JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Lake Charles Memorial Hospital

3 / 5

At a glance

Lake Charles 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 12 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 Limit0.014Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.335Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3940Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.695Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.271Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.993Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5020Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.969Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.201Better than national
SSI - Colon Surgery: Lower Confidence Limit0.134Same as national
SSI - Colon Surgery: Upper Confidence Limit2.644Same as national
SSI - Colon Surgery: Number of Procedures91Same as national
SSI - Colon Surgery: Predicted Cases2.499Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.800Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures72Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.596Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.394Same as national
MRSA Bacteremia: Upper Confidence Limit2.382Same as national
MRSA Bacteremia: Patient Days54721Same as national
MRSA Bacteremia: Predicted Cases4.653Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.075Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.334Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.826Better than national
Clostridium Difficile (C.Diff): Patient Days52036Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.245Better than national
Clostridium Difficile (C.Diff): Observed Cases19Better than national
Clostridium Difficile (C.Diff)0.539Better 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 Rate5Worse than national1121
Death rate for heart attack patients11.8Same as national144
Death rate for CABG surgery patients2.9Same as national91
Death rate for COPD patients11.4Same as national96
Death rate for heart failure patients11.4Same as national313
Death rate for pneumonia patients13.1Same as national291
Death rate for stroke patients11.1Same as national173
Pressure ulcer rate0.16Same as national3640
Death rate among surgical inpatients with serious treatable complications194.71Same as national67
Iatrogenic pneumothorax rate0.16Same as national4437
In-hospital fall-associated fracture rate0.23Same as national4459
Postoperative hemorrhage or hematoma rate2.24Same as national1079
Postoperative acute kidney injury requiring dialysis rate2.90Same as national423
Postoperative respiratory failure rate27.64Worse than national421
Perioperative pulmonary embolism or deep vein thrombosis rate4.30Same as national1116
Postoperative sepsis rate5.42Same as national399
Postoperative wound dehiscence rate1.62Same as national157
Abdominopelvic accidental puncture or laceration rate0.91Same as national661
CMS Medicare PSI 90: Patient safety and adverse events composite1.41Worse 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.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-11.4Not available154
Hospital return days for heart failure patients11.9Not available378
Hospital return days for pneumonia patients-25.8Not available325
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national1695
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.1Same as national2319
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national228
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.5Same as national228
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national502
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national154
Rate of readmission for CABG11Same as national86
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national100
Heart failure (HF) 30-Day Readmission Rate20.3Same as national378
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national325

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 rating3324
Doctor communication - star rating4324
Communication about medicines - star rating2324
Discharge information - star rating3324
Cleanliness - star rating3324
Quietness - star rating4324
Overall hospital rating - star rating3324
Recommend hospital - star rating4324
Summary star rating3324

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 volumehigh
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 vaccination962908
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 better225385
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 better217345
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40638
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 seen250971
Head CT results8419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10079
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock41179
Septic Shock 3-Hour Bundle5555
Septic Shock 6-Hour Bundle8723
Severe Sepsis 3-Hour Bundle63179
Severe Sepsis 6-Hour Bundle8567
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 Lake Charles Memorial Hospital rated?
Lake Charles Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Lake Charles Memorial Hospital have emergency services?
Yes. Lake Charles Memorial Hospital operates a 24/7 emergency department.
Where is Lake Charles Memorial Hospital located?
Lake Charles Memorial Hospital is located at 1701 Oak Park Blvd, Lake Charles, LA 70601.
What type of hospital is Lake Charles Memorial Hospital?
Lake Charles 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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