JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

Jack Hughston Memorial Hospital

4 / 5

At a glance

Jack Hughston Memorial Hospital carries a 4-star CMS overall rating — above 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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)—Not available
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures—Not available
SSI - Colon Surgery: Predicted Cases—Not available
SSI - Colon Surgery: Observed Cases—Not 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 Procedures—Not available
SSI - Abdominal Hysterectomy: Predicted Cases—Not available
SSI - Abdominal Hysterectomy: Observed Cases—Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days6019Not available
MRSA Bacteremia: Predicted Cases0.177Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit—Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.637Same as national
Clostridium Difficile (C.Diff): Patient Days6019Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.136Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same 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 patients3.7Same as national276
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national280
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients—Not available—
Death rate for pneumonia patients—Not available—
Death rate for stroke patients—Not available—
Pressure ulcer rate0.54Same as national412
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.27Same as national996
In-hospital fall-associated fracture rate0.30Same as national904
Postoperative hemorrhage or hematoma rate2.65Same as national814
Postoperative acute kidney injury requiring dialysis rate1.60Same as national775
Postoperative respiratory failure rate5.76Same as national777
Perioperative pulmonary embolism or deep vein thrombosis rate4.18Same as national844
Postoperative sepsis rate5.96Same as national701
Postoperative wound dehiscence rate1.76Same as national126
Abdominopelvic accidental puncture or laceration rate1.04Same as national241
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients—Not available—
Hospital return days for pneumonia patients—Not available—
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national342
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national37
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 surgery1.2Same as national459
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) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate—Not available—
Rate of readmission after hip/knee replacement4.9Same as national206
Pneumonia (PN) 30-Day Readmission Rate—Not available—

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 rating5567
Doctor communication - star rating4567
Communication about medicines - star rating4567
Discharge information - star rating3567
Cleanliness - star rating4567
Quietness - star rating5567
Overall hospital rating - star rating5567
Recommend hospital - star rating5567
Summary star rating4567

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 Hyperglycemia——
Hospital Harm - Severe Hypoglycemia——
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination41540
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 better128428
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 better123412
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better——
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32512
Left before being seen117625
Head CT results——
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients——
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing19568
Appropriate care for severe sepsis and septic shock6526
Septic Shock 3-Hour Bundle——
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle9226
Severe Sepsis 6-Hour Bundle9520
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter—0
Antithrombotic Therapy by End of Hospital Day 2——
Venous Thromboembolism Prophylaxis66930
Intensive Care Unit Venous Thromboembolism Prophylaxis87131

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)—

Frequently asked questions

How is Jack Hughston Memorial Hospital rated?
Jack Hughston Memorial Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Jack Hughston Memorial Hospital have emergency services?
Yes. Jack Hughston Memorial Hospital operates a 24/7 emergency department.
Where is Jack Hughston Memorial Hospital located?
Jack Hughston Memorial Hospital is located at 4401 River Chase Drive, Phenix City, AL 36867.
What type of hospital is Jack Hughston Memorial Hospital?
Jack Hughston Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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