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Acute Care Hospitals · Voluntary non-profit - Private

Memorial Mission Hospital and Asheville Surgery Ce

3 / 5

At a glance

Memorial Mission Hospital and Asheville Surgery Ce 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 18 and worse on 6. For 30-day readmissions, it beats the national rate on 2 measures 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 Limit0.201Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.666Better than national
Central Line Associated Bloodstream Infection: Number of Device Days25458Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases28.728Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.383Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.198Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.570Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days24264Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases40.216Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases14Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.348Better than national
SSI - Colon Surgery: Lower Confidence Limit0.694Same as national
SSI - Colon Surgery: Upper Confidence Limit1.925Same as national
SSI - Colon Surgery: Number of Procedures495Same as national
SSI - Colon Surgery: Predicted Cases12.565Same as national
SSI - Colon Surgery: Observed Cases15Same as national
SSI - Colon Surgery1.194Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.064Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.352Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures385Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases3.491Worse than national
SSI - Abdominal Hysterectomy: Observed Cases8Worse than national
SSI - Abdominal Hysterectomy2.292Worse than national
MRSA Bacteremia: Lower Confidence Limit0.378Same as national
MRSA Bacteremia: Upper Confidence Limit1.087Same as national
MRSA Bacteremia: Patient Days252552Same as national
MRSA Bacteremia: Predicted Cases21.088Same as national
MRSA Bacteremia: Observed Cases14Same as national
MRSA Bacteremia0.664Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.136Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.270Better than national
Clostridium Difficile (C.Diff): Patient Days230043Better than national
Clostridium Difficile (C.Diff): Predicted Cases169.348Better than national
Clostridium Difficile (C.Diff): Observed Cases33Better than national
Clostridium Difficile (C.Diff)0.195Better 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 patients3.2Same as national371
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national4885
Death rate for heart attack patients10.9Same as national750
Death rate for CABG surgery patients2.5Same as national444
Death rate for COPD patients8Same as national217
Death rate for heart failure patients11.5Same as national1047
Death rate for pneumonia patients15.3Same as national967
Death rate for stroke patients13.5Same as national770
Pressure ulcer rate0.05Better than national15903
Death rate among surgical inpatients with serious treatable complications175.59Same as national326
Iatrogenic pneumothorax rate0.23Same as national18397
In-hospital fall-associated fracture rate0.22Same as national18901
Postoperative hemorrhage or hematoma rate2.17Same as national6201
Postoperative acute kidney injury requiring dialysis rate1.14Same as national2684
Postoperative respiratory failure rate10.74Same as national2744
Perioperative pulmonary embolism or deep vein thrombosis rate2.00Better than national6248
Postoperative sepsis rate3.28Same as national2669
Postoperative wound dehiscence rate1.47Same as national1211
Abdominopelvic accidental puncture or laceration rate0.50Same as national3901
CMS Medicare PSI 90: Patient safety and adverse events composite0.68Better 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 patients-25.1Not available794
Hospital return days for heart failure patients-17.4Not available1189
Hospital return days for pneumonia patients-8.4Not available1022
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.8Better than national7915
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national548
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.3Same as national173
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national173
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1408
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.3Better than national794
Rate of readmission for CABG9.6Same as national431
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national240
Heart failure (HF) 30-Day Readmission Rate18Same as national1189
Rate of readmission after hip/knee replacement4.6Same as national381
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national1022

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 rating2718
Doctor communication - star rating2718
Communication about medicines - star rating2718
Discharge information - star rating2718
Cleanliness - star rating1718
Quietness - star rating3718
Overall hospital rating - star rating2718
Recommend hospital - star rating2718
Summary star rating2718

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 Hyperglycemia762351
Hospital Harm - Severe Hypoglycemia29550
Hospital Harm - Opioid Related Adverse Events124968
Healthcare workers given influenza vaccination596971
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 better177447
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 better173427
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better43919
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 seen098513
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9556
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6260
Safe Use of Opioids - Concurrent Prescribing1812062
Appropriate care for severe sepsis and septic shock63150
Septic Shock 3-Hour Bundle8040
Septic Shock 6-Hour Bundle8927
Severe Sepsis 3-Hour Bundle77150
Severe Sepsis 6-Hour Bundle8982
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Memorial Mission Hospital and Asheville Surgery Ce rated?
Memorial Mission Hospital and Asheville Surgery Ce has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Mission Hospital and Asheville Surgery Ce have emergency services?
Yes. Memorial Mission Hospital and Asheville Surgery Ce operates a 24/7 emergency department.
Where is Memorial Mission Hospital and Asheville Surgery Ce located?
Memorial Mission Hospital and Asheville Surgery Ce is located at 509 Biltmore Ave, Asheville, NC 28801.
What type of hospital is Memorial Mission Hospital and Asheville Surgery Ce?
Memorial Mission Hospital and Asheville Surgery Ce 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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