JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Fitzgibbon Hospital

2 / 5

At a glance

Fitzgibbon Hospital carries a 2-star CMS overall rating — below the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days145Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.086Not 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 LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days815Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.444Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures1Not available
SSI - Colon Surgery: Predicted Cases0.024Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.054Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days4718Not available
MRSA Bacteremia: Predicted Cases0.160Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.025Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.505Same as national
Clostridium Difficile (C.Diff): Patient Days4259Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.969Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.508Same as 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 national183
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national35
Death rate for heart failure patients12.1Same as national46
Death rate for pneumonia patients18.9Same as national106
Death rate for stroke patientsNot available
Pressure ulcer rate0.55Same as national451
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national760
In-hospital fall-associated fracture rate0.27Same as national769
Postoperative hemorrhage or hematoma rate2.31Same as national50
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.48Same as national52
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.06Same as national32
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 patientsNot available
Hospital return days for heart failure patients30.1Not available56
Hospital return days for pneumonia patients-1.8Not available113
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national274
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national243
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.4Same as national40
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national40
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national36
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national39
Heart failure (HF) 30-Day Readmission Rate20.5Same as national56
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national113

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 rating3287
Doctor communication - star rating4287
Communication about medicines - star rating2287
Discharge information - star rating3287
Cleanliness - star rating3287
Quietness - star rating4287
Overall hospital rating - star rating4287
Recommend hospital - star rating3287
Summary star rating3287

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 volumelow
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 Hyperglycemia121006
Hospital Harm - Severe Hypoglycemia2245
Hospital Harm - Opioid Related Adverse Events1474
Healthcare workers given influenza vaccination64473
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 better90440
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 better84386
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14525
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better24232
Left before being seen113887
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10058
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14275
Appropriate care for severe sepsis and septic shock58103
Septic Shock 3-Hour Bundle7532
Septic Shock 6-Hour Bundle2218
Severe Sepsis 3-Hour Bundle83103
Severe Sepsis 6-Hour Bundle9468
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 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 Fitzgibbon Hospital rated?
Fitzgibbon Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Fitzgibbon Hospital have emergency services?
Yes. Fitzgibbon Hospital operates a 24/7 emergency department.
Where is Fitzgibbon Hospital located?
Fitzgibbon Hospital is located at 2305 S 65 Highway, Marshall, MO 65340.
What type of hospital is Fitzgibbon Hospital?
Fitzgibbon 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.

Report an issue with this page