JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Federal

Wilcox Memorial Hospital

2 / 5

At a glance

Wilcox 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 6 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 Limit0.267Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.257Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2084Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.257Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.591Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1874Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.961Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures19Not available
SSI - Colon Surgery: Predicted Cases0.457Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures25Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.214Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.711Same as national
MRSA Bacteremia: Patient Days17393Same as national
MRSA Bacteremia: Predicted Cases1.105Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.523Better than national
Clostridium Difficile (C.Diff): Patient Days16702Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.731Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national377
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients15.5Same as national117
Death rate for pneumonia patients17.7Same as national138
Death rate for stroke patients12.3Same as national81
Pressure ulcer rate0.82Same as national1094
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1440
In-hospital fall-associated fracture rate0.26Same as national1367
Postoperative hemorrhage or hematoma rate2.21Same as national260
Postoperative acute kidney injury requiring dialysis rate1.66Same as national61
Postoperative respiratory failure rate8.66Same as national62
Perioperative pulmonary embolism or deep vein thrombosis rate3.11Same as national267
Postoperative sepsis rate5.98Same as national51
Postoperative wound dehiscence rate1.72Same as national69
Abdominopelvic accidental puncture or laceration rate1.28Same as national208
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patientsNot available
Hospital return days for heart failure patients124.3Not available126
Hospital return days for pneumonia patients-18.5Not available128
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national547
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national746
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national67
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national67
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national241
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate22.7Same as national126
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national128

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 rating4458
Doctor communication - star rating4458
Communication about medicines - star rating3458
Discharge information - star rating3458
Cleanliness - star rating4458
Quietness - star rating3458
Overall hospital rating - star rating4458
Recommend hospital - star rating4458
Summary star rating4458

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 vaccination651030
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 better154382
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 better150364
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23214
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 seen223929
Head CT results7322
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99391
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing15547
Appropriate care for severe sepsis and septic shock82174
Septic Shock 3-Hour Bundle8686
Septic Shock 6-Hour Bundle9762
Severe Sepsis 3-Hour Bundle94175
Severe Sepsis 6-Hour Bundle96140
Discharged on Antithrombotic Therapy9774
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29761
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 Wilcox Memorial Hospital rated?
Wilcox Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Wilcox Memorial Hospital have emergency services?
Yes. Wilcox Memorial Hospital operates a 24/7 emergency department.
Where is Wilcox Memorial Hospital located?
Wilcox Memorial Hospital is located at 3-3420 Kuhio Highway, Lihue, HI 96766.
What type of hospital is Wilcox Memorial Hospital?
Wilcox Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Federal).

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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