JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Memorial Healthcare System, Inc

5 / 5

At a glance

Memorial Healthcare System, Inc 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 Limit0.129Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.779Better than national
Central Line Associated Bloodstream Infection: Number of Device Days13496Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.224Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.352Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.151Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.682Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days15563Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases20.299Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.345Better than national
SSI - Colon Surgery: Lower Confidence Limit0.198Same as national
SSI - Colon Surgery: Upper Confidence Limit1.501Same as national
SSI - Colon Surgery: Number of Procedures253Same as national
SSI - Colon Surgery: Predicted Cases6.427Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.622Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.038Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.759Same as national
SSI - Abdominal Hysterectomy: Number of Procedures154Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.312Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.762Same as national
MRSA Bacteremia: Lower Confidence Limit0.212Same as national
MRSA Bacteremia: Upper Confidence Limit1.280Same as national
MRSA Bacteremia: Patient Days94125Same as national
MRSA Bacteremia: Predicted Cases8.656Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.578Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.086Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.351Better than national
Clostridium Difficile (C.Diff): Patient Days94125Better than national
Clostridium Difficile (C.Diff): Predicted Cases43.266Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.185Better 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 patients2.8Same as national299
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national3492
Death rate for heart attack patients11.6Same as national426
Death rate for CABG surgery patients1.3Same as national237
Death rate for COPD patients12.1Worse than national178
Death rate for heart failure patients12.9Same as national800
Death rate for pneumonia patients15.3Same as national662
Death rate for stroke patients13.4Same as national476
Pressure ulcer rate0.61Same as national11084
Death rate among surgical inpatients with serious treatable complications153.36Same as national172
Iatrogenic pneumothorax rate0.15Same as national12611
In-hospital fall-associated fracture rate0.26Same as national13097
Postoperative hemorrhage or hematoma rate2.03Same as national3573
Postoperative acute kidney injury requiring dialysis rate0.91Same as national1582
Postoperative respiratory failure rate8.56Same as national1622
Perioperative pulmonary embolism or deep vein thrombosis rate2.57Same as national3605
Postoperative sepsis rate4.56Same as national1444
Postoperative wound dehiscence rate1.39Same as national791
Abdominopelvic accidental puncture or laceration rate0.74Same as national2730
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patients4.7Not available431
Hospital return days for heart failure patients-30.7Not available888
Hospital return days for pneumonia patients-6.8Not available693
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national5613
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national4922
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national37
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national37
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1766
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national431
Rate of readmission for CABG12.4Same as national236
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.1Same as national192
Heart failure (HF) 30-Day Readmission Rate17Better than national888
Rate of readmission after hip/knee replacement3.4Same as national299
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national693

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 rating4642
Doctor communication - star rating4642
Communication about medicines - star rating3642
Discharge information - star rating3642
Cleanliness - star rating3642
Quietness - star rating4642
Overall hospital rating - star rating4642
Recommend hospital - star rating5642
Summary star rating4642

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 vaccination644183
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 better219404
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 better214383
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28117
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 seen363639
Head CT results7739
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10079
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)3333
Safe Use of Opioids - Concurrent Prescribing186776
Appropriate care for severe sepsis and septic shock72137
Septic Shock 3-Hour Bundle10036
Septic Shock 6-Hour Bundle8132
Severe Sepsis 3-Hour Bundle83138
Severe Sepsis 6-Hour Bundle8671
Discharged on Antithrombotic Therapy98620
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295528
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis992799

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Memorial Healthcare System, Inc rated?
Memorial Healthcare System, Inc has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Healthcare System, Inc have emergency services?
According to CMS records, Memorial Healthcare System, Inc does not report a 24/7 emergency department.
Where is Memorial Healthcare System, Inc located?
Memorial Healthcare System, Inc is located at 2525 Desales Ave, Chattanooga, TN 37404.
What type of hospital is Memorial Healthcare System, Inc?
Memorial Healthcare System, Inc is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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