JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Memorial Hospital of Carbondale

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At a glance

Memorial Hospital of Carbondale 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 Limit0.126Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.350Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6673Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.046Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.496Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.046Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.907Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7314Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.283Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.275Better than national
SSI - Colon Surgery: Lower Confidence Limit0.360Same as national
SSI - Colon Surgery: Upper Confidence Limit2.734Same as national
SSI - Colon Surgery: Number of Procedures134Same as national
SSI - Colon Surgery: Predicted Cases3.529Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.133Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.095Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.852Same as national
MRSA Bacteremia: Upper Confidence Limit3.855Same as national
MRSA Bacteremia: Patient Days45010Same as national
MRSA Bacteremia: Predicted Cases3.592Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia1.949Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.356Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.117Same as national
Clostridium Difficile (C.Diff): Patient Days41295Same as national
Clostridium Difficile (C.Diff): Predicted Cases18.264Same as national
Clostridium Difficile (C.Diff): Observed Cases12Same as national
Clostridium Difficile (C.Diff)0.657Same 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 Rate5.2Worse than national1016
Death rate for heart attack patients13.1Same as national186
Death rate for CABG surgery patients4Same as national56
Death rate for COPD patients9.6Same as national132
Death rate for heart failure patients11.5Same as national261
Death rate for pneumonia patients17.1Same as national291
Death rate for stroke patients14.8Same as national140
Pressure ulcer rate0.74Same as national3423
Death rate among surgical inpatients with serious treatable complications161.82Same as national69
Iatrogenic pneumothorax rate0.33Same as national4211
In-hospital fall-associated fracture rate0.24Same as national4311
Postoperative hemorrhage or hematoma rate2.01Same as national1039
Postoperative acute kidney injury requiring dialysis rate1.80Same as national351
Postoperative respiratory failure rate11.64Same as national353
Perioperative pulmonary embolism or deep vein thrombosis rate4.06Same as national1093
Postoperative sepsis rate6.71Same as national365
Postoperative wound dehiscence rate1.94Same as national188
Abdominopelvic accidental puncture or laceration rate1.37Same as national758
CMS Medicare PSI 90: Patient safety and adverse events composite1.19Same 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 patients16.8Not available214
Hospital return days for heart failure patients12.4Not available307
Hospital return days for pneumonia patients21.7Not available306
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.1Same as national1602
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national34
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.9Same as national344
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy7.1Same as national344
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national271
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national214
Rate of readmission for CABG11Same as national54
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national153
Heart failure (HF) 30-Day Readmission Rate21.4Same as national307
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national306

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 rating3409
Doctor communication - star rating3409
Communication about medicines - star rating2409
Discharge information - star rating2409
Cleanliness - star rating4409
Quietness - star rating3409
Overall hospital rating - star rating3409
Recommend hospital - star rating3409
Summary star rating3409

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 Hypoglycemia12226
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination952486
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 better171495
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 better168451
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25321
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22423
Left before being seen534724
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing192839
Appropriate care for severe sepsis and septic shock46137
Septic Shock 3-Hour Bundle3636
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle67137
Severe Sepsis 6-Hour Bundle9758
Discharged on Antithrombotic Therapy97143
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis98764

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 of Carbondale rated?
Memorial Hospital of Carbondale has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hospital of Carbondale have emergency services?
Yes. Memorial Hospital of Carbondale operates a 24/7 emergency department.
Where is Memorial Hospital of Carbondale located?
Memorial Hospital of Carbondale is located at 405 W Jackson, Carbondale, IL 62901.
What type of hospital is Memorial Hospital of Carbondale?
Memorial Hospital of Carbondale 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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