JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Maury Regional Hospital

3 / 5

At a glance

Maury Regional Hospital 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 12 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 Limit0.654Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.356Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4502Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.719Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.613Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.008Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.765Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7323Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.450Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.155Better than national
SSI - Colon Surgery: Lower Confidence Limit0.393Same as national
SSI - Colon Surgery: Upper Confidence Limit2.018Same as national
SSI - Colon Surgery: Number of Procedures220Same as national
SSI - Colon Surgery: Predicted Cases6.184Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.970Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures63Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.577Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.015Same as national
MRSA Bacteremia: Upper Confidence Limit1.454Same as national
MRSA Bacteremia: Patient Days65240Same as national
MRSA Bacteremia: Predicted Cases3.391Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.295Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.080Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.411Better than national
Clostridium Difficile (C.Diff): Patient Days63391Better than national
Clostridium Difficile (C.Diff): Predicted Cases30.380Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.197Better 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 patients3.6Same as national109
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1533
Death rate for heart attack patients12.3Same as national163
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.7Same as national146
Death rate for heart failure patients13.3Same as national533
Death rate for pneumonia patients21.4Worse than national555
Death rate for stroke patients21.4Worse than national232
Pressure ulcer rate0.74Same as national4839
Death rate among surgical inpatients with serious treatable complications166.58Same as national62
Iatrogenic pneumothorax rate0.15Same as national6172
In-hospital fall-associated fracture rate0.22Same as national6102
Postoperative hemorrhage or hematoma rate2.28Same as national1431
Postoperative acute kidney injury requiring dialysis rate1.51Same as national516
Postoperative respiratory failure rate7.19Same as national527
Perioperative pulmonary embolism or deep vein thrombosis rate3.40Same as national1442
Postoperative sepsis rate4.80Same as national474
Postoperative wound dehiscence rate1.62Same as national309
Abdominopelvic accidental puncture or laceration rate0.81Same as national1206
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients10.8Not available172
Hospital return days for heart failure patients8.8Not available600
Hospital return days for pneumonia patients6.5Not available576
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national2435
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national1748
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national26
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national26
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1071
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national172
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20Same as national164
Heart failure (HF) 30-Day Readmission Rate20Same as national600
Rate of readmission after hip/knee replacement5.4Same as national99
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national576

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 rating5461
Doctor communication - star rating4461
Communication about medicines - star rating3461
Discharge information - star rating4461
Cleanliness - star rating4461
Quietness - star rating4461
Overall hospital rating - star rating4461
Recommend hospital - star rating5461
Summary star rating4461

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 vaccination713320
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 better211405
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 better208371
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30025
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 seen249044
Head CT results9040
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9272
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing122941
Appropriate care for severe sepsis and septic shock66137
Septic Shock 3-Hour Bundle8461
Septic Shock 6-Hour Bundle7841
Severe Sepsis 3-Hour Bundle83138
Severe Sepsis 6-Hour Bundle9775
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 297164
Venous Thromboembolism Prophylaxis985193
Intensive Care Unit Venous Thromboembolism Prophylaxis981022

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 Maury Regional Hospital rated?
Maury Regional Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Maury Regional Hospital have emergency services?
Yes. Maury Regional Hospital operates a 24/7 emergency department.
Where is Maury Regional Hospital located?
Maury Regional Hospital is located at 1224 Trotwood Ave, Columbia, TN 38401.
What type of hospital is Maury Regional Hospital?
Maury Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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