Acute Care Hospitals · Proprietary
Baptist Memorial Hospital Desoto
- 7601 Southcrest Parkway, Southaven, MS 38671
- (662) 772-4000
- Acute Care Hospitals
- Emergency services available 24/7
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.182 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.935 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 13050 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 13.353 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 6 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.449 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.146 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.111 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 7149 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 8.684 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 4 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.461 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.371 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.820 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 125 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.422 | Same as national |
| SSI - Colon Surgery: Observed Cases | 4 | Same as national |
| SSI - Colon Surgery | 1.169 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 42 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.393 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.182 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.385 | Same as national |
| MRSA Bacteremia: Patient Days | 90381 | Same as national |
| MRSA Bacteremia: Predicted Cases | 6.967 | Same as national |
| MRSA Bacteremia: Observed Cases | 4 | Same as national |
| MRSA Bacteremia | 0.574 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.144 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.476 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 87148 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 40.148 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 11 | Better than national |
| Clostridium Difficile (C.Diff) | 0.274 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.3 | Better than national | 1986 |
| Death rate for heart attack patients | 12.1 | Same as national | 136 |
| Death rate for CABG surgery patients | 2 | Same as national | 103 |
| Death rate for COPD patients | 8.4 | Same as national | 190 |
| Death rate for heart failure patients | 11.1 | Same as national | 552 |
| Death rate for pneumonia patients | 17.5 | Same as national | 701 |
| Death rate for stroke patients | 12.4 | Same as national | 270 |
| Pressure ulcer rate | 1.04 | Same as national | 7732 |
| Death rate among surgical inpatients with serious treatable complications | 161.40 | Same as national | 114 |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 8677 |
| In-hospital fall-associated fracture rate | 0.30 | Same as national | 8832 |
| Postoperative hemorrhage or hematoma rate | 2.89 | Same as national | 1224 |
| Postoperative acute kidney injury requiring dialysis rate | 2.16 | Same as national | 278 |
| Postoperative respiratory failure rate | 13.35 | Same as national | 286 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 5.52 | Worse than national | 1401 |
| Postoperative sepsis rate | 9.17 | Worse than national | 288 |
| Postoperative wound dehiscence rate | 1.87 | Same as national | 235 |
| Abdominopelvic accidental puncture or laceration rate | 0.82 | Same as national | 1335 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.47 | Worse 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 2.5 | Not available | 139 |
| Hospital return days for heart failure patients | 38.2 | Not available | 638 |
| Hospital return days for pneumonia patients | 37.1 | Not available | 735 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.7 | Same as national | 3344 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.3 | Same as national | 124 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 312 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.7 | Same as national | 139 |
| Rate of readmission for CABG | 10.3 | Same as national | 100 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.5 | Same as national | 203 |
| Heart failure (HF) 30-Day Readmission Rate | 21 | Same as national | 638 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 17.6 | Same as national | 735 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 912 |
| Doctor communication - star rating | 3 | 912 |
| Communication about medicines - star rating | 2 | 912 |
| Discharge information - star rating | 3 | 912 |
| Cleanliness - star rating | 1 | 912 |
| Quietness - star rating | 3 | 912 |
| Overall hospital rating - star rating | 3 | 912 |
| Recommend hospital - star rating | 3 | 912 |
| Summary star rating | 3 | 912 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 Hyperglycemia | 10 | 31493 |
| Hospital Harm - Severe Hypoglycemia | 3 | 4697 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 92 | 3162 |
| 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 better | 259 | 424 |
| 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 better | 255 | 402 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 355 | 13 |
| 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 seen | 2 | 62221 |
| Head CT results | 88 | 25 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 136 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 12 | 4344 |
| Appropriate care for severe sepsis and septic shock | 54 | 734 |
| Septic Shock 3-Hour Bundle | 70 | 221 |
| Septic Shock 6-Hour Bundle | 82 | 127 |
| Severe Sepsis 3-Hour Bundle | 73 | 736 |
| Severe Sepsis 6-Hour Bundle | 89 | 376 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 97 | 9595 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
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).
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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.