JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Memorial Health

2 / 5

At a glance

Memorial Health carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.265Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.835Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3488Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.880Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.042Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.435Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.970Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9001Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.030Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.996Same as national
SSI - Colon Surgery: Lower Confidence Limit0.237Same as national
SSI - Colon Surgery: Upper Confidence Limit2.536Same as national
SSI - Colon Surgery: Number of Procedures114Same as national
SSI - Colon Surgery: Predicted Cases3.220Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.932Same 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 Cases0.097Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit1.014Worse than national
MRSA Bacteremia: Upper Confidence Limit4.587Worse than national
MRSA Bacteremia: Patient Days50319Worse than national
MRSA Bacteremia: Predicted Cases3.019Worse than national
MRSA Bacteremia: Observed Cases7Worse than national
MRSA Bacteremia2.319Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.043Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.330Better than national
Clostridium Difficile (C.Diff): Patient Days47073Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.243Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.137Better 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 patients4.5Same as national122
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1436
Death rate for heart attack patients12.7Same as national124
Death rate for CABG surgery patients5Same as national64
Death rate for COPD patients6.3Same as national154
Death rate for heart failure patients10.4Same as national519
Death rate for pneumonia patients15.5Same as national484
Death rate for stroke patients13.2Same as national193
Pressure ulcer rate0.55Same as national4720
Death rate among surgical inpatients with serious treatable complications166.51Same as national69
Iatrogenic pneumothorax rate0.22Same as national6469
In-hospital fall-associated fracture rate0.22Same as national6580
Postoperative hemorrhage or hematoma rate2.26Same as national1097
Postoperative acute kidney injury requiring dialysis rate2.88Same as national478
Postoperative respiratory failure rate9.62Same as national489
Perioperative pulmonary embolism or deep vein thrombosis rate2.99Same as national1138
Postoperative sepsis rate8.99Worse than national445
Postoperative wound dehiscence rate1.98Same as national184
Abdominopelvic accidental puncture or laceration rate1.09Same as national785
CMS Medicare PSI 90: Patient safety and adverse events composite1.14Same 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 patients28.2Not available134
Hospital return days for heart failure patients23.8Not available599
Hospital return days for pneumonia patients21.5Not available528
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.5Worse than national2424
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.7Same as national1292
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national345
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national345
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national350
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national134
Rate of readmission for CABG11.5Same as national60
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national176
Heart failure (HF) 30-Day Readmission Rate23Worse than national599
Rate of readmission after hip/knee replacement5.1Same as national127
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national528

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 rating2731
Doctor communication - star rating2731
Communication about medicines - star rating2731
Discharge information - star rating3731
Cleanliness - star rating1731
Quietness - star rating3731
Overall hospital rating - star rating2731
Recommend hospital - star rating2731
Summary star rating2731

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 vaccination712473
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 better122354
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 better120346
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 better
Left before being seen159450
Head CT results5511
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91123
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142880
Appropriate care for severe sepsis and septic shock54242
Septic Shock 3-Hour Bundle6757
Septic Shock 6-Hour Bundle8330
Severe Sepsis 3-Hour Bundle71242
Severe Sepsis 6-Hour Bundle85118
Discharged on Antithrombotic Therapy87132
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 292125
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis98200

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 Memorial Health rated?
Memorial Health has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Health have emergency services?
Yes. Memorial Health operates a 24/7 emergency department.
Where is Memorial Health located?
Memorial Health is located at 3401 West Gore Blvd, Lawton, OK 73505.
What type of hospital is Memorial Health?
Memorial 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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