JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Southcoast Hospitals Group

4 / 5

At a glance

Southcoast Hospitals Group carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.165Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.845Better than national
Central Line Associated Bloodstream Infection: Number of Device Days18976Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.772Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.406Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.190Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.973Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days15648Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.826Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.468Better than national
SSI - Colon Surgery: Lower Confidence Limit0.557Same as national
SSI - Colon Surgery: Upper Confidence Limit2.277Same as national
SSI - Colon Surgery: Number of Procedures255Same as national
SSI - Colon Surgery: Predicted Cases6.671Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery1.199Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures93Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.775Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.173Same as national
MRSA Bacteremia: Upper Confidence Limit1.314Same as national
MRSA Bacteremia: Patient Days176940Same as national
MRSA Bacteremia: Predicted Cases7.343Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.545Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.369Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.640Better than national
Clostridium Difficile (C.Diff): Patient Days167747Better than national
Clostridium Difficile (C.Diff): Predicted Cases103.906Better than national
Clostridium Difficile (C.Diff): Observed Cases51Better than national
Clostridium Difficile (C.Diff)0.491Better 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 patients2.5Same as national398
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Better than national4704
Death rate for heart attack patients12.5Same as national623
Death rate for CABG surgery patients2.6Same as national208
Death rate for COPD patients8.3Same as national627
Death rate for heart failure patients9.7Better than national1605
Death rate for pneumonia patients15.6Same as national1583
Death rate for stroke patients11.4Same as national576
Pressure ulcer rate1.09Worse than national17161
Death rate among surgical inpatients with serious treatable complications156.95Same as national187
Iatrogenic pneumothorax rate0.13Same as national19918
In-hospital fall-associated fracture rate0.42Same as national20327
Postoperative hemorrhage or hematoma rate1.50Same as national3887
Postoperative acute kidney injury requiring dialysis rate1.17Same as national1725
Postoperative respiratory failure rate9.41Same as national1708
Perioperative pulmonary embolism or deep vein thrombosis rate3.08Same as national4237
Postoperative sepsis rate5.43Same as national1713
Postoperative wound dehiscence rate1.39Same as national790
Abdominopelvic accidental puncture or laceration rate0.95Same as national3132
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients-9.2Not available604
Hospital return days for heart failure patients10Not available1830
Hospital return days for pneumonia patients12.8Not available1631
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national7881
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national3210
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.7Same as national484
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national484
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1466
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.7Same as national604
Rate of readmission for CABG10.1Same as national200
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national716
Heart failure (HF) 30-Day Readmission Rate19.5Same as national1830
Rate of readmission after hip/knee replacement4.7Same as national416
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national1631

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 rating31273
Doctor communication - star rating31273
Communication about medicines - star rating31273
Discharge information - star rating41273
Cleanliness - star rating31273
Quietness - star rating21273
Overall hospital rating - star rating31273
Recommend hospital - star rating41273
Summary star rating31273

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 vaccination626860
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 better203477
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 better201424
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26042
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25913
Left before being seen4176743
Head CT results7649
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9898
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5627
Safe Use of Opioids - Concurrent Prescribing219217
Appropriate care for severe sepsis and septic shock65311
Septic Shock 3-Hour Bundle78109
Septic Shock 6-Hour Bundle8475
Severe Sepsis 3-Hour Bundle79311
Severe Sepsis 6-Hour Bundle96179
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter88109
Antithrombotic Therapy by End of Hospital Day 297406
Venous Thromboembolism Prophylaxis9718333
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 Southcoast Hospitals Group rated?
Southcoast Hospitals Group has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Southcoast Hospitals Group have emergency services?
Yes. Southcoast Hospitals Group operates a 24/7 emergency department.
Where is Southcoast Hospitals Group located?
Southcoast Hospitals Group is located at 363 Highland Avenue, Fall River, MA 02720.
What type of hospital is Southcoast Hospitals Group?
Southcoast Hospitals Group 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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