JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Andalusia Health

2 / 5

At a glance

Andalusia Health carries a 2-star CMS overall rating — below the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days184Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.123Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1303Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.947Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures21Not available
SSI - Colon Surgery: Predicted Cases0.536Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures4Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.031Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days7606Not available
MRSA Bacteremia: Predicted Cases0.358Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.022Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.202Same as national
Clostridium Difficile (C.Diff): Patient Days7129Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.240Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.446Same as 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 patients3.4Same as national38
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national320
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national49
Death rate for heart failure patients12.9Same as national114
Death rate for pneumonia patients18.3Same as national134
Death rate for stroke patients12.5Same as national52
Pressure ulcer rate0.45Same as national930
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1277
In-hospital fall-associated fracture rate0.26Same as national1269
Postoperative hemorrhage or hematoma rate2.27Same as national148
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.30Same as national154
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.74Same as national29
Abdominopelvic accidental puncture or laceration rate1.02Same as national163
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patientsNot available
Hospital return days for heart failure patients41.7Not available133
Hospital return days for pneumonia patients-12.4Not available138
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national490
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.2Same as national369
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 surgery0.9Same as national153
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national63
Heart failure (HF) 30-Day Readmission Rate20.5Same as national133
Rate of readmission after hip/knee replacement5.5Same as national37
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national138

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 rating4260
Doctor communication - star rating4260
Communication about medicines - star rating3260
Discharge information - star rating1260
Cleanliness - star rating2260
Quietness - star rating3260
Overall hospital rating - star rating2260
Recommend hospital - star rating2260
Summary star rating3260

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 volumelow
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 vaccination78653
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 better168422
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 better158390
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31412
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29921
Left before being seen319363
Head CT results6015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13569
Appropriate care for severe sepsis and septic shock6787
Septic Shock 3-Hour Bundle7435
Septic Shock 6-Hour Bundle8121
Severe Sepsis 3-Hour Bundle8387
Severe Sepsis 6-Hour Bundle9863
Discharged on Antithrombotic Therapy9248
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29039
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis85415

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 Andalusia Health rated?
Andalusia Health has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Andalusia Health have emergency services?
Yes. Andalusia Health operates a 24/7 emergency department.
Where is Andalusia Health located?
Andalusia Health is located at 849 South Three Notch Street, Andalusia, AL 36420.
What type of hospital is Andalusia Health?
Andalusia Health 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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