JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Memorial Hospital Biloxi

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At a glance

Memorial Hospital Biloxi carries a 1-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 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 Days972Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.893Not 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 Limit0.026Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.540Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1917Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.942Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.515Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures28Not available
SSI - Colon Surgery: Predicted Cases0.752Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures69Not 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 Days11293Not available
MRSA Bacteremia: Predicted Cases0.597Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.694Better than national
Clostridium Difficile (C.Diff): Patient Days10331Better than national
Clostridium Difficile (C.Diff): Predicted Cases4.315Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national242
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.9Same as national28
Death rate for heart failure patients14.6Same as national40
Death rate for pneumonia patients18.1Same as national88
Death rate for stroke patients15.7Same as national28
Pressure ulcer rate0.45Same as national695
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1067
In-hospital fall-associated fracture rate0.26Same as national1018
Postoperative hemorrhage or hematoma rate2.23Same as national247
Postoperative acute kidney injury requiring dialysis rate1.65Same as national137
Postoperative respiratory failure rate13.07Same as national140
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national252
Postoperative sepsis rate4.99Same as national122
Postoperative wound dehiscence rate1.74Same as national65
Abdominopelvic accidental puncture or laceration rate1.01Same as national155
CMS Medicare PSI 90: Patient safety and adverse events composite1.01Same 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 patients113.9Not available49
Hospital return days for pneumonia patients60.2Not available95
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national364
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national181
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 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) patients17.9Same as national35
Heart failure (HF) 30-Day Readmission Rate21.3Same as national49
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.5Same as national95

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 rating2182
Doctor communication - star rating3182
Communication about medicines - star rating1182
Discharge information - star rating1182
Cleanliness - star rating2182
Quietness - star rating3182
Overall hospital rating - star rating1182
Recommend hospital - star rating1182
Summary star rating2182

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 vaccination26689
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 better159507
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 better154462
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21036
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 seen226064
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7864
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12742
Appropriate care for severe sepsis and septic shock34141
Septic Shock 3-Hour Bundle3037
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle72141
Severe Sepsis 6-Hour Bundle7080
Discharged on Antithrombotic Therapy8936
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 22030
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis33325

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 Biloxi rated?
Memorial Hospital Biloxi has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hospital Biloxi have emergency services?
Yes. Memorial Hospital Biloxi operates a 24/7 emergency department.
Where is Memorial Hospital Biloxi located?
Memorial Hospital Biloxi is located at 150 Reynoir Street, Biloxi, MS 39530.
What type of hospital is Memorial Hospital Biloxi?
Memorial Hospital Biloxi is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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