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Acute Care Hospitals · Voluntary non-profit - Church

St Dominic-Jackson Memorial Hospital

2 / 5

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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.188Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.963Better than national
Central Line Associated Bloodstream Infection: Number of Device Days15715Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.956Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.463Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.058Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.623Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13346Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.114Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.229Better than national
SSI - Colon Surgery: Lower Confidence Limit0.396Same as national
SSI - Colon Surgery: Upper Confidence Limit1.621Same as national
SSI - Colon Surgery: Number of Procedures336Same as national
SSI - Colon Surgery: Predicted Cases9.371Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery0.854Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.029Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.841Same as national
SSI - Abdominal Hysterectomy: Number of Procedures177Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.736Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.576Same as national
MRSA Bacteremia: Lower Confidence Limit0.482Same as national
MRSA Bacteremia: Upper Confidence Limit1.973Same as national
MRSA Bacteremia: Patient Days129674Same as national
MRSA Bacteremia: Predicted Cases7.701Same as national
MRSA Bacteremia: Observed Cases8Same as national
MRSA Bacteremia1.039Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.078Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.293Better than national
Clostridium Difficile (C.Diff): Patient Days124433Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.346Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.160Better 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 patients3Same as national99
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national2879
Death rate for heart attack patients14.2Same as national345
Death rate for CABG surgery patients2.2Same as national163
Death rate for COPD patients15.1Worse than national163
Death rate for heart failure patients12.5Same as national613
Death rate for pneumonia patients19.4Worse than national879
Death rate for stroke patients13.6Same as national1021
Pressure ulcer rate0.39Same as national10343
Death rate among surgical inpatients with serious treatable complications203.96Same as national201
Iatrogenic pneumothorax rate0.12Same as national11487
In-hospital fall-associated fracture rate0.24Same as national11850
Postoperative hemorrhage or hematoma rate2.39Same as national3028
Postoperative acute kidney injury requiring dialysis rate1.00Same as national1296
Postoperative respiratory failure rate13.53Same as national1305
Perioperative pulmonary embolism or deep vein thrombosis rate5.39Worse than national3041
Postoperative sepsis rate6.06Same as national1227
Postoperative wound dehiscence rate1.48Same as national755
Abdominopelvic accidental puncture or laceration rate0.78Same as national2481
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-0.3Not available388
Hospital return days for heart failure patients33.6Not available697
Hospital return days for pneumonia patients39.7Not available910
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national4609
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national230
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.4Same as national163
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national163
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national701
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.4Same as national388
Rate of readmission for CABG10.2Same as national159
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national169
Heart failure (HF) 30-Day Readmission Rate20.8Same as national697
Rate of readmission after hip/knee replacement5.4Same as national94
Pneumonia (PN) 30-Day Readmission Rate18Same as national910

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 rating3352
Doctor communication - star rating4352
Communication about medicines - star rating2352
Discharge information - star rating2352
Cleanliness - star rating1352
Quietness - star rating4352
Overall hospital rating - star rating4352
Recommend hospital - star rating4352
Summary star rating3352

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 volumehigh
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 vaccination794545
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 better2551869
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 better2541804
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30362
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 seen149092
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100124
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing115480
Appropriate care for severe sepsis and septic shock57625
Septic Shock 3-Hour Bundle78194
Septic Shock 6-Hour Bundle93113
Severe Sepsis 3-Hour Bundle71626
Severe Sepsis 6-Hour Bundle92249
Discharged on Antithrombotic Therapy971132
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis959837
Intensive Care Unit Venous Thromboembolism Prophylaxis982687

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 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).

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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