JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Huntsville Memorial Hospital

2 / 5

At a glance

Huntsville Memorial Hospital carries a 2-star CMS overall rating — below 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 Limit0.259Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.110Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1880Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.293Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.547Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.487Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2826Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.015Same 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 Procedures23Not available
SSI - Colon Surgery: Predicted Cases0.619Not 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 Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.123Not 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 Days19142Not available
MRSA Bacteremia: Predicted Cases0.662Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.525Better than national
Clostridium Difficile (C.Diff): Patient Days18781Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.710Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate4.5Same as national327
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national73
Death rate for heart failure patients11Same as national105
Death rate for pneumonia patients17.2Same as national159
Death rate for stroke patients13.8Same as national26
Pressure ulcer rate0.44Same as national1017
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1427
In-hospital fall-associated fracture rate0.31Same as national1406
Postoperative hemorrhage or hematoma rate2.23Same as national179
Postoperative acute kidney injury requiring dialysis rate1.66Same as national39
Postoperative respiratory failure rate13.97Same as national48
Perioperative pulmonary embolism or deep vein thrombosis rate3.26Same as national179
Postoperative sepsis rate5.09Same as national36
Postoperative wound dehiscence rate1.74Same as national48
Abdominopelvic accidental puncture or laceration rate1.01Same as national179
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same 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 patients19.6Not available112
Hospital return days for pneumonia patients8.9Not available168
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national467
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national546
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 surgery0.9Same as national107
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national76
Heart failure (HF) 30-Day Readmission Rate21.3Same as national112
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national168

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 rating2318
Doctor communication - star rating3318
Communication about medicines - star rating2318
Discharge information - star rating3318
Cleanliness - star rating4318
Quietness - star rating4318
Overall hospital rating - star rating3318
Recommend hospital - star rating3318
Summary star rating3318

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 vaccination14483
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 better195395
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 better190352
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26913
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better35431
Left before being seen122054
Head CT results9122
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9315
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing15490
Appropriate care for severe sepsis and septic shock66225
Septic Shock 3-Hour Bundle7588
Septic Shock 6-Hour Bundle8944
Severe Sepsis 3-Hour Bundle79225
Severe Sepsis 6-Hour Bundle98128
Discharged on Antithrombotic Therapy9432
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29732
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 Huntsville Memorial Hospital rated?
Huntsville Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Huntsville Memorial Hospital have emergency services?
Yes. Huntsville Memorial Hospital operates a 24/7 emergency department.
Where is Huntsville Memorial Hospital located?
Huntsville Memorial Hospital is located at 110 Memorial Hospital Drive, Huntsville, TX 77340.
What type of hospital is Huntsville Memorial Hospital?
Huntsville 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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