JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Thibodaux Regional Medical Center

3 / 5

At a glance

Thibodaux Regional Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 0 and worse on 6.

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 Limit0.261Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.134Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1977Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.287Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.554Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit1.071Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit6.481Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2618Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.710Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.924Worse than national
SSI - Colon Surgery: Lower Confidence Limit0.215Same as national
SSI - Colon Surgery: Upper Confidence Limit4.236Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.560Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.282Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures2Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.013Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days26041Not available
MRSA Bacteremia: Predicted Cases0.875Not available
MRSA Bacteremia: Observed Cases4Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.430Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.618Same as national
Clostridium Difficile (C.Diff): Patient Days24459Same as national
Clostridium Difficile (C.Diff): Predicted Cases10.206Same as national
Clostridium Difficile (C.Diff): Observed Cases9Same as national
Clostridium Difficile (C.Diff)0.882Same 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 Rate5.7Worse than national728
Death rate for heart attack patients14.7Same as national126
Death rate for CABG surgery patients4Same as national38
Death rate for COPD patients11.1Same as national73
Death rate for heart failure patients17Worse than national227
Death rate for pneumonia patients22.5Worse than national209
Death rate for stroke patients15.8Same as national103
Pressure ulcer rate0.29Same as national1979
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national2737
In-hospital fall-associated fracture rate0.29Same as national2715
Postoperative hemorrhage or hematoma rate1.99Same as national668
Postoperative acute kidney injury requiring dialysis rate1.55Same as national255
Postoperative respiratory failure rate11.91Same as national252
Perioperative pulmonary embolism or deep vein thrombosis rate3.04Same as national701
Postoperative sepsis rate4.47Same as national214
Postoperative wound dehiscence rate1.71Same as national104
Abdominopelvic accidental puncture or laceration rate0.96Same as national402
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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-14.8Not available123
Hospital return days for heart failure patients0.2Not available256
Hospital return days for pneumonia patients-19.6Not available217
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national1065
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national59
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national185
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national185
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national343
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national123
Rate of readmission for CABG10.5Same as national35
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national87
Heart failure (HF) 30-Day Readmission Rate18.7Same as national256
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.6Same as national217

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 rating4984
Doctor communication - star rating4984
Communication about medicines - star rating4984
Discharge information - star rating5984
Cleanliness - star rating3984
Quietness - star rating5984
Overall hospital rating - star rating4984
Recommend hospital - star rating5984
Summary star rating4984

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 volumemedium
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 vaccination791901
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 better179481
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 better170449
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34222
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 seen336488
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131389
Appropriate care for severe sepsis and septic shock89318
Septic Shock 3-Hour Bundle93135
Septic Shock 6-Hour Bundle100102
Severe Sepsis 3-Hour Bundle96319
Severe Sepsis 6-Hour Bundle97225
Discharged on Antithrombotic Therapy98142
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296128
Venous Thromboembolism Prophylaxis993499
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 Thibodaux Regional Medical Center rated?
Thibodaux Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Thibodaux Regional Medical Center have emergency services?
Yes. Thibodaux Regional Medical Center operates a 24/7 emergency department.
Where is Thibodaux Regional Medical Center located?
Thibodaux Regional Medical Center is located at 602 N Acadia Road, Thibodaux, LA 70301.
What type of hospital is Thibodaux Regional Medical Center?
Thibodaux Regional Medical Center 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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