JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sycamore Shoals Hospital

2 / 5

At a glance

Sycamore Shoals Hospital carries a 2-star CMS overall rating — below 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 Days527Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.356Not 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 LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days679Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.379Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures32Not available
SSI - Colon Surgery: Predicted Cases0.878Not available
SSI - Colon Surgery: Observed Cases3Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures4Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.033Not 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 Days12847Not available
MRSA Bacteremia: Predicted Cases0.441Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.284Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit3.043Same as national
Clostridium Difficile (C.Diff): Patient Days12847Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.683Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)1.118Same 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 patients3.9Same as national81
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national263
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.4Same as national32
Death rate for heart failure patients12.3Same as national75
Death rate for pneumonia patients19.9Same as national146
Death rate for stroke patientsNot available
Pressure ulcer rate0.47Same as national892
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1176
In-hospital fall-associated fracture rate0.26Same as national1173
Postoperative hemorrhage or hematoma rate2.29Same as national157
Postoperative acute kidney injury requiring dialysis rate1.66Same as national84
Postoperative respiratory failure rate8.79Same as national86
Perioperative pulmonary embolism or deep vein thrombosis rate3.30Same as national172
Postoperative sepsis rate5.12Same as national77
Postoperative wound dehiscence rate1.75Same as national26
Abdominopelvic accidental puncture or laceration rate1.05Same as national83
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients-12.2Not available67
Hospital return days for pneumonia patients54.5Not available142
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national379
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national119
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 surgery1Same as national82
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national32
Heart failure (HF) 30-Day Readmission Rate19.4Same as national67
Rate of readmission after hip/knee replacement5.8Same as national82
Pneumonia (PN) 30-Day Readmission Rate18.8Same as national142

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 rating4420
Doctor communication - star rating4420
Communication about medicines - star rating3420
Discharge information - star rating5420
Cleanliness - star rating3420
Quietness - star rating4420
Overall hospital rating - star rating3420
Recommend hospital - star rating4420
Summary star rating4420

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 volumelow
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 Hyperglycemia163954
Hospital Harm - Severe Hypoglycemia1940
Hospital Harm - Opioid Related Adverse Events01721
Healthcare workers given influenza vaccination96877
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 better161371
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 better154344
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36811
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31418
Left before being seen117225
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10062
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing21836
Appropriate care for severe sepsis and septic shock6650
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8450
Severe Sepsis 6-Hour Bundle10029
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.

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 Sycamore Shoals Hospital rated?
Sycamore Shoals Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Sycamore Shoals Hospital have emergency services?
Yes. Sycamore Shoals Hospital operates a 24/7 emergency department.
Where is Sycamore Shoals Hospital located?
Sycamore Shoals Hospital is located at 1501 West Elk Avenue, Elizabethton, TN 37643.
What type of hospital is Sycamore Shoals Hospital?
Sycamore Shoals 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.

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