JCIPatientSafety.orgHospital Quality Directory

Acute Care - Veterans Administration · Veterans Health Administration

Memphis VA Medical Center

3 / 5

At a glance

Memphis VA Medical Center carries a 3-star CMS overall rating — in line with the national norm.

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 Limit0.349Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.730Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2364Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.189Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.370Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.741Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.805Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3937Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.280Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.829Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient DaysNot available
MRSA Bacteremia: Predicted CasesNot available
MRSA Bacteremia: Observed CasesNot available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient DaysNot available
Clostridium Difficile (C.Diff): Predicted CasesNot available
Clostridium Difficile (C.Diff): Observed CasesNot available
Clostridium Difficile (C.Diff)Not available

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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNot available
Death rate for heart attack patients11.6Same as national86
Death rate for CABG surgery patientsNot available
Death rate for COPD patients5.7Better than national249
Death rate for heart failure patients7.6Better than national483
Death rate for pneumonia patients11.9Better than national277
Death rate for stroke patientsNot available
Pressure ulcer rate1.49Worse than national4383
Death rate among surgical inpatients with serious treatable complications174.74Same as national41
Iatrogenic pneumothorax rate0.17Same as national6350
In-hospital fall-associated fracture rate0.34Same as national7066
Postoperative hemorrhage or hematoma rate2.28Same as national742
Postoperative acute kidney injury requiring dialysis rate1.33Same as national333
Postoperative respiratory failure rate7.20Same as national298
Perioperative pulmonary embolism or deep vein thrombosis rate3.06Same as national753
Postoperative sepsis rate7.08Same as national322
Postoperative wound dehiscence rate1.59Same as national207
Abdominopelvic accidental puncture or laceration rate0.88Same as national893
CMS Medicare PSI 90: Patient safety and adverse events composite1.22Same 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 patients-9.4Not available87
Hospital return days for heart failure patients34.4Not available611
Hospital return days for pneumonia patients21.4Not available295
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national2555
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national87
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national287
Heart failure (HF) 30-Day Readmission Rate20.8Same as national611
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national295

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 rating3478
Doctor communication - star rating4478
Communication about medicines - star rating3478
Discharge information - star rating3478
Cleanliness - star rating2478
Quietness - star rating2478
Overall hospital rating - star rating3478
Recommend hospital - star rating3478
Summary star rating3478

Frequently asked questions

How is Memphis VA Medical Center rated?
Memphis VA Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Memphis VA Medical Center have emergency services?
Yes. Memphis VA Medical Center operates a 24/7 emergency department.
Where is Memphis VA Medical Center located?
Memphis VA Medical Center is located at 116 N Pauline St, Memphis, TN 38105.
What type of hospital is Memphis VA Medical Center?
Memphis VA Medical Center is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

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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