrogenic pneumothorax rate | 0.12 | Same as national | 11381 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 11562 |
| Postoperative hemorrhage or hematoma rate | 1.54 | Same as national | 2293 |
| Postoperative acute kidney injury requiring dialysis rate | 1.00 | Same as national | 939 |
| Postoperative respiratory failure rate | 3.79 | Better than national | 958 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.86 | Same as national | 2493 |
| Postoperative sepsis rate | 4.22 | Same as national | 930 |
| Postoperative wound dehiscence rate | 1.41 | Same as national | 659 |
| Abdominopelvic accidental puncture or laceration rate | 0.94 | Same as national | 2481 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.59 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 0.7 | Not available | 366 |
| Hospital return days for heart failure patients | 3.5 | Not available | 1026 |
| Hospital return days for pneumonia patients | 1.8 | Not available | 838 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.2 | Same as national | 5136 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.6 | Same as national | 839 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 12.4 | Same as national | 377 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 3.4 | Better than national | 377 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 1407 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.7 | Same as national | 366 |
| Rate of readmission for CABG | 10.8 | Same as national | 97 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.4 | Same as national | 216 |
| Heart failure (HF) 30-Day Readmission Rate | 19.7 | Same as national | 1026 |
| Rate of readmission after hip/knee replacement | 4.8 | Same as national | 82 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.1 | Same as national | 838 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 2144 |
| Doctor communication - star rating | 3 | 2144 |
| Communication about medicines - star rating | 2 | 2144 |
| Discharge information - star rating | 3 | 2144 |
| Cleanliness - star rating | 4 | 2144 |
| Quietness - star rating | 2 | 2144 |
| Overall hospital rating - star rating | 3 | 2144 |
| Recommend hospital - star rating | 4 | 2144 |
| Summary star rating | 3 | 2144 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 vaccination | 87 | 8412 |
| 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 better | 208 | 401 |
| 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 better | 200 | 376 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 362 | 12 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 498 | 14 |
| Left before being seen | 2 | 87741 |
| Head CT results | 78 | 32 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 97 | 61 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 10 | 4212 |
| Appropriate care for severe sepsis and septic shock | 58 | 158 |
| Septic Shock 3-Hour Bundle | 54 | 52 |
| Septic Shock 6-Hour Bundle | 88 | 26 |
| Severe Sepsis 3-Hour Bundle | 80 | 158 |
| Severe Sepsis 6-Hour Bundle | 92 | 91 |
| Discharged on Antithrombotic Therapy | 100 | 245 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 96 | 233 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 84 | 2500 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
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).
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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.