JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Memorial Hospital

5 / 5

At a glance

Memorial Hospital carries a 5-star CMS overall rating — above 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 Limit0.008Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.814Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9234Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.057Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.165Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.056Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.113Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9225Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.937Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.337Same as national
SSI - Colon Surgery: Lower Confidence Limit0.016Same as national
SSI - Colon Surgery: Upper Confidence Limit1.592Same as national
SSI - Colon Surgery: Number of Procedures122Same as national
SSI - Colon Surgery: Predicted Cases3.097Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.323Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures51Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.461Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.083Same as national
MRSA Bacteremia: Upper Confidence Limit1.627Same as national
MRSA Bacteremia: Patient Days83894Same as national
MRSA Bacteremia: Predicted Cases4.062Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.492Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.052Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.313Better than national
Clostridium Difficile (C.Diff): Patient Days80443Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.432Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.141Better 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 patients3.9Same as national185
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3Better than national1678
Death rate for heart attack patients9.7Same as national165
Death rate for CABG surgery patients1.9Same as national54
Death rate for COPD patients6.3Same as national202
Death rate for heart failure patients9.7Same as national587
Death rate for pneumonia patients13.2Better than national654
Death rate for stroke patients13.3Same as national174
Pressure ulcer rate0.27Same as national6858
Death rate among surgical inpatients with serious treatable complications166.46Same as national74
Iatrogenic pneumothorax rate0.15Same as national7887
In-hospital fall-associated fracture rate0.24Same as national7994
Postoperative hemorrhage or hematoma rate2.01Same as national1170
Postoperative acute kidney injury requiring dialysis rate1.37Same as national457
Postoperative respiratory failure rate8.15Same as national466
Perioperative pulmonary embolism or deep vein thrombosis rate2.48Same as national1265
Postoperative sepsis rate3.84Same as national429
Postoperative wound dehiscence rate2.20Same as national245
Abdominopelvic accidental puncture or laceration rate0.84Same as national1061
CMS Medicare PSI 90: Patient safety and adverse events composite0.73Same 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 patients3.3Not available151
Hospital return days for heart failure patients9.5Not available657
Hospital return days for pneumonia patients12.5Not available684
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national2925
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national785
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national311
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national311
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national629
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national151
Rate of readmission for CABG11.4Same as national54
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national216
Heart failure (HF) 30-Day Readmission Rate19.3Same as national657
Rate of readmission after hip/knee replacement5.1Same as national168
Pneumonia (PN) 30-Day Readmission Rate16Same as national684

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 rating42396
Doctor communication - star rating42396
Communication about medicines - star rating32396
Discharge information - star rating42396
Cleanliness - star rating32396
Quietness - star rating42396
Overall hospital rating - star rating42396
Recommend hospital - star rating42396
Summary star rating42396

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 volumevery high
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 vaccination964742
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 better207402
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 better205379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30917
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 seen575906
Head CT results8425
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97329
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing174406
Appropriate care for severe sepsis and septic shock46151
Septic Shock 3-Hour Bundle4439
Septic Shock 6-Hour Bundle9315
Severe Sepsis 3-Hour Bundle66151
Severe Sepsis 6-Hour Bundle9073
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293246
Venous Thromboembolism Prophylaxis909823
Intensive Care Unit Venous Thromboembolism Prophylaxis961757

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 rated?
Memorial Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hospital have emergency services?
Yes. Memorial Hospital operates a 24/7 emergency department.
Where is Memorial Hospital located?
Memorial Hospital is located at 4500 Memorial Drive, Belleville, IL 62226.
What type of hospital is Memorial Hospital?
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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