JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

South Miami Hospital

4 / 5

At a glance

South Miami Hospital carries a 4-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.

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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.490Better than national
Central Line Associated Bloodstream Infection: Number of Device Days5440Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.115Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.923Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2791Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.247Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.337Same as national
SSI - Colon Surgery: Upper Confidence Limit1.728Same as national
SSI - Colon Surgery: Number of Procedures290Same as national
SSI - Colon Surgery: Predicted Cases7.222Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.831Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.822Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.974Same as national
SSI - Abdominal Hysterectomy: Number of Procedures302Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.228Same as national
SSI - Abdominal Hysterectomy: Observed Cases5Same as national
SSI - Abdominal Hysterectomy2.244Same as national
MRSA Bacteremia: Lower Confidence Limit0.074Same as national
MRSA Bacteremia: Upper Confidence Limit1.462Same as national
MRSA Bacteremia: Patient Days77907Same as national
MRSA Bacteremia: Predicted Cases4.521Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.442Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.127Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.517Better than national
Clostridium Difficile (C.Diff): Patient Days62838Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.365Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.272Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national998
Death rate for heart attack patients13Same as national132
Death rate for CABG surgery patients2.1Same as national34
Death rate for COPD patients10.3Same as national68
Death rate for heart failure patients12.3Same as national321
Death rate for pneumonia patients13Better than national327
Death rate for stroke patients12.7Same as national70
Pressure ulcer rate0.20Same as national3589
Death rate among surgical inpatients with serious treatable complications187.55Same as national42
Iatrogenic pneumothorax rate0.16Same as national4160
In-hospital fall-associated fracture rate0.23Same as national4455
Postoperative hemorrhage or hematoma rate1.97Same as national1158
Postoperative acute kidney injury requiring dialysis rate1.45Same as national399
Postoperative respiratory failure rate4.94Same as national349
Perioperative pulmonary embolism or deep vein thrombosis rate2.64Same as national1199
Postoperative sepsis rate7.02Same as national390
Postoperative wound dehiscence rate1.62Same as national302
Abdominopelvic accidental puncture or laceration rate1.33Same as national795
CMS Medicare PSI 90: Patient safety and adverse events composite0.76Same 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-37.9Not available148
Hospital return days for heart failure patients61.1Not available384
Hospital return days for pneumonia patients33.3Not available357
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1715
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national135
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 national380
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.5Same as national148
Rate of readmission for CABG10.2Same as national34
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national68
Heart failure (HF) 30-Day Readmission Rate20.9Same as national384
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national357

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 rating3705
Doctor communication - star rating3705
Communication about medicines - star rating3705
Discharge information - star rating3705
Cleanliness - star rating4705
Quietness - star rating3705
Overall hospital rating - star rating4705
Recommend hospital - star rating4705
Summary star rating3705

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 volumemedium
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 vaccination844495
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 better196434
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 better195427
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 better
Left before being seen139090
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100103
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing112454
Appropriate care for severe sepsis and septic shock87247
Septic Shock 3-Hour Bundle9981
Septic Shock 6-Hour Bundle10076
Severe Sepsis 3-Hour Bundle90248
Severe Sepsis 6-Hour Bundle98174
Discharged on Antithrombotic Therapy98128
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis996421
Intensive Care Unit Venous Thromboembolism Prophylaxis100969

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 South Miami Hospital rated?
South Miami Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does South Miami Hospital have emergency services?
Yes. South Miami Hospital operates a 24/7 emergency department.
Where is South Miami Hospital located?
South Miami Hospital is located at 6200 Sw 73rd St, Miami, FL 33143.
What type of hospital is South Miami Hospital?
South Miami Hospital 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.

Report an issue with this page