JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Memorial Hospital

4 / 5

At a glance

Memorial Hospital carries a 4-star CMS overall rating — above the national norm.

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 DaysNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted CasesNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed CasesNot 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 DaysNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted CasesNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed CasesNot 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 Procedures22Not available
SSI - Colon Surgery: Predicted Cases0.597Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days7029Not available
MRSA Bacteremia: Predicted Cases0.200Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.178Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit3.504Same as national
Clostridium Difficile (C.Diff): Patient Days6719Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.886Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)1.060Same as 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 Rate4.5Same as national225
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.7Same as national46
Death rate for heart failure patients11.8Same as national103
Death rate for pneumonia patients18.2Same as national94
Death rate for stroke patients11.8Same as national29
Pressure ulcer rate0.49Same as national680
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national975
In-hospital fall-associated fracture rate0.26Same as national938
Postoperative hemorrhage or hematoma rate2.31Same as national94
Postoperative acute kidney injury requiring dialysis rate1.66Same as national30
Postoperative respiratory failure rate8.92Same as national30
Perioperative pulmonary embolism or deep vein thrombosis rate3.34Same as national99
Postoperative sepsis rate5.10Same as national25
Postoperative wound dehiscence rate1.75Same as national26
Abdominopelvic accidental puncture or laceration rate1.04Same as national65
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients-2.5Not available106
Hospital return days for pneumonia patients-25.7Not available91
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national331
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national571
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national68
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national68
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national163
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national45
Heart failure (HF) 30-Day Readmission Rate19.8Same as national106
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national91

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 rating4251
Doctor communication - star rating4251
Communication about medicines - star rating3251
Discharge information - star rating3251
Cleanliness - star rating4251
Quietness - star rating3251
Overall hospital rating - star rating3251
Recommend hospital - star rating3251
Summary star rating3251

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 vaccination76930
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 better137405
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 better129368
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17713
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better43925
Left before being seen226118
Head CT results8817
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100243
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing8249
Appropriate care for severe sepsis and septic shock7276
Septic Shock 3-Hour Bundle7730
Septic Shock 6-Hour Bundle9418
Severe Sepsis 3-Hour Bundle8676
Severe Sepsis 6-Hour Bundle9541
Discharged on Antithrombotic Therapy10031
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210029
Venous Thromboembolism Prophylaxis94639
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hospital have emergency services?
According to CMS records, Memorial Hospital does not report a 24/7 emergency department.
Where is Memorial Hospital located?
Memorial Hospital is located at 715 South Taft Avenue, Fremont, OH 43420.
What type of hospital is Memorial Hospital?
Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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