JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Jackson County Memorial Hospital Authority

3 / 5

At a glance

Jackson County Memorial Hospital Authority carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days408Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.325Not 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 Limit0.047Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.627Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1449Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.066Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.938Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures16Not available
SSI - Colon Surgery: Predicted Cases0.438Not 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 Procedures22Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.187Not 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 Days6960Not available
MRSA Bacteremia: Predicted Cases0.189Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.809Better than national
Clostridium Difficile (C.Diff): Patient Days6960Better than national
Clostridium Difficile (C.Diff): Predicted Cases3.705Better 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 patients4.6Same as national262
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national375
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.5Same as national50
Death rate for heart failure patients13.3Same as national67
Death rate for pneumonia patients18Same as national137
Death rate for stroke patients12.5Same as national38
Pressure ulcer rate0.41Same as national1234
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1469
In-hospital fall-associated fracture rate0.26Same as national1362
Postoperative hemorrhage or hematoma rate2.23Same as national522
Postoperative acute kidney injury requiring dialysis rate1.62Same as national373
Postoperative respiratory failure rate9.00Same as national382
Perioperative pulmonary embolism or deep vein thrombosis rate4.22Same as national536
Postoperative sepsis rate5.53Same as national317
Postoperative wound dehiscence rate1.73Same as national66
Abdominopelvic accidental puncture or laceration rate1.28Same as national168
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients39Not available68
Hospital return days for pneumonia patients-27.2Not available130
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national532
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national395
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 surgery1.2Same as national228
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national48
Heart failure (HF) 30-Day Readmission Rate19.4Same as national68
Rate of readmission after hip/knee replacement4.8Same as national247
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national130

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 rating4247
Doctor communication - star rating4247
Communication about medicines - star rating3247
Discharge information - star rating4247
Cleanliness - star rating4247
Quietness - star rating4247
Overall hospital rating - star rating4247
Recommend hospital - star rating4247
Summary star rating4247

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 vaccination89751
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 better118441
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 better114402
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better49014
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better18827
Left before being seen217073
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91129
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing15647
Appropriate care for severe sepsis and septic shock7480
Septic Shock 3-Hour Bundle8132
Septic Shock 6-Hour Bundle8419
Severe Sepsis 3-Hour Bundle8880
Severe Sepsis 6-Hour Bundle9766
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis93962
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 Jackson County Memorial Hospital Authority rated?
Jackson County Memorial Hospital Authority has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Jackson County Memorial Hospital Authority have emergency services?
Yes. Jackson County Memorial Hospital Authority operates a 24/7 emergency department.
Where is Jackson County Memorial Hospital Authority located?
Jackson County Memorial Hospital Authority is located at 1200 East Pecan St, Altus, OK 73521.
What type of hospital is Jackson County Memorial Hospital Authority?
Jackson County Memorial Hospital Authority is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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