JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Memorial Hospital and Health Care Center

4 / 5

At a glance

Memorial Hospital and Health Care Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days710Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.588Not 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 Days682Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.658Not 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 Procedures35Not available
SSI - Colon Surgery: Predicted Cases0.883Not 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 Procedures45Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.346Not 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 Days18951Not available
MRSA Bacteremia: Predicted Cases0.905Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.084Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.902Better than national
Clostridium Difficile (C.Diff): Patient Days17583Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.052Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.331Better 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 patients2.4Same as national181
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national849
Death rate for heart attack patients12.2Same as national151
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.9Same as national74
Death rate for heart failure patients15.8Worse than national315
Death rate for pneumonia patients19.8Same as national306
Death rate for stroke patients14.5Same as national180
Pressure ulcer rate1.18Same as national1807
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national2859
In-hospital fall-associated fracture rate0.37Same as national2729
Postoperative hemorrhage or hematoma rate2.13Same as national691
Postoperative acute kidney injury requiring dialysis rate1.57Same as national268
Postoperative respiratory failure rate8.56Same as national252
Perioperative pulmonary embolism or deep vein thrombosis rate3.07Same as national707
Postoperative sepsis rate4.40Same as national245
Postoperative wound dehiscence rate1.71Same as national96
Abdominopelvic accidental puncture or laceration rate0.99Same as national238
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients-4.2Not available152
Hospital return days for heart failure patients-15.2Not available347
Hospital return days for pneumonia patients-12.9Not available307
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Same as national1111
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national1079
Rate of inpatient admissions for patients receiving outpatient chemotherapy7.1Better than national161
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.3Same as national161
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national449
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national152
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national79
Heart failure (HF) 30-Day Readmission Rate19.1Same as national347
Rate of readmission after hip/knee replacement3.7Same as national195
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national307

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 rating5441
Doctor communication - star rating4441
Communication about medicines - star rating4441
Discharge information - star rating4441
Cleanliness - star rating4441
Quietness - star rating5441
Overall hospital rating - star rating4441
Recommend hospital - star rating4441
Summary star rating4441

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 vaccination931958
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 better197383
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 better194365
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 better24811
Left before being seen128140
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8763
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing19695
Appropriate care for severe sepsis and septic shock7089
Septic Shock 3-Hour Bundle8142
Septic Shock 6-Hour Bundle9520
Severe Sepsis 3-Hour Bundle8289
Severe Sepsis 6-Hour Bundle9645
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210071
Venous Thromboembolism Prophylaxis77862
Intensive Care Unit Venous Thromboembolism Prophylaxis86782

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 Hospital and Health Care Center rated?
Memorial Hospital and Health Care Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hospital and Health Care Center have emergency services?
Yes. Memorial Hospital and Health Care Center operates a 24/7 emergency department.
Where is Memorial Hospital and Health Care Center located?
Memorial Hospital and Health Care Center is located at 800 W 9th St, Jasper, IN 47546.
What type of hospital is Memorial Hospital and Health Care Center?
Memorial Hospital and Health Care Center 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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