JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Community Memorial Hospital

4 / 5

At a glance

Community Memorial Hospital carries a 4-star CMS overall rating — above 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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days1124Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.674Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.554Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2306Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.173Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures14Not available
SSI - Colon Surgery: Predicted Cases0.408Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures13Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.130Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days18764Not available
MRSA Bacteremia: Predicted Cases0.884Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.006Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.626Better than national
Clostridium Difficile (C.Diff): Patient Days18346Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.873Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.127Better 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national492
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients8.7Same as national55
Death rate for heart failure patients12.7Same as national197
Death rate for pneumonia patients15.8Same as national195
Death rate for stroke patients13.9Same as national77
Pressure ulcer rate0.35Same as national1718
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national1979
In-hospital fall-associated fracture rate0.25Same as national1941
Postoperative hemorrhage or hematoma rate2.59Same as national157
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.66Same as national172
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate1.71Same as national55
Abdominopelvic accidental puncture or laceration rate1.01Same as national192
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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—Not available—
Hospital return days for heart failure patients12.9Not available203
Hospital return days for pneumonia patients-14.7Not available184
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national719
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national377
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national135
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national135
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national93
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national62
Heart failure (HF) 30-Day Readmission Rate19.7Same as national203
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national184

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 rating5420
Doctor communication - star rating4420
Communication about medicines - star rating3420
Discharge information - star rating3420
Cleanliness - star rating4420
Quietness - star rating4420
Overall hospital rating - star rating4420
Recommend hospital - star rating4420
Summary star rating4420

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 Hyperglycemia165254
Hospital Harm - Severe Hypoglycemia——
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination90806
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 better193363
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 better180331
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30411
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better48124
Left before being seen326395
Head CT results8614
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98131
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing12577
Appropriate care for severe sepsis and septic shock5275
Septic Shock 3-Hour Bundle3622
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle7375
Severe Sepsis 6-Hour Bundle9840
Discharged on Antithrombotic Therapy9969
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 2——
Venous Thromboembolism Prophylaxis——
Intensive Care Unit Venous Thromboembolism Prophylaxis96582

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 Community Memorial Hospital rated?
Community Memorial Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Community Memorial Hospital have emergency services?
Yes. Community Memorial Hospital operates a 24/7 emergency department.
Where is Community Memorial Hospital located?
Community Memorial Hospital is located at 1755 North Mecklenburg Avenue, South Hill, VA 23970.
What type of hospital is Community Memorial Hospital?
Community Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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