Acute Care Hospitals · Proprietary
Southern Tennessee Regional Health System Winchest
- 185 Hospital Road, Winchester, TN 37398
- (931) 967-8200
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Southern Tennessee Regional Health System Winchest 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | — | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | — | Not available |
| Central Line Associated Bloodstream Infection: Number of Device Days | 764 | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 0.523 | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 0 | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | — | Not available |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 2.721 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 1631 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 1.101 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | — | Not available |
| SSI - Colon Surgery: Upper Confidence Limit | — | Not available |
| SSI - Colon Surgery: Number of Procedures | 5 | Not available |
| SSI - Colon Surgery: Predicted Cases | 0.125 | Not available |
| SSI - Colon Surgery: Observed Cases | 1 | Not available |
| SSI - Colon Surgery | — | Not available |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 13 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.117 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | — | Not available |
| MRSA Bacteremia: Upper Confidence Limit | — | Not available |
| MRSA Bacteremia: Patient Days | 16206 | Not available |
| MRSA Bacteremia: Predicted Cases | 0.864 | Not available |
| MRSA Bacteremia: Observed Cases | 2 | Not available |
| MRSA Bacteremia | — | Not available |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.051 | Same as national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.002 | Same as national |
| Clostridium Difficile (C.Diff): Patient Days | 15037 | Same as national |
| Clostridium Difficile (C.Diff): Predicted Cases | 6.597 | Same as national |
| Clostridium Difficile (C.Diff): Observed Cases | 2 | Same as national |
| Clostridium Difficile (C.Diff) | 0.303 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.9 | Same as national | 52 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 5.4 | Worse than national | 332 |
| Death rate for heart attack patients | 12.4 | Same as national | 64 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10.8 | Same as national | 52 |
| Death rate for heart failure patients | 8.5 | Same as national | 83 |
| Death rate for pneumonia patients | 17.8 | Same as national | 174 |
| Death rate for stroke patients | 14.1 | Same as national | 26 |
| Pressure ulcer rate | 1.43 | Same as national | 955 |
| Death rate among surgical inpatients with serious treatable complications | — | Not available | — |
| Iatrogenic pneumothorax rate | 0.33 | Same as national | 1161 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 1169 |
| Postoperative hemorrhage or hematoma rate | 2.27 | Same as national | 226 |
| Postoperative acute kidney injury requiring dialysis rate | 1.66 | Same as national | 84 |
| Postoperative respiratory failure rate | 8.72 | Same as national | 86 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.09 | Same as national | 231 |
| Postoperative sepsis rate | 5.12 | Same as national | 70 |
| Postoperative wound dehiscence rate | 1.75 | Same as national | 32 |
| Abdominopelvic accidental puncture or laceration rate | 1.33 | Same as national | 111 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.26 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 0 | Not available | 50 |
| Hospital return days for heart failure patients | -23.6 | Not available | 85 |
| Hospital return days for pneumonia patients | 10.6 | Not available | 170 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.5 | Same as national | 444 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.2 | Same as national | 537 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 119 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.2 | Same as national | 50 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.9 | Same as national | 57 |
| Heart failure (HF) 30-Day Readmission Rate | 18.4 | Same as national | 85 |
| Rate of readmission after hip/knee replacement | 4.6 | Same as national | 51 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.9 | Same as national | 170 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 420 |
| Doctor communication - star rating | 3 | 420 |
| Communication about medicines - star rating | 3 | 420 |
| Discharge information - star rating | 4 | 420 |
| Cleanliness - star rating | 4 | 420 |
| Quietness - star rating | 4 | 420 |
| Overall hospital rating - star rating | 3 | 420 |
| Recommend hospital - star rating | 3 | 420 |
| Summary star rating | 4 | 420 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | low | — |
| 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 | 4 | 3458 |
| Hospital Harm - Severe Hypoglycemia | 1 | 686 |
| Hospital Harm - Opioid Related Adverse Events | 0 | 1684 |
| Healthcare workers given influenza vaccination | 50 | 838 |
| 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 better | 147 | 437 |
| 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 better | 142 | 401 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 223 | 16 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 254 | 21 |
| Left before being seen | 1 | 19999 |
| Head CT results | 79 | 14 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 63 | 102 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 1043 |
| Appropriate care for severe sepsis and septic shock | 42 | 33 |
| Septic Shock 3-Hour Bundle | — | — |
| Septic Shock 6-Hour Bundle | — | — |
| Severe Sepsis 3-Hour Bundle | 45 | 33 |
| Severe Sepsis 6-Hour Bundle | 100 | 14 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | — | — |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Southern Tennessee Regional Health System Winchest rated?
- Southern Tennessee Regional Health System Winchest has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Southern Tennessee Regional Health System Winchest have emergency services?
- Yes. Southern Tennessee Regional Health System Winchest operates a 24/7 emergency department.
- Where is Southern Tennessee Regional Health System Winchest located?
- Southern Tennessee Regional Health System Winchest is located at 185 Hospital Road, Winchester, TN 37398.
- What type of hospital is Southern Tennessee Regional Health System Winchest?
- Southern Tennessee Regional Health System Winchest is classified by CMS as a Acute Care Hospitals facility (Proprietary).
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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.