JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Thomas Memorial Hospital

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At a glance

Thomas Memorial Hospital carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.441Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.993Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9954Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.946Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.008Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.239Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.446Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9316Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.665Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.652Same as national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.886Better than national
SSI - Colon Surgery: Number of Procedures124Better than national
SSI - Colon Surgery: Predicted Cases3.383Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.410Same as national
SSI - Abdominal Hysterectomy: Number of Procedures125Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.243Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.396Same as national
MRSA Bacteremia: Upper Confidence Limit3.007Same as national
MRSA Bacteremia: Patient Days60061Same as national
MRSA Bacteremia: Predicted Cases3.209Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia1.246Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit1.075Worse than national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.002Worse than national
Clostridium Difficile (C.Diff): Patient Days57911Worse than national
Clostridium Difficile (C.Diff): Predicted Cases26.945Worse than national
Clostridium Difficile (C.Diff): Observed Cases40Worse than national
Clostridium Difficile (C.Diff)1.485Worse 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 patients4.8Same as national45
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national937
Death rate for heart attack patients12.7Same as national68
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.7Same as national127
Death rate for heart failure patients11.8Same as national184
Death rate for pneumonia patients19.1Same as national224
Death rate for stroke patients14.6Same as national39
Pressure ulcer rate2.55Worse than national3058
Death rate among surgical inpatients with serious treatable complications149.96Same as national43
Iatrogenic pneumothorax rate0.18Same as national3630
In-hospital fall-associated fracture rate0.32Same as national3707
Postoperative hemorrhage or hematoma rate1.98Same as national697
Postoperative acute kidney injury requiring dialysis rate1.98Same as national291
Postoperative respiratory failure rate12.67Same as national328
Perioperative pulmonary embolism or deep vein thrombosis rate2.73Same as national745
Postoperative sepsis rate6.83Same as national256
Postoperative wound dehiscence rate1.69Same as national178
Abdominopelvic accidental puncture or laceration rate1.39Same as national774
CMS Medicare PSI 90: Patient safety and adverse events composite1.68Worse than 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-30.5Not available57
Hospital return days for heart failure patients22.8Not available206
Hospital return days for pneumonia patients33.2Not available247
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national1442
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national1048
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.7Same as national103
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national103
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national353
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national57
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national165
Heart failure (HF) 30-Day Readmission Rate20.5Same as national206
Rate of readmission after hip/knee replacement6.6Same as national48
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national247

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 rating3908
Doctor communication - star rating3908
Communication about medicines - star rating2908
Discharge information - star rating2908
Cleanliness - star rating2908
Quietness - star rating3908
Overall hospital rating - star rating3908
Recommend hospital - star rating4908
Summary star rating3908

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 vaccination912659
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 better206370
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 better205348
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23617
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 seen634954
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients57129
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152546
Appropriate care for severe sepsis and septic shock49734
Septic Shock 3-Hour Bundle61241
Septic Shock 6-Hour Bundle79125
Severe Sepsis 3-Hour Bundle68736
Severe Sepsis 6-Hour Bundle98322
Discharged on Antithrombotic Therapy9673
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis865219
Intensive Care Unit Venous Thromboembolism Prophylaxis841038

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 Memorial Hospital rated?
Thomas Memorial Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Thomas Memorial Hospital have emergency services?
Yes. Thomas Memorial Hospital operates a 24/7 emergency department.
Where is Thomas Memorial Hospital located?
Thomas Memorial Hospital is located at 4605 Maccorkle Avenue Sw, South Charleston, WV 25309.
What type of hospital is Thomas Memorial Hospital?
Thomas Memorial 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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