Acute Care Hospitals · Voluntary non-profit - Church
Memorial Healthcare System, Inc
- 2525 Desales Ave, Chattanooga, TN 37404
- (423) 495-2525
- Acute Care Hospitals
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.129 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.779 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 13496 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 14.224 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 5 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.352 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.151 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.682 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 15563 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 20.299 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 7 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.345 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.198 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.501 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 253 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 6.427 | Same as national |
| SSI - Colon Surgery: Observed Cases | 4 | Same as national |
| SSI - Colon Surgery | 0.622 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.038 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 3.759 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 154 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.312 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Same as national |
| SSI - Abdominal Hysterectomy | 0.762 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.212 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.280 | Same as national |
| MRSA Bacteremia: Patient Days | 94125 | Same as national |
| MRSA Bacteremia: Predicted Cases | 8.656 | Same as national |
| MRSA Bacteremia: Observed Cases | 5 | Same as national |
| MRSA Bacteremia | 0.578 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.086 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.351 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 94125 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 43.266 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 8 | Better than national |
| Clostridium Difficile (C.Diff) | 0.185 | 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 | 2.8 | Same as national | 299 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as national | 3492 |
| Death rate for heart attack patients | 11.6 | Same as national | 426 |
| Death rate for CABG surgery patients | 1.3 | Same as national | 237 |
| Death rate for COPD patients | 12.1 | Worse than national | 178 |
| Death rate for heart failure patients | 12.9 | Same as national | 800 |
| Death rate for pneumonia patients | 15.3 | Same as national | 662 |
| Death rate for stroke patients | 13.4 | Same as national | 476 |
| Pressure ulcer rate | 0.61 | Same as national | 11084 |
| Death rate among surgical inpatients with serious treatable complications | 153.36 | Same as national | 172 |
| Iatrogenic pneumothorax rate | 0.15 | Same as national | 12611 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 13097 |
| Postoperative hemorrhage or hematoma rate | 2.03 | Same as national | 3573 |
| Postoperative acute kidney injury requiring dialysis rate | 0.91 | Same as national | 1582 |
| Postoperative respiratory failure rate | 8.56 | Same as national | 1622 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.57 | Same as national | 3605 |
| Postoperative sepsis rate | 4.56 | Same as national | 1444 |
| Postoperative wound dehiscence rate | 1.39 | Same as national | 791 |
| Abdominopelvic accidental puncture or laceration rate | 0.74 | Same as national | 2730 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.84 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 4.7 | Not available | 431 |
| Hospital return days for heart failure patients | -30.7 | Not available | 888 |
| Hospital return days for pneumonia patients | -6.8 | Not available | 693 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.1 | Same as national | 5613 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.8 | Same as national | 4922 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.3 | Same as national | 37 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.2 | Same as national | 37 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 1766 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.5 | Same as national | 431 |
| Rate of readmission for CABG | 12.4 | Same as national | 236 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 16.1 | Same as national | 192 |
| Heart failure (HF) 30-Day Readmission Rate | 17 | Better than national | 888 |
| Rate of readmission after hip/knee replacement | 3.4 | Same as national | 299 |
| Pneumonia (PN) 30-Day Readmission Rate | 14.9 | Same as national | 693 |
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 | 4 | 642 |
| Doctor communication - star rating | 4 | 642 |
| Communication about medicines - star rating | 3 | 642 |
| Discharge information - star rating | 3 | 642 |
| Cleanliness - star rating | 3 | 642 |
| Quietness - star rating | 4 | 642 |
| Overall hospital rating - star rating | 4 | 642 |
| Recommend hospital - star rating | 5 | 642 |
| Summary star rating | 4 | 642 |
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 | 64 | 4183 |
| 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 | 219 | 404 |
| 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 | 214 | 383 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 281 | 17 |
| 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 seen | 3 | 63639 |
| Head CT results | 77 | 39 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 79 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 33 | 33 |
| Safe Use of Opioids - Concurrent Prescribing | 18 | 6776 |
| Appropriate care for severe sepsis and septic shock | 72 | 137 |
| Septic Shock 3-Hour Bundle | 100 | 36 |
| Septic Shock 6-Hour Bundle | 81 | 32 |
| Severe Sepsis 3-Hour Bundle | 83 | 138 |
| Severe Sepsis 6-Hour Bundle | 86 | 71 |
| Discharged on Antithrombotic Therapy | 98 | 620 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 95 | 528 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 2799 |
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 | Not 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).
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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.