JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Tristar Stonecrest Medical Center

4 / 5

At a glance

Tristar Stonecrest Medical Center carries a 4-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 Limit0.033Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.258Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2123Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.514Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.661Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.704Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1562Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.108Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.030Same as national
SSI - Colon Surgery: Upper Confidence Limit2.929Same as national
SSI - Colon Surgery: Number of Procedures57Same as national
SSI - Colon Surgery: Predicted Cases1.684Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.594Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.482Same as national
SSI - Abdominal Hysterectomy: Number of Procedures134Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.207Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.034Same as national
MRSA Bacteremia: Upper Confidence Limit3.323Same as national
MRSA Bacteremia: Patient Days32307Same as national
MRSA Bacteremia: Predicted Cases1.484Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.674Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.005Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.468Better than national
Clostridium Difficile (C.Diff): Patient Days26350Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.533Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.095Better 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 Rate4.5Same as national466
Death rate for heart attack patients13Same as national46
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national34
Death rate for heart failure patients14.1Same as national137
Death rate for pneumonia patients14.7Same as national163
Death rate for stroke patients11.8Same as national63
Pressure ulcer rate0.33Same as national1511
Death rate among surgical inpatients with serious treatable complications197.05Same as national25
Iatrogenic pneumothorax rate0.19Same as national2003
In-hospital fall-associated fracture rate0.25Same as national1989
Postoperative hemorrhage or hematoma rate2.05Same as national565
Postoperative acute kidney injury requiring dialysis rate1.62Same as national313
Postoperative respiratory failure rate8.25Same as national331
Perioperative pulmonary embolism or deep vein thrombosis rate2.75Same as national572
Postoperative sepsis rate4.40Same as national300
Postoperative wound dehiscence rate1.71Same as national209
Abdominopelvic accidental puncture or laceration rate0.97Same as national427
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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 patients6Not available142
Hospital return days for pneumonia patients26.2Not available162
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national721
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national435
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 national169
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national43
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national31
Heart failure (HF) 30-Day Readmission Rate20.1Same as national142
Rate of readmission after hip/knee replacement4.9Same as national27
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national162

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 rating3467
Doctor communication - star rating3467
Communication about medicines - star rating2467
Discharge information - star rating3467
Cleanliness - star rating4467
Quietness - star rating4467
Overall hospital rating - star rating4467
Recommend hospital - star rating4467
Summary star rating3467

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 volumehigh
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 vaccination501465
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 better182446
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 better180419
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34412
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32015
Left before being seen049771
Head CT results7919
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96100
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142674
Appropriate care for severe sepsis and septic shock5996
Septic Shock 3-Hour Bundle5426
Septic Shock 6-Hour Bundle7512
Severe Sepsis 3-Hour Bundle8296
Severe Sepsis 6-Hour Bundle9562
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29272
Venous Thromboembolism Prophylaxis992803
Intensive Care Unit Venous Thromboembolism Prophylaxis96784

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 Tristar Stonecrest Medical Center rated?
Tristar Stonecrest Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Tristar Stonecrest Medical Center have emergency services?
Yes. Tristar Stonecrest Medical Center operates a 24/7 emergency department.
Where is Tristar Stonecrest Medical Center located?
Tristar Stonecrest Medical Center is located at 200 Stonecrest Boulevard, Smyrna, TN 37167.
What type of hospital is Tristar Stonecrest Medical Center?
Tristar Stonecrest Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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