Affiliate of Vitruvian Health

Hospital in Cleveland, TN, Medicare certification number 440185. CMS publishes 63 quality measures for it.

Medicare certification

Provider of Services

CCN: 440185The 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: Proprietary
Control type: Private (for profit)
Participating since: Aug 31, 1980
Last certification: Dec 20, 2022
Beds: 351
Overall star rating: 2 of 5Care Compare
Most recent change of ownership: Aug 1, 2024 (4 total)
Address: 2305 Chambliss Ave NW
Cleveland, TN 37311
(423) 339-4132

NPI records for this facility 1

Bradley Medical Center, LLC
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 of 5
- State average 3.21 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.65 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.17 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.27 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.47 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 3.17 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.7 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse2 of 5
- State average 3.52 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.25 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.94
- State average 1 (computed here)
- National average 1.06
- No different than the national rate
- 469 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.77
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected178.75
- State average 181.38 (computed here)
- National average 173.3
- No different than the national rate
- 44 patients
- Period from 07/01/2022
Death rate for COPD patients As expected11.2
- State average 9.07 (computed here)
- National average 8.6
- No different than the national rate
- 95 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected14.6
- State average 12.26 (computed here)
- National average 11.9
- No different than the national rate
- 127 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.1
- State average 11.61 (computed here)
- National average 11.1
- No different than the national rate
- 288 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.2
- State average 16.17 (computed here)
- National average 15.2
- No different than the national rate
- 345 patients
- Period from 07/01/2022
Death rate for stroke patients As expected14.6
- State average 12.98 (computed here)
- National average 11.9
- No different than the national rate
- 166 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.4
- State average 4.36 (computed here)
- National average 3.9
- No different than the national rate
- 2,382 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 3,548 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.32
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 3,518 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.86
- State average 3.4 (computed here)
- National average 3.52
- No different than the national rate
- 640 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.61
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 146 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.65
- State average 2.29 (computed here)
- National average 2.34
- No different than the national rate
- 616 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected5.77
- State average 9.55 (computed here)
- National average 9.42
- No different than the national rate
- 160 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.34
- State average 5.25 (computed here)
- National average 5.27
- No different than the national rate
- 138 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.66
- State average 1.73 (computed here)
- National average 1.77
- No different than the national rate
- 137 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.24
- State average 0.61 (computed here)
- National average 0.63
- No different than the national rate
- 2,997 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected6.6
- State average 4.37 (computed here)
- National average 4.1
- No different than the national rate
- 63 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.28
- State average 0.41
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.08
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.64
- State average 0.25
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.08
- State average 0.99
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.33
- State average 0.89
- 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 3.8
- State average 5.37 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 2.4
- State average 6.1 (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) 1
- State average 1.02
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 92
- State average 92.42 (computed here)
- National average 92.79 (computed here)
- 125 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 35
- State average 59
- National average 65
- 197 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 205
- State average 170
- National average 168
- 416 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 363
- State average 305
- National average 287
- 11 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 202
- State average 162
- National average 162
- 392 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 302
- State average 308
- National average 257
- 15 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 95.07 (computed here)
- National average 96.1 (computed here)
- 134 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 95
- National average 93
- 62 patients
- Period from 01/01/2024
Head CT results 56
- State average 69
- National average 69
- 16 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 76
- State average 75
- National average 78
- 1,448 patients
- Period from 10/01/2024
Left before being seen 3
- State average 3
- National average 2
- 45,498 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 14
- National average 15
- 2,431 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 30
- State average 63
- National average 73
- 64 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 94
- State average 83
- National average 87
- 16 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 68
- State average 77
- National average 81
- 197 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 81
- State average 92
- National average 93
- 86 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 90
- State average 83.26 (computed here)
- National average 82.23 (computed here)
- 4,806 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Emergency department volume — high
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 - Opioid Related Adverse Events — 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

Unplanned visits 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.4
- State average 14.37 (computed here)
- National average 14.4
- No different than the national rate
- 216 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.3
- State average 21.35 (computed here)
- National average 21.3
- No different than the national rate
- 575 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -5.2
- State average 1.29 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 114 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 8.8
- State average 5.29 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 309 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 1.2
- State average 5.61 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 357 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.6
- State average 17.45 (computed here)
- National average 17.3
- No different than the national rate
- 711 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected6.1
- State average 5.92 (computed here)
- National average 5.8
- No different than the national rate
- 72 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.8
- State average 19.86 (computed here)
- National average 20
- No different than the national rate
- 242 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.2
- State average 12.75 (computed here)
- National average 13
- No different than the national rate
- 780 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.8
- State average 1.01 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 433 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission for CABG — 1

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.
NPPES NPI Registry: the NPI records connected to this certification.

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.