JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Johnston Memorial Hospital

3 / 5

At a glance

Johnston Memorial 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 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 Limit0.459Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.484Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3127Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.769Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.445Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.408Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.467Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4500Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.492Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.113Same as national
SSI - Colon Surgery: Lower Confidence Limit0.149Same as national
SSI - Colon Surgery: Upper Confidence Limit2.929Same as national
SSI - Colon Surgery: Number of Procedures88Same as national
SSI - Colon Surgery: Predicted Cases2.256Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.887Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures11Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.104Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.488Same as national
MRSA Bacteremia: Patient Days29126Same as national
MRSA Bacteremia: Predicted Cases2.013Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.115Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.876Better than national
Clostridium Difficile (C.Diff): Patient Days28245Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.019Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.363Better 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 Rate4Same as national734
Death rate for heart attack patients15.1Same as national136
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.2Same as national54
Death rate for heart failure patients13.4Same as national163
Death rate for pneumonia patients19.9Worse than national363
Death rate for stroke patients16.2Same as national70
Pressure ulcer rate0.28Same as national2483
Death rate among surgical inpatients with serious treatable complications165.98Same as national36
Iatrogenic pneumothorax rate0.18Same as national3094
In-hospital fall-associated fracture rate0.25Same as national3132
Postoperative hemorrhage or hematoma rate2.15Same as national459
Postoperative acute kidney injury requiring dialysis rate1.62Same as national82
Postoperative respiratory failure rate8.03Same as national82
Perioperative pulmonary embolism or deep vein thrombosis rate6.23Worse than national496
Postoperative sepsis rate4.96Same as national68
Postoperative wound dehiscence rate1.66Same as national112
Abdominopelvic accidental puncture or laceration rate0.95Same as national467
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 patients18.5Not available128
Hospital return days for heart failure patients-21.7Not available177
Hospital return days for pneumonia patients-4.7Not available375
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1122
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national712
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national96
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.4Same as national96
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national179
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national128
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national54
Heart failure (HF) 30-Day Readmission Rate18.5Same as national177
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national375

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 rating3754
Doctor communication - star rating3754
Communication about medicines - star rating2754
Discharge information - star rating3754
Cleanliness - star rating5754
Quietness - star rating4754
Overall hospital rating - star rating3754
Recommend hospital - star rating3754
Summary star rating3754

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 volumemedium
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 Hyperglycemia1110110
Hospital Harm - Severe Hypoglycemia12116
Hospital Harm - Opioid Related Adverse Events04094
Healthcare workers given influenza vaccination951284
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 better188372
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 better186350
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25214
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 seen128240
Head CT results7823
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10063
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161711
Appropriate care for severe sepsis and septic shock73103
Septic Shock 3-Hour Bundle6736
Septic Shock 6-Hour Bundle8817
Severe Sepsis 3-Hour Bundle89103
Severe Sepsis 6-Hour Bundle9758
Discharged on Antithrombotic Therapy
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 Johnston Memorial Hospital rated?
Johnston Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Johnston Memorial Hospital have emergency services?
Yes. Johnston Memorial Hospital operates a 24/7 emergency department.
Where is Johnston Memorial Hospital located?
Johnston Memorial Hospital is located at 16000 Johnston Memorial Drive, Abingdon, VA 24211.
What type of hospital is Johnston Memorial Hospital?
Johnston Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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