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Acute Care Hospitals · Proprietary

Baptist Memorial Hospital Desoto

3 / 5

At a glance

Baptist Memorial Hospital Desoto carries a 3-star CMS overall rating — in line with 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 Limit0.182Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.935Better than national
Central Line Associated Bloodstream Infection: Number of Device Days13050Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases13.353Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.449Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.146Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.111Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7149Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.684Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.461Same as national
SSI - Colon Surgery: Lower Confidence Limit0.371Same as national
SSI - Colon Surgery: Upper Confidence Limit2.820Same as national
SSI - Colon Surgery: Number of Procedures125Same as national
SSI - Colon Surgery: Predicted Cases3.422Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.169Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures42Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.393Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.182Same as national
MRSA Bacteremia: Upper Confidence Limit1.385Same as national
MRSA Bacteremia: Patient Days90381Same as national
MRSA Bacteremia: Predicted Cases6.967Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.574Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.144Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.476Better than national
Clostridium Difficile (C.Diff): Patient Days87148Better than national
Clostridium Difficile (C.Diff): Predicted Cases40.148Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.274Better 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 Rate3.3Better than national1986
Death rate for heart attack patients12.1Same as national136
Death rate for CABG surgery patients2Same as national103
Death rate for COPD patients8.4Same as national190
Death rate for heart failure patients11.1Same as national552
Death rate for pneumonia patients17.5Same as national701
Death rate for stroke patients12.4Same as national270
Pressure ulcer rate1.04Same as national7732
Death rate among surgical inpatients with serious treatable complications161.40Same as national114
Iatrogenic pneumothorax rate0.19Same as national8677
In-hospital fall-associated fracture rate0.30Same as national8832
Postoperative hemorrhage or hematoma rate2.89Same as national1224
Postoperative acute kidney injury requiring dialysis rate2.16Same as national278
Postoperative respiratory failure rate13.35Same as national286
Perioperative pulmonary embolism or deep vein thrombosis rate5.52Worse than national1401
Postoperative sepsis rate9.17Worse than national288
Postoperative wound dehiscence rate1.87Same as national235
Abdominopelvic accidental puncture or laceration rate0.82Same as national1335
CMS Medicare PSI 90: Patient safety and adverse events composite1.47Worse than 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 patients2.5Not available139
Hospital return days for heart failure patients38.2Not available638
Hospital return days for pneumonia patients37.1Not available735
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national3344
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national124
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 national312
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national139
Rate of readmission for CABG10.3Same as national100
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national203
Heart failure (HF) 30-Day Readmission Rate21Same as national638
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national735

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 rating3912
Doctor communication - star rating3912
Communication about medicines - star rating2912
Discharge information - star rating3912
Cleanliness - star rating1912
Quietness - star rating3912
Overall hospital rating - star rating3912
Recommend hospital - star rating3912
Summary star rating3912

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 volumevery high
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 Hyperglycemia1031493
Hospital Harm - Severe Hypoglycemia34697
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination923162
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 better259424
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 better255402
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35513
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 seen262221
Head CT results8825
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98136
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing124344
Appropriate care for severe sepsis and septic shock54734
Septic Shock 3-Hour Bundle70221
Septic Shock 6-Hour Bundle82127
Severe Sepsis 3-Hour Bundle73736
Severe Sepsis 6-Hour Bundle89376
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis979595
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 Baptist Memorial Hospital Desoto rated?
Baptist Memorial Hospital Desoto has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Memorial Hospital Desoto have emergency services?
Yes. Baptist Memorial Hospital Desoto operates a 24/7 emergency department.
Where is Baptist Memorial Hospital Desoto located?
Baptist Memorial Hospital Desoto is located at 7601 Southcrest Parkway, Southaven, MS 38671.
What type of hospital is Baptist Memorial Hospital Desoto?
Baptist Memorial Hospital Desoto 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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