Acute Care Hospitals · Government - Hospital District or Authority
Jackson Health System
- 1611 Nw 12th Ave, Miami, FL 33136
- (305) 585-1111
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Jackson Health System carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.012 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.128 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 51140 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 63.589 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 3 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.047 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.041 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.211 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 35348 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 59.270 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.101 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.496 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.257 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 752 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 22.190 | Same as national |
| SSI - Colon Surgery: Observed Cases | 18 | Same as national |
| SSI - Colon Surgery | 0.811 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.419 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 4.479 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 206 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.823 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Same as national |
| SSI - Abdominal Hysterectomy | 1.646 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.554 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.260 | Same as national |
| MRSA Bacteremia: Patient Days | 463223 | Same as national |
| MRSA Bacteremia: Predicted Cases | 26.947 | Same as national |
| MRSA Bacteremia: Observed Cases | 23 | Same as national |
| MRSA Bacteremia | 0.854 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.037 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.112 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 431925 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 193.466 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 13 | Better than national |
| Clostridium Difficile (C.Diff) | 0.067 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 5.6 | Worse than national | 1316 |
| Death rate for heart attack patients | 13.4 | Same as national | 182 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10.4 | Same as national | 126 |
| Death rate for heart failure patients | 15.7 | Worse than national | 393 |
| Death rate for pneumonia patients | 19.7 | Worse than national | 463 |
| Death rate for stroke patients | 12.5 | Same as national | 210 |
| Pressure ulcer rate | 0.56 | Same as national | 9317 |
| Death rate among surgical inpatients with serious treatable complications | 218.24 | Worse than national | 155 |
| Iatrogenic pneumothorax rate | 0.37 | Same as national | 9446 |
| In-hospital fall-associated fracture rate | 0.19 | Same as national | 9979 |
| Postoperative hemorrhage or hematoma rate | 1.79 | Same as national | 2080 |
| Postoperative acute kidney injury requiring dialysis rate | 2.09 | Same as national | 719 |
| Postoperative respiratory failure rate | 16.87 | Worse than national | 766 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 5.62 | Worse than national | 2070 |
| Postoperative sepsis rate | 5.83 | Same as national | 726 |
| Postoperative wound dehiscence rate | 2.08 | Same as national | 643 |
| Abdominopelvic accidental puncture or laceration rate | 0.70 | Same as national | 2368 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.30 | Worse than 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 18.8 | Not available | 174 |
| Hospital return days for heart failure patients | 87.9 | Not available | 438 |
| Hospital return days for pneumonia patients | 39.6 | Not available | 442 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.8 | Worse than national | 2293 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.9 | Same as national | 348 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.7 | Same as national | 37 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.7 | Same as national | 37 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 206 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.4 | Same as national | 174 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.1 | Same as national | 129 |
| Heart failure (HF) 30-Day Readmission Rate | 21.3 | Same as national | 438 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 16 | Same as national | 442 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 2 | 4229 |
| Doctor communication - star rating | 3 | 4229 |
| Communication about medicines - star rating | 2 | 4229 |
| Discharge information - star rating | 2 | 4229 |
| Cleanliness - star rating | 4 | 4229 |
| Quietness - star rating | 3 | 4229 |
| Overall hospital rating - star rating | 3 | 4229 |
| Recommend hospital - star rating | 3 | 4229 |
| Summary star rating | 3 | 4229 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very high | — |
| 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 vaccination | 66 | 16495 |
| 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 better | 206 | 2222 |
| 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 better | 204 | 2084 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 272 | 105 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 239 | 40 |
| Left before being seen | 1 | 208998 |
| Head CT results | 53 | 17 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 524 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 43 | 123 |
| Safe Use of Opioids - Concurrent Prescribing | 11 | 10055 |
| Appropriate care for severe sepsis and septic shock | 69 | 665 |
| Septic Shock 3-Hour Bundle | 79 | 245 |
| Septic Shock 6-Hour Bundle | 97 | 169 |
| Severe Sepsis 3-Hour Bundle | 83 | 665 |
| Severe Sepsis 6-Hour Bundle | 93 | 405 |
| Discharged on Antithrombotic Therapy | 95 | 1157 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 93 | 35251 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 97 | 8416 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Jackson Health System rated?
- Jackson Health System has a 1 out of 5 CMS overall star rating as of the latest CMS release.
- Does Jackson Health System have emergency services?
- Yes. Jackson Health System operates a 24/7 emergency department.
- Where is Jackson Health System located?
- Jackson Health System is located at 1611 Nw 12th Ave, Miami, FL 33136.
- What type of hospital is Jackson Health System?
- Jackson Health System is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).
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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.