Acute Care Hospitals · Voluntary non-profit - Church
St Dominic-Jackson Memorial Hospital
- 969 Lakeland Dr, Jackson, MS 39216
- (601) 200-2000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
St Dominic-Jackson Memorial Hospital carries a 2-star CMS overall rating — below 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.188 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.963 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 15715 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 12.956 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 6 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.463 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.058 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.623 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 13346 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 13.114 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 3 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.229 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.396 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.621 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 336 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 9.371 | Same as national |
| SSI - Colon Surgery: Observed Cases | 8 | Same as national |
| SSI - Colon Surgery | 0.854 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.029 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.841 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 177 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.736 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Same as national |
| SSI - Abdominal Hysterectomy | 0.576 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.482 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.973 | Same as national |
| MRSA Bacteremia: Patient Days | 129674 | Same as national |
| MRSA Bacteremia: Predicted Cases | 7.701 | Same as national |
| MRSA Bacteremia: Observed Cases | 8 | Same as national |
| MRSA Bacteremia | 1.039 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.078 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.293 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 124433 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 56.346 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 9 | Better than national |
| Clostridium Difficile (C.Diff) | 0.160 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3 | Same as national | 99 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.8 | Same as national | 2879 |
| Death rate for heart attack patients | 14.2 | Same as national | 345 |
| Death rate for CABG surgery patients | 2.2 | Same as national | 163 |
| Death rate for COPD patients | 15.1 | Worse than national | 163 |
| Death rate for heart failure patients | 12.5 | Same as national | 613 |
| Death rate for pneumonia patients | 19.4 | Worse than national | 879 |
| Death rate for stroke patients | 13.6 | Same as national | 1021 |
| Pressure ulcer rate | 0.39 | Same as national | 10343 |
| Death rate among surgical inpatients with serious treatable complications | 203.96 | Same as national | 201 |
| Iatrogenic pneumothorax rate | 0.12 | Same as national | 11487 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 11850 |
| Postoperative hemorrhage or hematoma rate | 2.39 | Same as national | 3028 |
| Postoperative acute kidney injury requiring dialysis rate | 1.00 | Same as national | 1296 |
| Postoperative respiratory failure rate | 13.53 | Same as national | 1305 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 5.39 | Worse than national | 3041 |
| Postoperative sepsis rate | 6.06 | Same as national | 1227 |
| Postoperative wound dehiscence rate | 1.48 | Same as national | 755 |
| Abdominopelvic accidental puncture or laceration rate | 0.78 | Same as national | 2481 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.09 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -0.3 | Not available | 388 |
| Hospital return days for heart failure patients | 33.6 | Not available | 697 |
| Hospital return days for pneumonia patients | 39.7 | Not available | 910 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15 | Same as national | 4609 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.2 | Same as national | 230 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 8.4 | Same as national | 163 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5 | Same as national | 163 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.8 | Same as national | 701 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.4 | Same as national | 388 |
| Rate of readmission for CABG | 10.2 | Same as national | 159 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.3 | Same as national | 169 |
| Heart failure (HF) 30-Day Readmission Rate | 20.8 | Same as national | 697 |
| Rate of readmission after hip/knee replacement | 5.4 | Same as national | 94 |
| Pneumonia (PN) 30-Day Readmission Rate | 18 | Same as national | 910 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 352 |
| Doctor communication - star rating | 4 | 352 |
| Communication about medicines - star rating | 2 | 352 |
| Discharge information - star rating | 2 | 352 |
| Cleanliness - star rating | 1 | 352 |
| Quietness - star rating | 4 | 352 |
| Overall hospital rating - star rating | 4 | 352 |
| Recommend hospital - star rating | 4 | 352 |
| Summary star rating | 3 | 352 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 vaccination | 79 | 4545 |
| 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 better | 255 | 1869 |
| 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 better | 254 | 1804 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 303 | 62 |
| 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 seen | 1 | 49092 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 124 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 11 | 5480 |
| Appropriate care for severe sepsis and septic shock | 57 | 625 |
| Septic Shock 3-Hour Bundle | 78 | 194 |
| Septic Shock 6-Hour Bundle | 93 | 113 |
| Severe Sepsis 3-Hour Bundle | 71 | 626 |
| Severe Sepsis 6-Hour Bundle | 92 | 249 |
| Discharged on Antithrombotic Therapy | 97 | 1132 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 95 | 9837 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 98 | 2687 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is St Dominic-Jackson Memorial Hospital rated?
- St Dominic-Jackson Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does St Dominic-Jackson Memorial Hospital have emergency services?
- Yes. St Dominic-Jackson Memorial Hospital operates a 24/7 emergency department.
- Where is St Dominic-Jackson Memorial Hospital located?
- St Dominic-Jackson Memorial Hospital is located at 969 Lakeland Dr, Jackson, MS 39216.
- What type of hospital is St Dominic-Jackson Memorial Hospital?
- St Dominic-Jackson Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).
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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.