JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Tallahassee Memorial Healthcare

3 / 5

At a glance

Tallahassee Memorial Healthcare carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.229Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.035Same as national
Central Line Associated Bloodstream Infection: Number of Device Days13305Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases13.381Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.523Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.090Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.543Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13728Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases20.402Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.245Better than national
SSI - Colon Surgery: Lower Confidence Limit0.243Same as national
SSI - Colon Surgery: Upper Confidence Limit1.246Same as national
SSI - Colon Surgery: Number of Procedures359Same as national
SSI - Colon Surgery: Predicted Cases10.012Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.599Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.632Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.826Same as national
SSI - Abdominal Hysterectomy: Number of Procedures320Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.897Same as national
SSI - Abdominal Hysterectomy: Observed Cases5Same as national
SSI - Abdominal Hysterectomy1.726Same as national
MRSA Bacteremia: Lower Confidence Limit0.462Same as national
MRSA Bacteremia: Upper Confidence Limit2.090Same as national
MRSA Bacteremia: Patient Days121372Same as national
MRSA Bacteremia: Predicted Cases6.625Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia1.057Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.175Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.413Better than national
Clostridium Difficile (C.Diff): Patient Days107429Better than national
Clostridium Difficile (C.Diff): Predicted Cases76.406Better than national
Clostridium Difficile (C.Diff): Observed Cases21Better than national
Clostridium Difficile (C.Diff)0.275Better 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 patients4.8Same as national71
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national2060
Death rate for heart attack patients12.5Same as national196
Death rate for CABG surgery patients1.7Same as national160
Death rate for COPD patients8.8Same as national123
Death rate for heart failure patients12.2Same as national466
Death rate for pneumonia patients17.2Same as national437
Death rate for stroke patients14.1Same as national434
Pressure ulcer rate0.60Same as national5855
Death rate among surgical inpatients with serious treatable complications210.38Same as national101
Iatrogenic pneumothorax rate0.18Same as national8606
In-hospital fall-associated fracture rate0.19Same as national8653
Postoperative hemorrhage or hematoma rate1.79Same as national2326
Postoperative acute kidney injury requiring dialysis rate2.18Same as national902
Postoperative respiratory failure rate9.71Same as national910
Perioperative pulmonary embolism or deep vein thrombosis rate2.46Same as national2506
Postoperative sepsis rate3.81Same as national856
Postoperative wound dehiscence rate2.21Same as national387
Abdominopelvic accidental puncture or laceration rate0.78Same as national1323
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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-33.6Not available241
Hospital return days for heart failure patients-31.8Not available615
Hospital return days for pneumonia patients-24.5Not available495
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national3428
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national276
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national203
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national203
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national510
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12Same as national241
Rate of readmission for CABG10.1Same as national158
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national132
Heart failure (HF) 30-Day Readmission Rate18Same as national615
Rate of readmission after hip/knee replacement5.8Same as national84
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national495

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 rating21159
Doctor communication - star rating31159
Communication about medicines - star rating21159
Discharge information - star rating21159
Cleanliness - star rating31159
Quietness - star rating21159
Overall hospital rating - star rating21159
Recommend hospital - star rating31159
Summary star rating21159

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 volumevery high
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 Hyperglycemia639141
Hospital Harm - Severe Hypoglycemia46133
Hospital Harm - Opioid Related Adverse Events112653
Healthcare workers given influenza vaccination896572
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 better204420
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 better204410
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 seen2123677
Head CT results4314
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7067
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5934
Safe Use of Opioids - Concurrent Prescribing165699
Appropriate care for severe sepsis and septic shock59967
Septic Shock 3-Hour Bundle83357
Septic Shock 6-Hour Bundle72206
Severe Sepsis 3-Hour Bundle74967
Severe Sepsis 6-Hour Bundle92399
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 MeasureYes

Frequently asked questions

How is Tallahassee Memorial Healthcare rated?
Tallahassee Memorial Healthcare has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Tallahassee Memorial Healthcare have emergency services?
Yes. Tallahassee Memorial Healthcare operates a 24/7 emergency department.
Where is Tallahassee Memorial Healthcare located?
Tallahassee Memorial Healthcare is located at 1300 Miccosukee Rd, Tallahassee, FL 32308.
What type of hospital is Tallahassee Memorial Healthcare?
Tallahassee Memorial Healthcare 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