JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Tristar Summit Medical Center

4 / 5

At a glance

Tristar Summit 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 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 Limit0.014Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.356Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4449Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.637Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.275Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.074Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.458Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4866Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.532Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.441Same as national
SSI - Colon Surgery: Lower Confidence Limit0.023Same as national
SSI - Colon Surgery: Upper Confidence Limit2.220Same as national
SSI - Colon Surgery: Number of Procedures86Same as national
SSI - Colon Surgery: Predicted Cases2.222Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.450Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures37Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.338Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.010Better than national
MRSA Bacteremia: Upper Confidence Limit0.997Better than national
MRSA Bacteremia: Patient Days61241Better than national
MRSA Bacteremia: Predicted Cases4.948Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.202Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.085Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.385Better than national
Clostridium Difficile (C.Diff): Patient Days57174Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.997Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.194Better 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 patients4.1Same as national55
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1165
Death rate for heart attack patients11Same as national105
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7Same as national84
Death rate for heart failure patients11.4Same as national309
Death rate for pneumonia patients15.6Same as national380
Death rate for stroke patients13.1Same as national206
Pressure ulcer rate0.41Same as national3970
Death rate among surgical inpatients with serious treatable complications194.49Same as national53
Iatrogenic pneumothorax rate0.17Same as national5056
In-hospital fall-associated fracture rate0.27Same as national4959
Postoperative hemorrhage or hematoma rate2.43Same as national905
Postoperative acute kidney injury requiring dialysis rate1.59Same as national303
Postoperative respiratory failure rate9.79Same as national328
Perioperative pulmonary embolism or deep vein thrombosis rate2.85Same as national905
Postoperative sepsis rate6.12Same as national291
Postoperative wound dehiscence rate1.67Same as national192
Abdominopelvic accidental puncture or laceration rate1.18Same as national566
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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-22.7Not available109
Hospital return days for heart failure patients1Not available366
Hospital return days for pneumonia patients-11.2Not available395
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1927
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national77
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 surgery1.1Same as national310
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national109
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.3Same as national97
Heart failure (HF) 30-Day Readmission Rate20.7Same as national366
Rate of readmission after hip/knee replacement4.9Same as national44
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national395

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 rating2621
Doctor communication - star rating3621
Communication about medicines - star rating2621
Discharge information - star rating2621
Cleanliness - star rating3621
Quietness - star rating4621
Overall hospital rating - star rating3621
Recommend hospital - star rating3621
Summary star rating3621

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination472031
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 better155448
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 better150414
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better48620
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better28416
Left before being seen068816
Head CT results7914
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9842
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing164513
Appropriate care for severe sepsis and septic shock70127
Septic Shock 3-Hour Bundle3824
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle87127
Severe Sepsis 6-Hour Bundle9777
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298262
Venous Thromboembolism Prophylaxis946952
Intensive Care Unit Venous Thromboembolism Prophylaxis991490

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 Summit Medical Center rated?
Tristar Summit Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Tristar Summit Medical Center have emergency services?
Yes. Tristar Summit Medical Center operates a 24/7 emergency department.
Where is Tristar Summit Medical Center located?
Tristar Summit Medical Center is located at 5655 Frist Blvd, Hermitage, TN 37076.
What type of hospital is Tristar Summit Medical Center?
Tristar Summit 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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