JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Summa Western Reserve Hospital

3 / 5

At a glance

Summa Western Reserve Hospital 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.

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 Days780Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.571Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.035Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.451Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2378Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.429Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.700Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures17Not available
SSI - Colon Surgery: Predicted Cases0.449Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.025Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days13186Not available
MRSA Bacteremia: Predicted Cases0.512Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.164Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.753Same as national
Clostridium Difficile (C.Diff): Patient Days13186Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.657Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.644Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national294
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.4Same as national58
Death rate for heart failure patients11.1Same as national65
Death rate for pneumonia patients15Same as national72
Death rate for stroke patients13.9Same as national33
Pressure ulcer rate0.42Same as national882
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national1160
In-hospital fall-associated fracture rate0.26Same as national1145
Postoperative hemorrhage or hematoma rate2.46Same as national261
Postoperative acute kidney injury requiring dialysis rate1.63Same as national116
Postoperative respiratory failure rate12.44Same as national110
Perioperative pulmonary embolism or deep vein thrombosis rate4.03Same as national268
Postoperative sepsis rate4.79Same as national107
Postoperative wound dehiscence rate1.73Same as national78
Abdominopelvic accidental puncture or laceration rate1.00Same as national196
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients4.7Not available71
Hospital return days for pneumonia patients75.1Not available68
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national457
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national657
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national25
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national25
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national268
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national60
Heart failure (HF) 30-Day Readmission Rate19.8Same as national71
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national68

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 rating4329
Doctor communication - star rating3329
Communication about medicines - star rating3329
Discharge information - star rating3329
Cleanliness - star rating3329
Quietness - star rating4329
Overall hospital rating - star rating4329
Recommend hospital - star rating4329
Summary star rating3329

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 Hyperglycemia122896
Hospital Harm - Severe Hypoglycemia2585
Hospital Harm - Opioid Related Adverse Events01383
Healthcare workers given influenza vaccination981605
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 better16217385
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 better16016601
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better198405
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better306414
Left before being seen323119
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98290
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing11626
Appropriate care for severe sepsis and septic shock70103
Septic Shock 3-Hour Bundle8739
Septic Shock 6-Hour Bundle10018
Severe Sepsis 3-Hour Bundle79103
Severe Sepsis 6-Hour Bundle9468
Discharged on Antithrombotic Therapy8938
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29543
Venous Thromboembolism Prophylaxis922435
Intensive Care Unit Venous Thromboembolism Prophylaxis99137

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 Summa Western Reserve Hospital rated?
Summa Western Reserve Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Summa Western Reserve Hospital have emergency services?
Yes. Summa Western Reserve Hospital operates a 24/7 emergency department.
Where is Summa Western Reserve Hospital located?
Summa Western Reserve Hospital is located at 1900 23rd Street, Cuyahoga Falls, OH 44223.
What type of hospital is Summa Western Reserve Hospital?
Summa Western Reserve 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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