JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Memorial Hospital of South Bend

2 / 5

At a glance

Memorial Hospital of South Bend carries a 2-star CMS overall rating — below 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 Limit0.823Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6758Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.993Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.167Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.224Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.699Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6411Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.678Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.704Same as national
SSI - Colon Surgery: Lower Confidence Limit0.532Same as national
SSI - Colon Surgery: Upper Confidence Limit2.733Same as national
SSI - Colon Surgery: Number of Procedures169Same as national
SSI - Colon Surgery: Predicted Cases4.567Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.314Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures88Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.691Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.112Same as national
MRSA Bacteremia: Upper Confidence Limit1.193Same as national
MRSA Bacteremia: Patient Days110334Same as national
MRSA Bacteremia: Predicted Cases6.842Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.438Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.066Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.298Better than national
Clostridium Difficile (C.Diff): Patient Days99683Better than national
Clostridium Difficile (C.Diff): Predicted Cases46.424Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.151Better 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 patients3.5Same as national29
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national1600
Death rate for heart attack patients12Same as national186
Death rate for CABG surgery patients2Same as national70
Death rate for COPD patients11.9Same as national185
Death rate for heart failure patients14.8Worse than national386
Death rate for pneumonia patients18.4Same as national357
Death rate for stroke patients15.5Same as national277
Pressure ulcer rate0.77Same as national5660
Death rate among surgical inpatients with serious treatable complications201.78Same as national94
Iatrogenic pneumothorax rate0.25Same as national6672
In-hospital fall-associated fracture rate0.28Same as national6875
Postoperative hemorrhage or hematoma rate2.03Same as national1551
Postoperative acute kidney injury requiring dialysis rate2.00Same as national760
Postoperative respiratory failure rate36.65Worse than national731
Perioperative pulmonary embolism or deep vein thrombosis rate4.34Same as national1653
Postoperative sepsis rate7.76Same as national729
Postoperative wound dehiscence rate1.61Same as national270
Abdominopelvic accidental puncture or laceration rate1.04Same as national1167
CMS Medicare PSI 90: Patient safety and adverse events composite1.89Worse than 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-30.3Not available196
Hospital return days for heart failure patients-3.9Not available410
Hospital return days for pneumonia patients10.9Not available371
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national2721
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national645
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national189
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national189
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national542
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12Same as national196
Rate of readmission for CABG10.1Same as national70
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.1Same as national206
Heart failure (HF) 30-Day Readmission Rate19.3Same as national410
Rate of readmission after hip/knee replacement4.7Same as national26
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national371

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 rating4542
Doctor communication - star rating3542
Communication about medicines - star rating2542
Discharge information - star rating3542
Cleanliness - star rating3542
Quietness - star rating2542
Overall hospital rating - star rating3542
Recommend hospital - star rating4542
Summary star rating3542

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 vaccination963846
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 better200474
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 better198447
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26324
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 seen462017
Head CT results4015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96331
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4529
Safe Use of Opioids - Concurrent Prescribing96352
Appropriate care for severe sepsis and septic shock45158
Septic Shock 3-Hour Bundle6850
Septic Shock 6-Hour Bundle3826
Severe Sepsis 3-Hour Bundle80159
Severe Sepsis 6-Hour Bundle7894
Discharged on Antithrombotic Therapy86398
Anticoagulation Therapy for Atrial Fibrillation/Flutter55119
Antithrombotic Therapy by End of Hospital Day 287320
Venous Thromboembolism Prophylaxis
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 of South Bend rated?
Memorial Hospital of South Bend has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hospital of South Bend have emergency services?
Yes. Memorial Hospital of South Bend operates a 24/7 emergency department.
Where is Memorial Hospital of South Bend located?
Memorial Hospital of South Bend is located at 615 N Michigan St, South Bend, IN 46601.
What type of hospital is Memorial Hospital of South Bend?
Memorial Hospital of South Bend 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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