JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Thomas Hospital

2 / 5

At a glance

Thomas Hospital carries a 2-star CMS overall rating — below the national norm.

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 Limit0.215Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.633Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7346Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.909Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.677Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.678Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.553Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7178Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.470Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.391Same as national
SSI - Colon Surgery: Lower Confidence Limit0.599Same as national
SSI - Colon Surgery: Upper Confidence Limit3.073Same as national
SSI - Colon Surgery: Number of Procedures157Same as national
SSI - Colon Surgery: Predicted Cases4.061Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.477Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures105Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.785Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.255Same as national
MRSA Bacteremia: Patient Days55670Same as national
MRSA Bacteremia: Predicted Cases2.387Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.602Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.251Same as national
Clostridium Difficile (C.Diff): Patient Days52644Same as national
Clostridium Difficile (C.Diff): Predicted Cases32.871Same as national
Clostridium Difficile (C.Diff): Observed Cases29Same 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 patients4Same as national144
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national1391
Death rate for heart attack patients12.1Same as national114
Death rate for CABG surgery patients4.7Worse than national201
Death rate for COPD patients10.2Same as national83
Death rate for heart failure patients12.7Same as national289
Death rate for pneumonia patients20.5Worse than national371
Death rate for stroke patients14Same as national100
Pressure ulcer rate0.46Same as national4366
Death rate among surgical inpatients with serious treatable complications210.79Same as national58
Iatrogenic pneumothorax rate0.17Same as national4905
In-hospital fall-associated fracture rate0.30Same as national5180
Postoperative hemorrhage or hematoma rate2.00Same as national1167
Postoperative acute kidney injury requiring dialysis rate1.99Same as national594
Postoperative respiratory failure rate8.10Same as national611
Perioperative pulmonary embolism or deep vein thrombosis rate8.11Worse than national1374
Postoperative sepsis rate4.71Same as national557
Postoperative wound dehiscence rate1.64Same as national216
Abdominopelvic accidental puncture or laceration rate0.90Same as national753
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 patients-24.8Not available134
Hospital return days for heart failure patients20.1Not available342
Hospital return days for pneumonia patients25.2Not available365
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national2161
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national1222
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national542
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national134
Rate of readmission for CABG10.8Same as national191
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.5Same as national86
Heart failure (HF) 30-Day Readmission Rate20.9Same as national342
Rate of readmission after hip/knee replacement4.1Same as national136
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national365

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 rating4573
Doctor communication - star rating4573
Communication about medicines - star rating2573
Discharge information - star rating3573
Cleanliness - star rating2573
Quietness - star rating4573
Overall hospital rating - star rating4573
Recommend hospital - star rating4573
Summary star rating3573

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 Hyperglycemia615924
Hospital Harm - Severe Hypoglycemia02894
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination491874
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 better191401
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 better189374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23523
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 seen528834
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10077
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4047
Safe Use of Opioids - Concurrent Prescribing134048
Appropriate care for severe sepsis and septic shock8279
Septic Shock 3-Hour Bundle9236
Septic Shock 6-Hour Bundle10020
Severe Sepsis 3-Hour Bundle8679
Severe Sepsis 6-Hour Bundle10047
Discharged on Antithrombotic Therapy96132
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Thomas Hospital rated?
Thomas Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Thomas Hospital have emergency services?
Yes. Thomas Hospital operates a 24/7 emergency department.
Where is Thomas Hospital located?
Thomas Hospital is located at 750 Morphy Avenue, Fairhope, AL 36532.
What type of hospital is Thomas Hospital?
Thomas Hospital 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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