JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

North Baldwin Infirmary

3 / 5

At a glance

North Baldwin Infirmary carries a 3-star CMS overall rating — in line with 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 Days296Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.178Not 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 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 Days763Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.420Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not 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 Cases0.667Not 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 Procedures71Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.762Not available
SSI - Abdominal Hysterectomy: Observed Cases4Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days6430Not available
MRSA Bacteremia: Predicted Cases0.177Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.266Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.847Same as national
Clostridium Difficile (C.Diff): Patient Days5995Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.868Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)1.046Same 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 Rate4.1Same as national106
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients13.6Same as national38
Death rate for pneumonia patients18.5Same as national48
Death rate for stroke patientsNot available
Pressure ulcer rate0.54Same as national430
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national581
In-hospital fall-associated fracture rate0.27Same as national556
Postoperative hemorrhage or hematoma rate2.31Same as national75
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.38Same as national77
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.76Same as national28
Abdominopelvic accidental puncture or laceration rate1.04Same as national63
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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 patients10Not available43
Hospital return days for pneumonia patients20.9Not available45
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national161
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national127
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national99
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national99
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national50
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.4Same as national43
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national45

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 rating5219
Doctor communication - star rating5219
Communication about medicines - star rating4219
Discharge information - star rating4219
Cleanliness - star rating5219
Quietness - star rating5219
Overall hospital rating - star rating5219
Recommend hospital - star rating5219
Summary star rating5219

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 volumelow
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 Hyperglycemia101277
Hospital Harm - Severe Hypoglycemia1376
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination47548
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 better190407
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 better183374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better30225
Left before being seen416857
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7928
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12623
Appropriate care for severe sepsis and septic shock6888
Septic Shock 3-Hour Bundle6929
Septic Shock 6-Hour Bundle6015
Severe Sepsis 3-Hour Bundle8988
Severe Sepsis 6-Hour Bundle9454
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 North Baldwin Infirmary rated?
North Baldwin Infirmary has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does North Baldwin Infirmary have emergency services?
Yes. North Baldwin Infirmary operates a 24/7 emergency department.
Where is North Baldwin Infirmary located?
North Baldwin Infirmary is located at 1815 Hand Avenue, Bay Minette, AL 36507.
What type of hospital is North Baldwin Infirmary?
North Baldwin Infirmary 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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