JCIPatientSafety.orgHospital Quality Directory

Critical Access Hospitals · Voluntary non-profit - Private

Margaret Mary Community Hospital Inc

Not rated overall

CMS reports safety and quality measures for this hospital but does not assign an overall star rating. See scores below.

At a glance

On healthcare-associated infection measures, it performs better than the national average on 0 and worse on 6.

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 Days368Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.100Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days933Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.610Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures6Not available
SSI - Colon Surgery: Predicted Cases0.154Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures66Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.595Not 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 Days6974Not available
MRSA Bacteremia: Predicted Cases0.145Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit1.097Worse than national
Clostridium Difficile (C.Diff): Upper Confidence Limit4.963Worse than national
Clostridium Difficile (C.Diff): Patient Days6146Worse than national
Clostridium Difficile (C.Diff): Predicted Cases2.790Worse than national
Clostridium Difficile (C.Diff): Observed Cases7Worse than national
Clostridium Difficile (C.Diff)2.509Worse 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 patients3.6Same as national31
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national209
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11Same as national25
Death rate for heart failure patients13Same as national62
Death rate for pneumonia patients17.5Same as national73
Death rate for stroke patientsNot available
Pressure ulcer rateNot available
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rateNot available
In-hospital fall-associated fracture rateNot available
Postoperative hemorrhage or hematoma rateNot available
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rateNot available
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rateNot available
CMS Medicare PSI 90: Patient safety and adverse events compositeNot available

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 patients32.9Not available70
Hospital return days for pneumonia patients66.9Not available83
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national285
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national104
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1Same as national104
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national25
Heart failure (HF) 30-Day Readmission Rate20.8Same as national70
Rate of readmission after hip/knee replacement4.7Same as national31
Pneumonia (PN) 30-Day Readmission Rate16Same as national83

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 rating4152
Doctor communication - star rating4152
Communication about medicines - star rating3152
Discharge information - star rating4152
Cleanliness - star rating4152
Quietness - star rating3152
Overall hospital rating - star rating4152
Recommend hospital - star rating4152
Summary star rating4152

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 volumelow
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 vaccination67908
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 better136442
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 better132414
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25420
Left before being seen119459
Head CT results10015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients81128
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing8430
Appropriate care for severe sepsis and septic shock76141
Septic Shock 3-Hour Bundle7642
Septic Shock 6-Hour Bundle7924
Severe Sepsis 3-Hour Bundle88141
Severe Sepsis 6-Hour Bundle99102
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis74387
Intensive Care Unit Venous Thromboembolism Prophylaxis8050

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 Margaret Mary Community Hospital Inc rated?
CMS does not assign an overall star rating to Margaret Mary Community Hospital Inc, but does publish underlying safety and quality measures shown on this page.
Does Margaret Mary Community Hospital Inc have emergency services?
Yes. Margaret Mary Community Hospital Inc operates a 24/7 emergency department.
Where is Margaret Mary Community Hospital Inc located?
Margaret Mary Community Hospital Inc is located at 321 Mitchell Ave, Batesville, IN 47006.
What type of hospital is Margaret Mary Community Hospital Inc?
Margaret Mary Community Hospital Inc is classified by CMS as a Critical Access 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.

Report an issue with this page