JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Johnston Health

4 / 5

At a glance

Johnston Health carries a 4-star CMS overall rating — above 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 Limit0.099Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.949Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5035Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.390Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.590Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.235Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.512Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4700Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.250Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.923Same as national
SSI - Colon Surgery: Lower Confidence Limit0.018Same as national
SSI - Colon Surgery: Upper Confidence Limit1.809Same as national
SSI - Colon Surgery: Number of Procedures99Same as national
SSI - Colon Surgery: Predicted Cases2.726Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.367Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures23Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.189Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.328Same as national
MRSA Bacteremia: Upper Confidence Limit3.509Same as national
MRSA Bacteremia: Patient Days54107Same as national
MRSA Bacteremia: Predicted Cases2.327Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.289Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.040Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.423Better than national
Clostridium Difficile (C.Diff): Patient Days50173Better than national
Clostridium Difficile (C.Diff): Predicted Cases19.291Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.156Better 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 patients3.4Same as national54
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1216
Death rate for heart attack patients12.2Same as national85
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.5Same as national175
Death rate for heart failure patients13.3Same as national409
Death rate for pneumonia patients16Same as national424
Death rate for stroke patients12.2Same as national149
Pressure ulcer rate0.49Same as national4213
Death rate among surgical inpatients with serious treatable complications195.88Same as national38
Iatrogenic pneumothorax rate0.17Same as national4912
In-hospital fall-associated fracture rate0.23Same as national5109
Postoperative hemorrhage or hematoma rate1.98Same as national722
Postoperative acute kidney injury requiring dialysis rate1.57Same as national241
Postoperative respiratory failure rate6.45Same as national240
Perioperative pulmonary embolism or deep vein thrombosis rate3.00Same as national779
Postoperative sepsis rate4.51Same as national221
Postoperative wound dehiscence rate1.66Same as national193
Abdominopelvic accidental puncture or laceration rate0.92Same as national616
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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-5.7Not available94
Hospital return days for heart failure patients7.1Not available450
Hospital return days for pneumonia patients8.7Not available431
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national1943
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national794
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national116
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national116
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national360
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national94
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national184
Heart failure (HF) 30-Day Readmission Rate20.6Same as national450
Rate of readmission after hip/knee replacement4.8Same as national48
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national431

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 rating41743
Doctor communication - star rating31743
Communication about medicines - star rating31743
Discharge information - star rating41743
Cleanliness - star rating41743
Quietness - star rating41743
Overall hospital rating - star rating41743
Recommend hospital - star rating41743
Summary star rating41743

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events06020
Healthcare workers given influenza vaccination976934
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 better186402
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 better186380
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better3813
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 seen481340
Head CT results9030
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10088
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing173133
Appropriate care for severe sepsis and septic shock61184
Septic Shock 3-Hour Bundle6797
Septic Shock 6-Hour Bundle9143
Severe Sepsis 3-Hour Bundle83184
Severe Sepsis 6-Hour Bundle98107
Discharged on Antithrombotic Therapy98236
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295208
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 Johnston Health rated?
Johnston Health has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Johnston Health have emergency services?
Yes. Johnston Health operates a 24/7 emergency department.
Where is Johnston Health located?
Johnston Health is located at 509 Bright Leaf Blvd, Smithfield, NC 27577.
What type of hospital is Johnston Health?
Johnston Health 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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