JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Hugh Chatham Memorial Hospital

3 / 5

At a glance

Hugh Chatham Memorial Hospital carries a 3-star CMS overall rating — in line with 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 Days1288Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.808Not 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 LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.639Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2186Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.135Same 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures14Not available
SSI - Colon Surgery: Predicted Cases0.379Not 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 Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.009Not 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 Days11709Not available
MRSA Bacteremia: Predicted Cases0.333Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.356Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.825Same as national
Clostridium Difficile (C.Diff): Patient Days11101Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.837Same as national
Clostridium Difficile (C.Diff): Observed Cases6Same as national
Clostridium Difficile (C.Diff)0.878Same 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 patients4Same as national149
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.9Same as national305
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national38
Death rate for heart failure patients14.9Same as national82
Death rate for pneumonia patients19.6Same as national168
Death rate for stroke patients15.4Same as national46
Pressure ulcer rate0.49Same as national778
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1181
In-hospital fall-associated fracture rate0.26Same as national1151
Postoperative hemorrhage or hematoma rate2.30Same as national216
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.73Same as national242
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate2.09Same as national46
Abdominopelvic accidental puncture or laceration rate1.03Same as national132
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 patients56.4Not available99
Hospital return days for pneumonia patients26Not available179
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national430
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national413
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 surgery1.1Same as national281
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national43
Heart failure (HF) 30-Day Readmission Rate19.8Same as national99
Rate of readmission after hip/knee replacement5.1Same as national140
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national179

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 rating4349
Doctor communication - star rating3349
Communication about medicines - star rating3349
Discharge information - star rating4349
Cleanliness - star rating4349
Quietness - star rating3349
Overall hospital rating - star rating3349
Recommend hospital - star rating4349
Summary star rating4349

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination941131
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 better1761444
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 better1711354
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better120939
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better44251
Left before being seen024819
Head CT results9111
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9361
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing15810
Appropriate care for severe sepsis and septic shock66148
Septic Shock 3-Hour Bundle8540
Septic Shock 6-Hour Bundle8217
Severe Sepsis 3-Hour Bundle85148
Severe Sepsis 6-Hour Bundle8094
Discharged on Antithrombotic Therapy8868
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29239
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 MeasureNo

Frequently asked questions

How is Hugh Chatham Memorial Hospital rated?
Hugh Chatham Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Hugh Chatham Memorial Hospital have emergency services?
Yes. Hugh Chatham Memorial Hospital operates a 24/7 emergency department.
Where is Hugh Chatham Memorial Hospital located?
Hugh Chatham Memorial Hospital is located at 180 Parkwood Dr, Elkin, NC 28621.
What type of hospital is Hugh Chatham Memorial Hospital?
Hugh Chatham Memorial 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.

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