Tennessee · Acute Care

Tristar Southern Hills Medical Center

Tristar Southern Hills Medical Center holds a 4 of 5 CMS overall star rating — above the national average of 3.1 — in Nashville, TN.

4★
CMS overall rating: 63th
National percentile: 20
Quality measures: 36
Infection measures

391 Wallace Rd, Nashville, TN 37211 · Davidson County · (615) 781-4000

The verdict

Tristar Southern Hills Medical Center earns 4 of 5 stars from CMS — above the 3.1-star national average — and reports 2 quality measures better than the national benchmark.

4 / 5
CMS overall star rating: Higher than 63%
of 2,866 rated US hospitals: 2
measures better than national of 15 compared: Yes
emergency department on site

All figures from the CMS Hospital Compare release of 2026-05-15. This page is informational and not medical advice.

Where Tristar Southern Hills Medical Center sits among rated US hospitals

CMS overall star rating — count of hospitals at each rating, this hospital marked

4 Top 37% higher than 63% of 2,866 rated hospitals

Each bar is a band; taller bars hold more rated hospitals. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Hospital Compare — overall hospital rating · 2026-05-15

Tristar Southern Hil…

4
Tennessee avg

3
US avg

3.1

What this shows At 4 stars, Tristar Southern Hills Medical Center rates above the Tennessee average of 3 and above the national average of 3.1.

Type

Acute Care Hospitals

Ownership

Proprietary

Emergency Services

Yes

Birthing Friendly

N/A

Quality Measures

CMS-tracked

Patient Experience

HCAHPS domains

Infection Measures

CDC NHSN

CMS Overall Star Rating 80.0%

4 of 5 stars

Quality profile vs. the national benchmark

How Tristar Southern Hills Medical Center performs across CMS's three outcome domains — each bar shows the share of measures rated better, the same, or worse than the national average.

Mortality 4 measures

Safety of care 6 measures

1 5

Readmission 5 measures

1 4

Better than national Same as national Worse than national

Quality Measures

Detailed quality measure performance compared to national benchmarks

Measure	Score	vs. National
Abdominopelvic accidental puncture or laceration rate	1.01	Same as National
CMS Medicare PSI 90: Patient safety and adverse events composite	0.93	Same as National
Death rate among surgical inpatients with serious treatable complications	N/A	Number of Cases Too Small
Death rate for CABG surgery patients	N/A	Not Available
Death rate for COPD patients	N/A	Number of Cases Too Small
Death rate for heart attack patients	11.3	Same as National
Death rate for heart failure patients	11.6	Same as National
Death rate for pneumonia patients	20.1	Same as National
Death rate for stroke patients	13.8	Same as National
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate	4	Same as National
Iatrogenic pneumothorax rate	0.2	Same as National
In-hospital fall-associated fracture rate	0.25	Same as National
Perioperative pulmonary embolism or deep vein thrombosis rate	3.06	Same as National
Postoperative acute kidney injury requiring dialysis rate	1.65	Same as National
Postoperative hemorrhage or hematoma rate	2.17	Same as National

Patient Experience (HCAHPS)

Patient satisfaction survey results measuring hospital care quality

Survey Question	Star Rating	Linear Score
Cleanliness - linear mean score Cleanliness - linear mean score	N/A	85
Cleanliness - star rating Cleanliness - star rating	3	N/A
Communication about medicines - linear mean score Communication about medicines - linear mean score	N/A	71
Communication about medicines - star rating Communication about medicines - star rating	2	N/A
Discharge information - linear mean score Discharge information - linear mean score	N/A	81
Discharge information - star rating Discharge information - star rating	2	N/A
Doctor communication - linear mean score Doctor communication - linear mean score	N/A	90
Doctor communication - star rating Doctor communication - star rating	3	N/A
Nurse communication - linear mean score Nurse communication - linear mean score	N/A	88
Nurse communication - star rating Nurse communication - star rating	2	N/A
Overall hospital rating - linear mean score Overall hospital rating - linear mean score	N/A	86
Overall hospital rating - star rating Overall hospital rating - star rating	3	N/A
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "6" or lower (low)	N/A	N/A
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "7" or "8" (medium)	N/A	N/A
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "9" or "10" (high)	N/A	N/A
Patients who reported NO, they would probably not or definitely not recommend the hospital "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)	N/A	N/A
Patients who reported that NO, they did not discuss whether they would need help after discharge No, staff "did not" give patients information about help after discharge	N/A	N/A
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge No, staff "did not" give patients information about possible symptoms	N/A	N/A
Patients who reported that NO, they were not given information about what to do during their recovery at home No, staff "did not" give patients this information	N/A	N/A
Patients who reported that staff "Always" explained about medicines before giving it to them Staff "always" explained	N/A	N/A
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them Staff "sometimes" or "never" explained	N/A	N/A
Patients who reported that staff "Usually" explained about medicines before giving it to them Staff "usually" explained	N/A	N/A
Patients who reported that the area around their room was "Always" quiet at night "Always" quiet at night	N/A	N/A
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night "Sometimes" or "never" quiet at night	N/A	N/A
Patients who reported that the area around their room was "Usually" quiet at night "Usually" quiet at night	N/A	N/A
Patients who reported that their doctors "Always" communicated well Doctors "always" communicated well	N/A	N/A
Patients who reported that their doctors "Always" explained things in a way they could understand Doctors "always" explained things so they could understand	N/A	N/A
Patients who reported that their doctors "Always" listened carefully to them Doctors "always" listened carefully	N/A	N/A
Patients who reported that their doctors "Always" treated them with courtesy and respect Doctors "always" treated them with courtesy and respect	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect Doctors "sometimes" or "never" treated them with courtesy and respect	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" communicated well Doctors "sometimes" or "never" communicated well	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand Doctors "sometimes" or "never" explained things so they could understand	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them Doctors "sometimes" or "never" listened carefully	N/A	N/A
Patients who reported that their doctors "Usually" treated them with courtesy and respect Doctors "usually" treated them with courtesy and respect	N/A	N/A
Patients who reported that their doctors "Usually" communicated well Doctors "usually" communicated well	N/A	N/A
Patients who reported that their doctors "Usually" explained things in a way they could understand Doctors "usually" explained things so they could understand	N/A	N/A
Patients who reported that their doctors "Usually" listened carefully to them Doctors "usually" listened carefully	N/A	N/A
Patients who reported that their nurses "Always" communicated well Nurses "always" communicated well	N/A	N/A
Patients who reported that their nurses "Always" explained things in a way they could understand Nurses "always" explained things so they could understand	N/A	N/A
Patients who reported that their nurses "Always" listened carefully to them Nurses "always" listened carefully	N/A	N/A
Patients who reported that their nurses "Always" treated them with courtesy and respect Nurses "always" treated them with courtesy and respect	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect Nurses "sometimes" or "never" treated them with courtesy and respect	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" communicated well Nurses "sometimes" or "never" communicated well	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand Nurses "sometimes" or "never" explained things so they could understand	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them Nurses "sometimes" or "never" listened carefully	N/A	N/A
Patients who reported that their nurses "Usually" treated them with courtesy and respect Nurses "usually" treated them with courtesy and respect	N/A	N/A
Patients who reported that their nurses "Usually" communicated well Nurses "usually" communicated well	N/A	N/A
Patients who reported that their nurses "Usually" explained things in a way they could understand Nurses "usually" explained things so they could understand	N/A	N/A
Patients who reported that their nurses "Usually" listened carefully to them Nurses "usually" listened carefully	N/A	N/A
Patients who reported that their room and bathroom were "Always" clean Room was "always" clean	N/A	N/A
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean Room was "sometimes" or "never" clean	N/A	N/A
Patients who reported that their room and bathroom were "Usually" clean Room was "usually" clean	N/A	N/A
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for Staff "always" explained new medications	N/A	N/A
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects Staff "always" explained possible side effects	N/A	N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for Staff "sometimes" or "never" explained new medications	N/A	N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects Staff "sometimes" or "never" explained possible side effects	N/A	N/A
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. Staff "usually" explained new medications	N/A	N/A
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects Staff "usually" explained possible side effects	N/A	N/A
Patients who reported that YES, they did discuss whether they would need help after discharge Yes, staff "did" give patients information about help after discharge	N/A	N/A
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge Yes, staff "did" give patients information about possible symptoms	N/A	N/A
Patients who reported that YES, they were given information about what to do during their recovery at home Yes, staff "did" give patients this information	N/A	N/A
Patients who reported YES, they would definitely recommend the hospital "YES", patients would definitely recommend the hospital	N/A	N/A
Patients who reported YES, they would probably recommend the hospital "YES", patients would probably recommend the hospital	N/A	N/A
Quietness - linear mean score Quietness - linear mean score	N/A	83
Quietness - star rating Quietness - star rating	3	N/A
Recommend hospital - linear mean score Recommend hospital - linear mean score	N/A	83
Recommend hospital - star rating Recommend hospital - star rating	2	N/A
Summary star rating Summary star rating	2	N/A

Safety & Infections

Healthcare-associated infection rates compared to national benchmarks

Measure	Score	vs. National
Catheter Associated Urinary Tract Infections (ICU + select Wards)	0	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	N/A	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	2629	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	0	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	2.694	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.112	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards)	0.543	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.027	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	1	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	1.843	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	2.676	Same as National
Central Line Associated Bloodstream Infection: Number of Device Days	2026	Same as National
Clostridium Difficile (C.Diff)	0.101	Better than National
Clostridium Difficile (C.Diff): Lower Confidence Limit	0.005	Better than National
Clostridium Difficile (C.Diff): Observed Cases	1	Better than National
Clostridium Difficile (C.Diff): Patient Days	23215	Better than National
Clostridium Difficile (C.Diff): Predicted Cases	9.94	Better than National
Clostridium Difficile (C.Diff): Upper Confidence Limit	0.496	Better than National
MRSA Bacteremia	0.821	Same as National
MRSA Bacteremia: Lower Confidence Limit	0.041	Same as National
MRSA Bacteremia: Observed Cases	1	Same as National
MRSA Bacteremia: Patient Days	23215	Same as National
MRSA Bacteremia: Predicted Cases	1.218	Same as National
MRSA Bacteremia: Upper Confidence Limit	4.049	Same as National
SSI - Abdominal Hysterectomy	N/A	Not Available
SSI - Abdominal Hysterectomy: Lower Confidence Limit	N/A	Not Available
SSI - Abdominal Hysterectomy: Number of Procedures	N/A	Not Available
SSI - Abdominal Hysterectomy: Observed Cases	N/A	Not Available
SSI - Abdominal Hysterectomy: Predicted Cases	N/A	Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit	N/A	Not Available
SSI - Colon Surgery	0.678	Same as National
SSI - Colon Surgery: Lower Confidence Limit	0.034	Same as National
SSI - Colon Surgery: Number of Procedures	51	Same as National
SSI - Colon Surgery: Observed Cases	1	Same as National
SSI - Colon Surgery: Predicted Cases	1.476	Same as National
SSI - Colon Surgery: Upper Confidence Limit	3.341	Same as National

Staffing & Spending

Medicare spending per episode and unplanned visit measures

Unplanned Visits & Readmissions

Measure	Score	vs. National
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	13.1	Same as National
Heart failure (HF) 30-Day Readmission Rate	20.2	Same as National
Hospital return days for heart attack patients	N/A	Number of Cases Too Small
Hospital return days for heart failure patients	19.8	More Days Than Average per 100 Discharges
Hospital return days for pneumonia patients	-34	Fewer Days Than Average per 100 Discharges
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)	14.8	Same as National
Pneumonia (PN) 30-Day Readmission Rate	15	Same as National
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy	N/A	Not Available
Rate of inpatient admissions for patients receiving outpatient chemotherapy	N/A	Not Available
Rate of readmission after hip/knee replacement	N/A	Number of Cases Too Small
Rate of readmission for CABG	N/A	Not Available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients	N/A	Number of Cases Too Small
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)	12.2	Same as National
Ratio of unplanned hospital visits after hospital outpatient surgery	1	Same as National

Medicare Spending

Measure	Score	Period
Medicare hospital spending per patient (Medicare Spending per Beneficiary)	1.08	01/01/2024 - 12/31/2024

Maternal Health

Maternal care quality measures including C-section rates and outcomes

Measure	Score	Sample
Cesarean Birth	N/A	N/A
Maternal Morbidity Structural Measure	N/A	N/A
Risk Adjusted Severe Obstetric Complications (All)	N/A	N/A
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)	N/A	N/A

Nearby Hospitals in Tennessee

Other Medicare-certified hospitals in Tennessee — tap any card for its full quality profile.

Affiliate of Vitruvian Health

Cleveland, TN

2/5 Acute Care Hospitals

Ascension Saint Thomas Behavioral Health Hospital

Nashville, TN

No rating Psychiatric

Ascension Saint Thomas Hospital

Nashville, TN

3/5 Acute Care Hospitals

Ascension Saint Thomas Three Rivers

Waverly, TN

No rating Critical Access Hospitals

Baptist Memorial Hospital

Memphis, TN

2/5 Acute Care Hospitals

Baptist Memorial Hospital - Carroll County

Huntingdon, TN

No rating Acute Care Hospitals

Compare Tristar Southern Hills Medical Center vs Affiliate of Vitruvian Health →

Hospital Quality Guides

Learn how to interpret hospital quality data and make informed healthcare decisions

Understanding Hospital Star Ratings

How CMS calculates star ratings and what they measure

Hospital Quality Measures Explained

Patient experience, safety, readmission, and mortality measures

How to Choose a Hospital with Data

Using CMS quality data for planned procedures and emergency care

View all guides →

Frequently Asked Questions

What is the CMS star rating for Tristar Southern Hills Medical Center?

Tristar Southern Hills Medical Center has an overall CMS star rating of 4 out of 5. CMS star ratings are based on multiple quality measures including mortality, safety of care, readmission rates, patient experience, and timely and effective care.

How does Tristar Southern Hills Medical Center perform on quality measures?

Tristar Southern Hills Medical Center has 2 quality measures rated better than the national average and 0 rated worse. 20 total quality measures are tracked for this facility.

What do patients say about Tristar Southern Hills Medical Center?

Patient experience at Tristar Southern Hills Medical Center is measured through HCAHPS surveys covering 68 categories including communication with doctors, responsiveness of staff, cleanliness, and discharge information. Patient survey star ratings range from 2 to 3 out of 5.

What are the infection rates at Tristar Southern Hills Medical Center?

Tristar Southern Hills Medical Center tracks 36 healthcare-associated infection measures. 6 are better than the national benchmark, 0 are worse, and 24 are at the national average.

Does Tristar Southern Hills Medical Center have emergency services?

Yes, Tristar Southern Hills Medical Center provides emergency services.

What type of hospital is Tristar Southern Hills Medical Center?

Tristar Southern Hills Medical Center is a Acute Care Hospitals facility with Proprietary ownership, located in Nashville, TN.

How much does Medicare spend at Tristar Southern Hills Medical Center?

Medicare spending data is available for Tristar Southern Hills Medical Center across 1 spending categories. These measures compare the hospital's spending per episode to the national median.

Does Tristar Southern Hills Medical Center offer maternal health services?

Yes, Tristar Southern Hills Medical Center reports maternal health data including 4 measures such as C-section rates and maternal morbidity outcomes.

Data Sources

Source: Centers for Medicare & Medicaid Services (CMS) Hospital Compare. Last refreshed from CMS: 2026-05-15.

Hospital quality data is sourced from the CMS Hospital Compare program, with patient-experience scores drawn from the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey. Data includes overall star ratings, quality measures, healthcare-associated infections, unplanned visits, Medicare spending, and maternal health measures.

Source: CMS Hospital Compare. This information is not medical advice. Learn more

Read our methodology — how this data is sourced, computed, and verified.

All federal data sources used on this page

CMS Hospital General Information (HGI) — hospital identifier + ownership + general info. data.cms.gov/hospital-general-information
CMS Care Compare — Hospital Quality — patient experience + safety + outcome measures. medicare.gov/care-compare
CMS Provider Data Catalog — all hospital-related Medicare provider data. data.cms.gov/provider-data
AHRQ HCUP — hospital utilization + readmission rates. hcup-us.ahrq.gov
CDC National Healthcare Safety Network (NHSN) — hospital-acquired infection surveillance. cdc.gov/nhsn
HRSA Health Resources Files — hospital service-area + workforce data. data.hrsa.gov

Reviewed byPlainhospital Editorial, Hospital Quality Editorial Team · June 16, 2026

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