JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Baldwin Health

4 / 5

At a glance

Baldwin Health carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.666Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1944Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.798Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.170Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.820Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4184Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.487Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.669Same as national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.799Better than national
SSI - Colon Surgery: Number of Procedures141Better than national
SSI - Colon Surgery: Predicted Cases3.751Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures89Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.810Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.789Same as national
MRSA Bacteremia: Patient Days26813Same as national
MRSA Bacteremia: Predicted Cases1.074Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.028Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.549Better than national
Clostridium Difficile (C.Diff): Patient Days26813Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.040Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.166Better 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 patients4.8Same as national74
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national921
Death rate for heart attack patients11.4Same as national128
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national97
Death rate for heart failure patients12.6Same as national245
Death rate for pneumonia patients16.9Same as national249
Death rate for stroke patients13.1Same as national79
Pressure ulcer rate0.31Same as national2373
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national3113
In-hospital fall-associated fracture rate0.33Same as national2969
Postoperative hemorrhage or hematoma rate2.34Same as national719
Postoperative acute kidney injury requiring dialysis rate1.61Same as national204
Postoperative respiratory failure rate7.66Same as national214
Perioperative pulmonary embolism or deep vein thrombosis rate3.08Same as national750
Postoperative sepsis rate4.84Same as national175
Postoperative wound dehiscence rate1.68Same as national177
Abdominopelvic accidental puncture or laceration rate0.94Same as national498
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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-28.4Not available108
Hospital return days for heart failure patients-16.9Not available270
Hospital return days for pneumonia patients-8.2Not available257
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national1288
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)16.3Same as national1335
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 surgery1Same as national530
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national108
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national107
Heart failure (HF) 30-Day Readmission Rate20Same as national270
Rate of readmission after hip/knee replacement6.1Same as national69
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national257

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 rating4743
Doctor communication - star rating3743
Communication about medicines - star rating3743
Discharge information - star rating3743
Cleanliness - star rating2743
Quietness - star rating4743
Overall hospital rating - star rating3743
Recommend hospital - star rating3743
Summary star rating3743

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 volumehigh
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 vaccination492076
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 better131425
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 better131411
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen258281
Head CT results7713
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9165
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing81706
Appropriate care for severe sepsis and septic shock70147
Septic Shock 3-Hour Bundle7258
Septic Shock 6-Hour Bundle9537
Severe Sepsis 3-Hour Bundle85147
Severe Sepsis 6-Hour Bundle98100
Discharged on Antithrombotic Therapy10092
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29368
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Baldwin Health rated?
Baldwin Health has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baldwin Health have emergency services?
Yes. Baldwin Health operates a 24/7 emergency department.
Where is Baldwin Health located?
Baldwin Health is located at 1613 North Mckenzie Street, Foley, AL 36535.
What type of hospital is Baldwin Health?
Baldwin 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.

Report an issue with this page