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Acute Care Hospitals · Government - Hospital District or Authority

Jackson-Madison County General Hospital

3 / 5

At a glance

Jackson-Madison County General Hospital 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 18 and worse on 12.

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 Limit0.107Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.648Better than national
Central Line Associated Bloodstream Infection: Number of Device Days15714Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases17.102Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.292Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.352Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.916Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days18644Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases29.101Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases17Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.584Better than national
SSI - Colon Surgery: Lower Confidence Limit1.056Worse than national
SSI - Colon Surgery: Upper Confidence Limit2.751Worse than national
SSI - Colon Surgery: Number of Procedures356Worse than national
SSI - Colon Surgery: Predicted Cases9.693Worse than national
SSI - Colon Surgery: Observed Cases17Worse than national
SSI - Colon Surgery1.754Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures65Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.598Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit1.096Worse than national
MRSA Bacteremia: Upper Confidence Limit2.409Worse than national
MRSA Bacteremia: Patient Days158740Worse than national
MRSA Bacteremia: Predicted Cases15.092Worse than national
MRSA Bacteremia: Observed Cases25Worse than national
MRSA Bacteremia1.657Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.159Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.393Better than national
Clostridium Difficile (C.Diff): Patient Days146435Better than national
Clostridium Difficile (C.Diff): Predicted Cases74.135Better than national
Clostridium Difficile (C.Diff): Observed Cases19Better than national
Clostridium Difficile (C.Diff)0.256Better 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 national3328
Death rate for heart attack patients13Same as national634
Death rate for CABG surgery patients2.4Same as national189
Death rate for COPD patients11.6Same as national279
Death rate for heart failure patients13.2Same as national1165
Death rate for pneumonia patients20.3Worse than national1120
Death rate for stroke patients13.2Same as national725
Pressure ulcer rate0.42Same as national12098
Death rate among surgical inpatients with serious treatable complications183.41Same as national208
Iatrogenic pneumothorax rate0.19Same as national14161
In-hospital fall-associated fracture rate0.17Same as national14596
Postoperative hemorrhage or hematoma rate1.56Same as national3008
Postoperative acute kidney injury requiring dialysis rate1.10Same as national797
Postoperative respiratory failure rate10.14Same as national840
Perioperative pulmonary embolism or deep vein thrombosis rate2.99Same as national3115
Postoperative sepsis rate4.37Same as national761
Postoperative wound dehiscence rate1.87Same as national578
Abdominopelvic accidental puncture or laceration rate1.74Same as national2767
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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 patients2.2Not available653
Hospital return days for heart failure patients-0.1Not available1263
Hospital return days for pneumonia patients8.9Not available1130
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national5225
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national1306
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national522
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national522
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1340
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national653
Rate of readmission for CABG10.9Same as national184
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national295
Heart failure (HF) 30-Day Readmission Rate19Same as national1263
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national1130

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 rating31886
Doctor communication - star rating31886
Communication about medicines - star rating31886
Discharge information - star rating31886
Cleanliness - star rating31886
Quietness - star rating41886
Overall hospital rating - star rating31886
Recommend hospital - star rating41886
Summary star rating31886

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 volumevery 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 Hyperglycemia251882
Hospital Harm - Severe Hypoglycemia18188
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination639023
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 better236476
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 better235453
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23614
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen479110
Head CT results6712
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5456
Safe Use of Opioids - Concurrent Prescribing157378
Appropriate care for severe sepsis and septic shock55572
Septic Shock 3-Hour Bundle72202
Septic Shock 6-Hour Bundle92118
Severe Sepsis 3-Hour Bundle73573
Severe Sepsis 6-Hour Bundle89323
Discharged on Antithrombotic Therapy96733
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Jackson-Madison County General Hospital rated?
Jackson-Madison County General Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Jackson-Madison County General Hospital have emergency services?
Yes. Jackson-Madison County General Hospital operates a 24/7 emergency department.
Where is Jackson-Madison County General Hospital located?
Jackson-Madison County General Hospital is located at 620 Skyline Drive, Jackson, TN 38301.
What type of hospital is Jackson-Madison County General Hospital?
Jackson-Madison County General Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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