JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Lexington Memorial Hospital Inc

2 / 5

At a glance

Lexington Memorial Hospital Inc carries a 2-star CMS overall rating — below the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days869Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.655Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.800Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1501Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.070Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.280Same as national
SSI - Colon Surgery: Upper Confidence Limit5.525Same as national
SSI - Colon Surgery: Number of Procedures46Same as national
SSI - Colon Surgery: Predicted Cases1.196Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.672Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures10Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.083Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days17026Not available
MRSA Bacteremia: Predicted Cases0.951Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.052Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.030Same as national
Clostridium Difficile (C.Diff): Patient Days17026Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.413Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.312Same as 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 patients4.4Same as national113
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national294
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national41
Death rate for heart failure patients14Same as national126
Death rate for pneumonia patients17.4Same as national101
Death rate for stroke patients15.2Same as national35
Pressure ulcer rate0.46Same as national891
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1218
In-hospital fall-associated fracture rate0.26Same as national1178
Postoperative hemorrhage or hematoma rate2.29Same as national193
Postoperative acute kidney injury requiring dialysis rate1.66Same as national110
Postoperative respiratory failure rate8.70Same as national111
Perioperative pulmonary embolism or deep vein thrombosis rate4.17Same as national213
Postoperative sepsis rate5.07Same as national104
Postoperative wound dehiscence rate1.73Same as national35
Abdominopelvic accidental puncture or laceration rate1.02Same as national113
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 patientsNot available
Hospital return days for heart failure patients4.4Not available136
Hospital return days for pneumonia patients18.1Not available109
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national439
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national227
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national299
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national45
Heart failure (HF) 30-Day Readmission Rate20.3Same as national136
Rate of readmission after hip/knee replacement4.2Same as national116
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national109

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 rating4528
Doctor communication - star rating4528
Communication about medicines - star rating3528
Discharge information - star rating3528
Cleanliness - star rating4528
Quietness - star rating3528
Overall hospital rating - star rating4528
Recommend hospital - star rating4528
Summary star rating4528

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination80623
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 better169470
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 better168423
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14929
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29618
Left before being seen236298
Head CT results6123
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96119
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing211207
Appropriate care for severe sepsis and septic shock67158
Septic Shock 3-Hour Bundle9355
Septic Shock 6-Hour Bundle8945
Severe Sepsis 3-Hour Bundle79158
Severe Sepsis 6-Hour Bundle9092
Discharged on Antithrombotic Therapy99111
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29788
Venous Thromboembolism Prophylaxis912251
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Lexington Memorial Hospital Inc rated?
Lexington Memorial Hospital Inc has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Lexington Memorial Hospital Inc have emergency services?
Yes. Lexington Memorial Hospital Inc operates a 24/7 emergency department.
Where is Lexington Memorial Hospital Inc located?
Lexington Memorial Hospital Inc is located at 250 Hospital Drive Po Box 1817, Lexington, NC 27293.
What type of hospital is Lexington Memorial Hospital Inc?
Lexington Memorial Hospital Inc 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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