JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

North Oaks Medical Center

2 / 5

At a glance

North Oaks Medical Center 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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.758Better than national
Central Line Associated Bloodstream Infection: Number of Device Days7119Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.510Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.154Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.281Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.441Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8194Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.660Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.693Same as national
SSI - Colon Surgery: Lower Confidence Limit0.116Same as national
SSI - Colon Surgery: Upper Confidence Limit2.292Same as national
SSI - Colon Surgery: Number of Procedures100Same as national
SSI - Colon Surgery: Predicted Cases2.883Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.694Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures82Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.720Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.083Same as national
MRSA Bacteremia: Upper Confidence Limit1.632Same as national
MRSA Bacteremia: Patient Days67300Same as national
MRSA Bacteremia: Predicted Cases4.050Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.494Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.258Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.655Better than national
Clostridium Difficile (C.Diff): Patient Days63638Better than national
Clostridium Difficile (C.Diff): Predicted Cases42.601Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.423Better 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 Rate5.2Worse than national970
Death rate for heart attack patients13.8Same as national115
Death rate for CABG surgery patients3.5Same as national39
Death rate for COPD patients8Same as national81
Death rate for heart failure patients13.3Same as national378
Death rate for pneumonia patients18.2Same as national391
Death rate for stroke patients14.9Same as national162
Pressure ulcer rate0.20Same as national3947
Death rate among surgical inpatients with serious treatable complications186.16Same as national44
Iatrogenic pneumothorax rate0.33Same as national4597
In-hospital fall-associated fracture rate0.31Same as national4577
Postoperative hemorrhage or hematoma rate2.43Same as national806
Postoperative acute kidney injury requiring dialysis rate1.89Same as national213
Postoperative respiratory failure rate14.70Same as national214
Perioperative pulmonary embolism or deep vein thrombosis rate3.39Same as national813
Postoperative sepsis rate6.24Same as national206
Postoperative wound dehiscence rate1.66Same as national163
Abdominopelvic accidental puncture or laceration rate1.93Same as national682
CMS Medicare PSI 90: Patient safety and adverse events composite1.10Same 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 patients77.2Not available111
Hospital return days for heart failure patients29.4Not available447
Hospital return days for pneumonia patients33.8Not available407
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.8Worse than national1628
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national295
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national74
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national74
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national233
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.9Same as national111
Rate of readmission for CABG9.5Same as national36
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national85
Heart failure (HF) 30-Day Readmission Rate22.6Same as national447
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18Same as national407

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 rating3983
Doctor communication - star rating3983
Communication about medicines - star rating2983
Discharge information - star rating3983
Cleanliness - star rating3983
Quietness - star rating4983
Overall hospital rating - star rating3983
Recommend hospital - star rating3983
Summary star rating3983

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 Events15948
Healthcare workers given influenza vaccination804126
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 better181373
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 better180344
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33628
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 seen665984
Head CT results8419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8964
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing203533
Appropriate care for severe sepsis and septic shock65153
Septic Shock 3-Hour Bundle7646
Septic Shock 6-Hour Bundle8324
Severe Sepsis 3-Hour Bundle90153
Severe Sepsis 6-Hour Bundle7488
Discharged on Antithrombotic Therapy96331
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296287
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 Oaks Medical Center rated?
North Oaks Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does North Oaks Medical Center have emergency services?
Yes. North Oaks Medical Center operates a 24/7 emergency department.
Where is North Oaks Medical Center located?
North Oaks Medical Center is located at 15790 Paul Vega Md Drive, Hammond, LA 70403.
What type of hospital is North Oaks Medical Center?
North Oaks Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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