JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Saint Thomas Rutherford Hospital

3 / 5

At a glance

Saint Thomas Rutherford Hospital 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 12 and worse 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 Limit0.246Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.111Same as national
Central Line Associated Bloodstream Infection: Number of Device Days12095Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.461Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.562Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.134Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.604Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days18874Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases22.907Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.306Better than national
SSI - Colon Surgery: Lower Confidence Limit0.219Same as national
SSI - Colon Surgery: Upper Confidence Limit1.660Same as national
SSI - Colon Surgery: Number of Procedures218Same as national
SSI - Colon Surgery: Predicted Cases5.814Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.688Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures36Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.364Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.638Same as national
MRSA Bacteremia: Upper Confidence Limit2.400Same as national
MRSA Bacteremia: Patient Days88310Same as national
MRSA Bacteremia: Predicted Cases6.882Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia1.308Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.164Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.516Better than national
Clostridium Difficile (C.Diff): Patient Days81190Better than national
Clostridium Difficile (C.Diff): Predicted Cases39.568Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.303Better 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 patients4.6Same as national111
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1222
Death rate for heart attack patients11.4Same as national260
Death rate for CABG surgery patients3.5Same as national31
Death rate for COPD patients10.5Same as national158
Death rate for heart failure patients9.4Same as national515
Death rate for pneumonia patients17.1Same as national701
Death rate for stroke patients11.2Same as national253
Pressure ulcer rate0.46Same as national5747
Death rate among surgical inpatients with serious treatable complications178.57Same as national96
Iatrogenic pneumothorax rate0.21Same as national6690
In-hospital fall-associated fracture rate0.32Same as national6793
Postoperative hemorrhage or hematoma rate2.36Same as national1516
Postoperative acute kidney injury requiring dialysis rate1.89Same as national469
Postoperative respiratory failure rate8.07Same as national451
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national1536
Postoperative sepsis rate4.81Same as national448
Postoperative wound dehiscence rate1.59Same as national295
Abdominopelvic accidental puncture or laceration rate0.82Same as national1218
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients7.5Not available194
Hospital return days for heart failure patients-7.8Not available549
Hospital return days for pneumonia patients-10.5Not available716
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national1778
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national153
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 surgery1.1Same as national133
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national194
Rate of readmission for CABG10.7Same as national28
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.4Same as national161
Heart failure (HF) 30-Day Readmission Rate18.3Same as national549
Rate of readmission after hip/knee replacement4.9Same as national103
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national716

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 rating2357
Doctor communication - star rating3357
Communication about medicines - star rating2357
Discharge information - star rating3357
Cleanliness - star rating1357
Quietness - star rating3357
Overall hospital rating - star rating2357
Recommend hospital - star rating3357
Summary star rating2357

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 volume
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 Hyperglycemia88405
Hospital Harm - Severe Hypoglycemia21452
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination734745
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 better182301
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 better174278
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26120
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
Head CT results9213
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4127
Safe Use of Opioids - Concurrent Prescribing131700
Appropriate care for severe sepsis and septic shock4180
Septic Shock 3-Hour Bundle5625
Septic Shock 6-Hour Bundle4613
Severe Sepsis 3-Hour Bundle7581
Severe Sepsis 6-Hour Bundle8245
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis863078
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 Saint Thomas Rutherford Hospital rated?
Saint Thomas Rutherford Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Thomas Rutherford Hospital have emergency services?
Yes. Saint Thomas Rutherford Hospital operates a 24/7 emergency department.
Where is Saint Thomas Rutherford Hospital located?
Saint Thomas Rutherford Hospital is located at 1700 Medical Center Parkway, Murfreesboro, TN 37129.
What type of hospital is Saint Thomas Rutherford Hospital?
Saint Thomas Rutherford Hospital 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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