JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

South Pointe Hospital

5 / 5

At a glance

South Pointe Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.183Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.954Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4762Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.179Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.718Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.062Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.216Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5200Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.433Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.368Same as national
SSI - Colon Surgery: Lower Confidence Limit0.029Same as national
SSI - Colon Surgery: Upper Confidence Limit2.843Same as national
SSI - Colon Surgery: Number of Procedures65Same as national
SSI - Colon Surgery: Predicted Cases1.735Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.576Same as national
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 Limit0.109Same as national
MRSA Bacteremia: Upper Confidence Limit2.144Same as national
MRSA Bacteremia: Patient Days39867Same as national
MRSA Bacteremia: Predicted Cases3.082Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.649Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.111Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.670Better than national
Clostridium Difficile (C.Diff): Patient Days39867Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.553Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.302Better 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 Rate3.3Better than national600
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.5Same as national77
Death rate for heart failure patients8.6Same as national203
Death rate for pneumonia patients10.9Better than national199
Death rate for stroke patients12.1Same as national28
Pressure ulcer rate0.49Same as national2556
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2965
In-hospital fall-associated fracture rate0.28Same as national3010
Postoperative hemorrhage or hematoma rate2.45Same as national234
Postoperative acute kidney injury requiring dialysis rate1.64Same as national50
Postoperative respiratory failure rate10.93Same as national54
Perioperative pulmonary embolism or deep vein thrombosis rate3.95Same as national254
Postoperative sepsis rate4.97Same as national50
Postoperative wound dehiscence rate1.70Same as national70
Abdominopelvic accidental puncture or laceration rate0.95Same as national463
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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 patients27.9Not available231
Hospital return days for pneumonia patients33.5Not available216
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1065
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national535
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.7Same as national34
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national34
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national174
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national93
Heart failure (HF) 30-Day Readmission Rate20.9Same as national231
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national216

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 rating3696
Doctor communication - star rating3696
Communication about medicines - star rating2696
Discharge information - star rating3696
Cleanliness - star rating4696
Quietness - star rating2696
Overall hospital rating - star rating3696
Recommend hospital - star rating3696
Summary star rating3696

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 vaccination863106
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 better173393
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 better173369
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23816
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 seen335078
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9272
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing10873
Appropriate care for severe sepsis and septic shock67152
Septic Shock 3-Hour Bundle6754
Septic Shock 6-Hour Bundle7229
Severe Sepsis 3-Hour Bundle88152
Severe Sepsis 6-Hour Bundle9383
Discharged on Antithrombotic Therapy9765
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29466
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis90773

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 South Pointe Hospital rated?
South Pointe Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does South Pointe Hospital have emergency services?
According to CMS records, South Pointe Hospital does not report a 24/7 emergency department.
Where is South Pointe Hospital located?
South Pointe Hospital is located at 20000 Harvard Road, Warrensville Heights, OH 44122.
What type of hospital is South Pointe Hospital?
South Pointe Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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