JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Archbold Memorial Hospital

2 / 5

At a glance

Archbold Memorial Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

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 Limit0.226Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.713Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7209Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.632Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.710Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.192Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.455Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7802Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.633Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.603Same as national
SSI - Colon Surgery: Lower Confidence Limit0.298Same as national
SSI - Colon Surgery: Upper Confidence Limit3.193Same as national
SSI - Colon Surgery: Number of Procedures97Same as national
SSI - Colon Surgery: Predicted Cases2.557Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.173Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures27Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.288Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.599Same as national
MRSA Bacteremia: Upper Confidence Limit3.622Same as national
MRSA Bacteremia: Patient Days46597Same as national
MRSA Bacteremia: Predicted Cases3.060Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.634Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.168Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.685Better than national
Clostridium Difficile (C.Diff): Patient Days45138Better than national
Clostridium Difficile (C.Diff): Predicted Cases22.168Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.361Better than 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national664
Death rate for heart attack patients11.7Same as national155
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.7Same as national56
Death rate for heart failure patients12.6Same as national229
Death rate for pneumonia patients17.9Same as national254
Death rate for stroke patients14.7Same as national77
Pressure ulcer rate1.04Same as national2714
Death rate among surgical inpatients with serious treatable complications215.17Same as national32
Iatrogenic pneumothorax rate0.18Same as national2917
In-hospital fall-associated fracture rate0.28Same as national2963
Postoperative hemorrhage or hematoma rate3.62Same as national747
Postoperative acute kidney injury requiring dialysis rate1.54Same as national320
Postoperative respiratory failure rate4.68Same as national298
Perioperative pulmonary embolism or deep vein thrombosis rate3.87Same as national749
Postoperative sepsis rate6.35Same as national306
Postoperative wound dehiscence rate1.67Same as national174
Abdominopelvic accidental puncture or laceration rate0.92Same as national569
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same 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 patients-20.4Not available134
Hospital return days for heart failure patients23.6Not available233
Hospital return days for pneumonia patients5.4Not available247
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national1032
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national923
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.5Same as national119
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national119
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national324
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national134
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national58
Heart failure (HF) 30-Day Readmission Rate18.4Same as national233
Rate of readmission after hip/knee replacement5.4Same as national25
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national247

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 rating3418
Doctor communication - star rating3418
Communication about medicines - star rating3418
Discharge information - star rating3418
Cleanliness - star rating3418
Quietness - star rating4418
Overall hospital rating - star rating3418
Recommend hospital - star rating4418
Summary star rating3418

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 volumemedium
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 Hypoglycemia21970
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination912693
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 better230487
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 better226469
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31114
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen130555
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients86111
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131915
Appropriate care for severe sepsis and septic shock57386
Septic Shock 3-Hour Bundle70174
Septic Shock 6-Hour Bundle8892
Severe Sepsis 3-Hour Bundle79386
Severe Sepsis 6-Hour Bundle91217
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis89770

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 Archbold Memorial Hospital rated?
Archbold Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Archbold Memorial Hospital have emergency services?
Yes. Archbold Memorial Hospital operates a 24/7 emergency department.
Where is Archbold Memorial Hospital located?
Archbold Memorial Hospital is located at 915 Gordon Avenue & Mimosa Drive, Thomasville, GA 31792.
What type of hospital is Archbold Memorial Hospital?
Archbold Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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