JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Physician

Oklahoma Surgical Hospital, Llc

5 / 5

At a glance

Oklahoma Surgical Hospital, Llc carries a 5-star CMS overall rating — above 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1125Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.691Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2040Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.745Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.116Same as national
SSI - Colon Surgery: Upper Confidence Limit1.238Same as national
SSI - Colon Surgery: Number of Procedures234Same as national
SSI - Colon Surgery: Predicted Cases6.593Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.455Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.257Same as national
SSI - Abdominal Hysterectomy: Number of Procedures295Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.384Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days13563Not available
MRSA Bacteremia: Predicted Cases0.187Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.098Same as national
Clostridium Difficile (C.Diff): Patient Days13563Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.729Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same as 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 patients2.3Better than national807
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national406
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patientsNot available
Death rate for pneumonia patientsNot available
Death rate for stroke patientsNot available
Pressure ulcer rate0.48Same as national507
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1355
In-hospital fall-associated fracture rate0.29Same as national1347
Postoperative hemorrhage or hematoma rate2.12Same as national1273
Postoperative acute kidney injury requiring dialysis rate1.32Same as national1248
Postoperative respiratory failure rate6.47Same as national1266
Perioperative pulmonary embolism or deep vein thrombosis rate2.18Same as national1318
Postoperative sepsis rate4.50Same as national1180
Postoperative wound dehiscence rate1.64Same as national543
Abdominopelvic accidental puncture or laceration rate1.01Same as national727
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patientsNot available
Hospital return days for heart failure patientsNot available
Hospital return days for pneumonia patientsNot available
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.4Same as national503
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national683
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national29
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national29
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national1326
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission RateNot available
Rate of readmission after hip/knee replacement3.7Same as national732
Pneumonia (PN) 30-Day Readmission RateNot available

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 rating4394
Doctor communication - star rating4394
Communication about medicines - star rating3394
Discharge information - star rating3394
Cleanliness - star rating3394
Quietness - star rating5394
Overall hospital rating - star rating4394
Recommend hospital - star rating5394
Summary star rating4394

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 volumelow
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 Events01608
Healthcare workers given influenza vaccination871261
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 better193568
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 better192556
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22711
Left before being seen1547
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100122
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14536
Appropriate care for severe sepsis and septic shock7713
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle9213
Severe Sepsis 6-Hour Bundle
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis94822
Intensive Care Unit Venous Thromboembolism Prophylaxis9192

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 Oklahoma Surgical Hospital, Llc rated?
Oklahoma Surgical Hospital, Llc has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Oklahoma Surgical Hospital, Llc have emergency services?
Yes. Oklahoma Surgical Hospital, Llc operates a 24/7 emergency department.
Where is Oklahoma Surgical Hospital, Llc located?
Oklahoma Surgical Hospital, Llc is located at 2408 East 81st Street, Suite 300, Tulsa, OK 74137.
What type of hospital is Oklahoma Surgical Hospital, Llc?
Oklahoma Surgical Hospital, Llc is classified by CMS as a Acute Care Hospitals facility (Physician).

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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