CMS certification 440082
Ascension Saint Thomas Hospital
4220 Harding Rd, PO Box 380, Nashville, TN 37205
Ascension Saint Thomas Hospital has a CMS overall rating of 3 out of 5 stars. 77% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. Of the 27 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 7 and worse on 2. Emergency patients spend a median of 3 h 17 min in its emergency department before leaving (US median 2 h 42 min).
Every figure on this page is published by CMS; we arrange and explain it, and score nothing ourselves.
What patients said
Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 448 completed surveys, 18% response rate, Oct 2024 – Sep 2025.
Emergency department
How long emergency patients spent here and how some time-critical care went, from CMS's timely and effective care measures, Oct 2024 – Sep 2025. These are medians over a year of visits, not a live wait time.
| Measure | This hospital | TN | US |
|---|---|---|---|
| Median time in the emergency department before leaving Lower is better · 757 visits sampled | 3 h 17 min | 2 h 42 min | 2 h 42 min |
| Median time for psychiatric and mental health patients Lower is better · 42 visits sampled | 3 h 44 min | 5 h 8 min | 4 h 17 min |
| Stroke symptoms: brain scan read within 45 minutes Higher is better · 15 patients | 47% | 69% | 69% |
| Severe sepsis and septic shock: all recommended care given Higher is better · 163 patients | 48% | 59% | 65% |
How Ascension Saint Thomas Hospital compares with nearby hospitals
The closest hospitals of the same kind that CMS rates or surveys - the same city first, then the same county and ZIP area. Every figure is CMS's: the overall star rating, the share of patients who would definitely recommend the hospital, the median time emergency patients spent before leaving, and how many death, complication, infection and readmission measures CMS found better or worse than the national rate.
| Hospital | CMS stars | Would recommend | ER median time | Vs the nation |
|---|---|---|---|---|
| Ascension Saint Thomas HospitalThis hospital | 3/5 | 77% | 3 h 17 min | 7 better 2 worse |
| Saint Thomas Hospital for Spinal SurgerySame city | Not rated | 86% | — | — |
| Tristar Centennial Medical CenterSame city | 4/5 | 77% | 1 h 55 min | 5 better 3 worse |
| Tristar Skyline Medical CenterSame city | 2/5 | 65% | 3 h | 2 better 2 worse |
| Metro Nashville General HospitalSame city | 4/5 | 71% | 2 h 5 min | 1 better |
| Tristar Southern Hills Medical CenterSame city | 4/5 | 64% | 1 h 59 min | 2 better 1 worse |
Hospitals differ in size and in how sick their patients are. CMS adjusts its outcome measures for that, but a star or a percentage is a starting point for questions, not a verdict. All hospitals in Nashville.
Deaths
How many patients died within 30 days of admission, adjusted by CMS for how sick they were. Lower is better. Data from Jul 2022 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| All patients, hospital-wide 7,003 cases | Too few cases | 3.3% | 3.9% |
| Heart attack 468 cases | Too few cases | 11.5% | 11.9% |
| Heart failure 853 cases | Too few cases | 10.1% | 11.1% |
| Pneumonia 698 cases | Too few cases | 15.7% | 15.2% |
| Stroke 519 cases | Too few cases | 10.7% | 11.9% |
| COPD 139 cases | Too few cases | 9.2% | 8.6% |
| Heart bypass surgery (CABG) 601 cases | Too few cases | 1.6% | 2.4% |
Complications
How often patients had serious complications, most of them after surgery, adjusted for how sick they were. Lower is better. Data from Jul 2022 – Jun 2024.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Serious complications, combined measure | Better | 0.76 likely 0.56 – 0.97 | 1 |
| After hip or knee replacement 165 cases | Too few cases | 3.7% | 4.1% |
| Deaths after a serious but treatable surgical complication 193 cases | Worse | 223.48 per 1,000 likely 181.37 per 1,000 – 265.59 per 1,000 | 173.3 per 1,000 |
| Pressure ulcers (bed sores) 10,077 cases | Better | 0.07 per 1,000 likely 0 per 1,000 – 0.53 per 1,000 | 0.63 per 1,000 |
| Collapsed lung caused by a procedure 12,028 cases | No different | 0.19 per 1,000 likely 0.01 per 1,000 – 0.36 per 1,000 | 0.21 per 1,000 |
| Broken bones from falls in the hospital 12,978 cases | No different | 0.29 per 1,000 likely 0.11 per 1,000 – 0.46 per 1,000 | 0.27 per 1,000 |
| Bleeding or hematoma after surgery 4,403 cases | No different | 1.53 per 1,000 likely 0.46 per 1,000 – 2.6 per 1,000 | 2.34 per 1,000 |
| Kidney injury needing dialysis after surgery 2,171 cases | No different | 1.58 per 1,000 likely 0.43 per 1,000 – 2.73 per 1,000 | 1.67 per 1,000 |
| Breathing failure after surgery 2,189 cases | No different | 8.15 per 1,000 likely 4.75 per 1,000 – 11.56 per 1,000 | 9.42 per 1,000 |
| Blood clots in the lungs or legs after surgery 4,635 cases | No different | 3.21 per 1,000 likely 1.77 per 1,000 – 4.65 per 1,000 | 3.52 per 1,000 |
| Sepsis after surgery 2,129 cases | No different | 5.38 per 1,000 likely 2.77 per 1,000 – 7.99 per 1,000 | 5.27 per 1,000 |
| Surgical wound splitting open 947 cases | No different | 1.37 per 1,000 likely 0.02 per 1,000 – 2.72 per 1,000 | 1.77 per 1,000 |
| Accidental cut or tear during abdominal surgery 2,396 cases | No different | 0.64 per 1,000 likely 0 per 1,000 – 1.48 per 1,000 | 1.06 per 1,000 |
Infections caught in the hospital
Standardized infection ratio: 1.0 means as many infections as CMS predicted for a hospital like this one. Lower is better. Data from Oct 2024 – Sep 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Bloodstream infections from central lines (CLABSI) | Better | 0.67 likely 0.47 – 0.93 | 1 |
| Urinary tract infections from catheters (CAUTI) | Better | 0.45 likely 0.3 – 0.66 | 1 |
| Surgical site infections after colon surgery | No different | 0.94 likely 0.56 – 1.49 | 1 |
| Surgical site infections after abdominal hysterectomy | Worse | 2.23 likely 1.21 – 3.79 | 1 |
| MRSA bloodstream infections | Better | 0.46 likely 0.22 – 0.84 | 1 |
| C. diff intestinal infections | Better | 0.42 likely 0.3 – 0.56 | 1 |
Readmissions and return visits
How often patients had to come back to a hospital after going home. Lower is better. Data from Jul 2023 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Readmitted after a heart attack 634 cases | Too few cases | 12.9% | 14.4% |
| Readmitted after heart failure 1,157 cases | Too few cases | 17.4% | 21.3% |
| Readmitted after pneumonia 916 cases | Too few cases | 15.3% | 17.3% |
| Readmitted after COPD 192 cases | Too few cases | 18.6% | 20% |
| Readmitted after heart bypass surgery 574 cases | Too few cases | 10.6% | 11% |
| Readmitted after hip or knee replacement 172 cases | Too few cases | 6% | 5.8% |
| Days back in hospital after a heart attack 581 cases | Too few cases | -17.6 days per 100 | — |
| Days back in hospital after heart failure 981 cases | Too few cases | -10.2 days per 100 | — |
| Days back in hospital after pneumonia 712 cases | Too few cases | 1.4 days per 100 | — |
| Unplanned visits after an outpatient colonoscopy 323 cases | No different | 12.7 per 1,000 likely 9.6 per 1,000 – 16.8 per 1,000 | 13 per 1,000 |
| Unplanned visits after outpatient surgery 234 cases | No different | 1.2 likely 0.9 – 1.6 | — |
3 more measures had too few cases here to report.
Clinicians registered at this address
171 clinicians give this hospital's street address as their practice location in NPPES, the federal provider registry. The same address can take in offices and clinics in the building, and a listing does not prove admitting privileges or current employment.
| Specialty | Clinicians |
|---|---|
| Internal Medicine | 43 |
| Nurse Practitioner | 10 |
| Anatomic Pathology & Clinical Pathology | 9 |
| Specialist | 9 |
| Family | 8 |
| Acute Care | 7 |
| Hospitalist | 7 |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 7 |
| Registered Nurse | 6 |
| Pharmacist | 5 |
| Physician Assistant | 5 |
| Adult Health | 4 |
First 12 alphabetically
Money from drug and device companies
Drug and device makers have to report what they pay teaching hospitals to CMS's Open Payments program. At many teaching hospitals most of it is research funding, or royalties for inventions the hospital licensed to a company. A payment on its own does not show a conflict of interest.
- 2019 $36,117
- 2020 $95,407
- 2021 $131,943
- 2022 $197,167
- 2023 $203,677
- 2024 $204,041
- 2025 $108,366
What the 2025 general payments were for
| Type of payment | Amount | Payments |
|---|---|---|
| Medical devices and supplies on long-term loan | $31,809 | 2 |
| Speaking, teaching and other services | $30,000 | 4 |
| Space rental and facility fees | $25,230 | 9 |
| Consulting fees | $7,500 | 1 |
| Debt forgiveness | $6,977 | 2 |
| Grants | $3,000 | 1 |
| Faculty and speaker fees for medical education | $2,500 | 1 |
Largest paying companies, 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, INC. | $31,809 | 2 |
| Edwards Lifesciences Corporation | $30,000 | 4 |
| Philips North America LLC | $12,000 | 5 |
| Abbott Laboratories | $8,050 | 2 |
| Immucor, Inc. | $6,197 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $6,000 | 1 |
| AstraZeneca Pharmaceuticals LP | $3,090 | 1 |
| Cardiva Medical, INC. | $3,090 | 1 |
Largest research studies funded here, 2025
| Study | Amount |
|---|---|
| GREAT Global Registry for Endovascular Aortic Treatment W. L. Gore & Associates, Inc. · NCT01658787 | $1,350 |
Amounts are as the paying companies reported them to CMS; Open Payments data retrieved 13 Sep 2026. Full record on CMS Open Payments.
How to read this page
- Everything here is published by CMS on Care Compare. We arrange it and explain it; the star ratings and the better / worse verdicts are CMS's, not ours.
- “No different” is the most common result on most measures at most hospitals. CMS only calls a result better or worse when the difference from the national rate is statistically clear.
- Death, complication and readmission rates are adjusted by CMS for how sick patients were, so hospitals that treat sicker patients can be compared fairly.
- Infection results are ratios: 1.0 means as many infections as CMS predicted for a hospital like this one, below 1.0 is fewer.
- These are hospital-wide results. They do not rate an individual doctor, nurse or department, and they are not medical advice.
CMS Care Compare data retrieved 4 Oct 2026, refreshed weekly. Where this data comes from and how we handle it · Report an error
Common questions about Ascension Saint Thomas Hospital
Is Ascension Saint Thomas Hospital a good hospital?
Ascension Saint Thomas Hospital has a CMS overall rating of 3 out of 5 stars. Of the 27 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 7 and worse on 2. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.
Would patients recommend Ascension Saint Thomas Hospital?
77% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 448 completed HCAHPS surveys.
How long is the wait in the Ascension Saint Thomas Hospital emergency room?
Emergency patients spend a median of 3 h 17 min in its emergency department before leaving (US median 2 h 42 min). These are medians over a year of visits, not a live wait time.
Does Ascension Saint Thomas Hospital receive money from drug and device companies?
Drug and device makers reported $108,366 in payments to Ascension Saint Thomas Hospital for 2025, under the federal Open Payments program. A payment on its own does not show a conflict of interest.