Southwest General Health Center

Hospital in Middleburg Heights, OH, Medicare certification number 360155. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 360155The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Jan 20, 2023
Beds: 346
Overall star rating: 4 of 5Care Compare
Address: 18697 Bagley Road
Middleburg Heights, OH 44130
(440) 816-4012

NPI records for this facility 1

Southwest General Health Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 3.7 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.71 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.61 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.14 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.84 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.45 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.31 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.79 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.43 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 621

Page 1 of 25Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Ghassan A Abdallah, M.D.
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1265531859
Karyn Lyn Abdallah, M.D.
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1477652816
Gayle L Abramson, M.D.
- Diagnostic Radiology Physician
- Cooperstown, NY
- NPI 1578676680
Muhammad Awais Aftab, M.B.B.S.
- Psychiatry Physician
- Cleveland, OH
- NPI 1538573035
Mohamed Alalwani, M.D.
- Rheumatology Physician
- Westlake, OH
- NPI 1013297225
Jaber Alanzi, MD
- Urology Physician
- Cleveland, OH
- NPI 1073748257
Rebecca S Albright, APRN
- Family Nurse Practitioner
- Olmsted TWP, OH
- NPI 1497383699
Alexis Alers, MD
- Internal Medicine Physician
- Parma, OH
- NPI 1285772079
Thayne Alred, MD
- Emergency Medicine Physician
- Cleveland, OH
- NPI 1962464610
Basel Altaqi, M.D.
- Pulmonary Disease Physician
- Parma, OH
- NPI 1598703761
John A Alton, MD
- Obstetrics & Gynecology Physician
- Cleveland, OH
- NPI 1326024233
Cynthia Ann Andrews, RN, MSN, CNP, CWOCN
- Family Nurse Practitioner
- Independence, OH
- NPI 1821497629
Ashish Aneja, M.D.
- Cardiovascular Disease Physician
- Cleveland, OH
- NPI 1427011493
David Angari, MD
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1841633351
Giuseppe Antonelli, M.D.
- Rheumatology Physician
- Parma, OH
- NPI 1912976473
Maria Josephine Antonelli, M.D.
- Rheumatology Physician
- Cleveland, OH
- NPI 1932343555
Costas A Apostolis, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Strongsville, OH
- NPI 1700020138
Ashok Waman Argekar, M.D.
- Surgery Physician
- North Royalton, OH
- NPI 1629184387
Pushkar Ashok Argekar, M.D.
- Nephrology Physician
- Parma Heights, OH
- NPI 1063629657
Brian A Aronson, MD
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1215928064
Tanureet Kaur Arora
- Hospitalist Physician
- Rochester, NY
- NPI 1912382201
Arreeg Awad, CNP
- Acute Care Nurse Practitioner
- Cleveland, OH
- NPI 1063177897
Katherine Elizabeth Ayers, MD
- Internal Medicine Physician
- Brunswick, OH
- NPI 1962687871
Samia Baaklini, MD
- Internal Medicine Physician
- Westlake, OH
- NPI 1649370735
Rima Bachuwa, MD
- Obstetrics & Gynecology Physician
- Middleburg Heights, OH
- NPI 1740480300

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate Worse2.06
- State average 1.04 (computed here)
- National average 1.06
- Worse than the national rate
- 1,423 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.4
- State average 0.97 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected156.6
- State average 170.96 (computed here)
- National average 173.3
- No different than the national rate
- 72 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.4
- State average 2.27 (computed here)
- National average 2.4
- No different than the national rate
- 30 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.9
- State average 8.28 (computed here)
- National average 8.6
- No different than the national rate
- 242 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.8
- State average 11.61 (computed here)
- National average 11.9
- No different than the national rate
- 159 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.7
- State average 10.63 (computed here)
- National average 11.1
- No different than the national rate
- 381 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.7
- State average 14.65 (computed here)
- National average 15.2
- No different than the national rate
- 586 patients
- Period from 07/01/2022
Death rate for stroke patients As expected14.2
- State average 11.66 (computed here)
- National average 11.9
- No different than the national rate
- 364 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
- State average 3.92 (computed here)
- National average 3.9
- No different than the national rate
- 4,365 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.3
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 7,102 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.32
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 7,306 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.79
- State average 3.41 (computed here)
- National average 3.52
- No different than the national rate
- 1,216 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.76
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 635 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.49
- State average 2.32 (computed here)
- National average 2.34
- No different than the national rate
- 1,266 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected13.44
- State average 9.31 (computed here)
- National average 9.42
- No different than the national rate
- 672 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.39
- State average 5.13 (computed here)
- National average 5.27
- No different than the national rate
- 436 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.57
- State average 1.79 (computed here)
- National average 1.77
- No different than the national rate
- 373 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.4
- State average 0.56 (computed here)
- National average 0.63
- Worse than the national rate
- 6,012 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.3
- State average 4.31 (computed here)
- National average 4.1
- No different than the national rate
- 315 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.73
- State average 0.43
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.57
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.43
- State average 0.45
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.84
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.29
- State average 1.08
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4
- State average 4.61 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 5.8
- State average 7.08 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.97
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 94
- State average 95.51 (computed here)
- National average 92.79 (computed here)
- 153 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 89
- State average 63
- National average 65
- 311 patients
- Period from 10/01/2024
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 better 199
- State average 164
- National average 168
- 403 patients
- Period from 10/01/2024
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 better 199
- State average 158
- National average 162
- 377 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 204
- State average 248
- National average 257
- 22 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.97 (computed here)
- National average 96.1 (computed here)
- 171 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 96
- National average 93
- 73 patients
- Period from 01/01/2024
Head CT results 88
- State average 71
- National average 69
- 25 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 53
- State average 82
- National average 78
- 2,942 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.12 (computed here)
- National average 0.18 (computed here)
- 6,976 patients
- Period from 01/01/2024
Left before being seen 5
- State average 2
- National average 2
- 36,871 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 13
- National average 15
- 2,982 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 92
- State average 73
- National average 73
- 146 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 99
- State average 86
- National average 87
- 113 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 95
- State average 79
- National average 81
- 311 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 99
- State average 93
- National average 93
- 208 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — medium
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.4
- State average 14.52 (computed here)
- National average 14.4
- No different than the national rate
- 266 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.9
- State average 21.66 (computed here)
- National average 21.3
- No different than the national rate
- 758 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 54.2
- State average 10.24 (computed here)
- National average 6.71 (computed here)
- More days than average per 100 discharges
- 155 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -2.4
- State average 3.25 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 418 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 10.5
- State average 2.29 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 622 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.5
- State average 17.27 (computed here)
- National average 17.3
- No different than the national rate
- 1,143 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.6
- State average 5.36 (computed here)
- National average 5.4
- No different than the national rate
- 121 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected13.3
- State average 11.09 (computed here)
- National average 10.7
- No different than the national rate
- 121 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.9
- State average 6.07 (computed here)
- National average 5.8
- No different than the national rate
- 317 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12
- State average 11.07 (computed here)
- National average 11
- No different than the national rate
- 42 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.5
- State average 19.74 (computed here)
- National average 20
- No different than the national rate
- 538 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13
- State average 13.26 (computed here)
- National average 13
- No different than the national rate
- 2,550 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.8
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 878 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Units certified under this facility 2

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Oakview Mental Health Services Hospital, CCN 36S155
Southwest General Hospital Inpatient rehabilitation facility, CCN 36T155, 18 measures, 3 providers

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.