★☆☆☆☆1 out of 5 StarsWhy 1 stars?Jackson Hospital's 1-star rating reflects below-average performance on Mortality.
CMS Overall Hospital Quality Star Rating · Jackson Hospital
How was Jackson Hospital's 1-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Jackson Hospital. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed Jackson Hospital's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
5 of 7
0 better3 same2 worse
Safety of Care
22%
13 of 19
0 better13 same0 worse
Readmissions
22%
4 of 6
0 better3 same1 worse
Timely & Effective Care
12%
16 of 22
3 better9 same4 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Jackson Hospital
WorseUS AvgBetter
Underlying measures:Death rate for COPD patientsNo Different Than the National RateHospital score: 9.60 95% interval: 6.20 – 14.60 Sample size: 84Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart failure patientsNo Different Than the National RateHospital score: 15.00 95% interval: 10.50 – 21.10 Sample size: 104Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for stroke patientsNo Different Than the National RateHospital score: 16.70 95% interval: 10.60 – 25.40 Sample size: 30Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKHybrid Hospital-Wide All-Cause Risk Standardized Mortality RateWorse Than the National RateHospital score: 6.00 95% interval: 4.70 – 7.40 Sample size: 336Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for pneumonia patientsWorse Than the National RateHospital score: 24.40 95% interval: 18.90 – 30.90 Sample size: 167Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for CABG surgery patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for heart attack patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMI
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Jackson Hospital
WorseUS AvgBetter
Underlying measures:Abdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.02 95% interval: 0.00 – 2.10 Sample size: 128Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Clostridium Difficile (C.Diff)No Different than National BenchmarkHospital score: 1.27 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.20 95% interval: 0.00 – 0.43 Sample size: 1,503Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 5.00 95% interval: 2.60 – 9.60 Sample size: 33Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.30 95% interval: 0.09 – 0.52 Sample size: 1,517Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.31 95% interval: 0.58 – 4.03 Sample size: 101Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 3.37 95% interval: 0.78 – 5.97 Sample size: 107Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.67 95% interval: 0.00 – 3.40 Sample size: 48Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 9.00 95% interval: 0.00 – 18.97 Sample size: 49Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.19 95% interval: 0.86 – 9.51 Sample size: 39Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.99 95% interval: 0.00 – 2.13 Sample size: 1,215Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 1.09 95% interval: 0.61 – 1.56 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.74 95% interval: 0.22 – 3.26 Sample size: 38Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Catheter Associated Urinary Tract Infections (ICU + select Wards)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRMRSA BacteremiaNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRSSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRSSI - Colon SurgeryNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Jackson Hospital
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Jackson's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses81%
Communication with Doctors86%
Hospital Cleanliness82%
Hospital Quietness67%
Staff ResponsivenessN/A
Discharge Information93%
Overall Hospital Rating (9 or 10)74%
Would Recommend Hospital70%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Same as National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Jackson Hospital
WorseUS AvgBetter
Underlying measures:Appropriate care for severe sepsis and septic shockBetter than ~75% of hospitalsHospital score: 78.00 % National median: 64.00 % (higher is better)
Sample size: 76Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleBetter than ~75% of hospitalsHospital score: 100.00 % National median: 72.00 % (higher is better)
Sample size: 41Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSevere Sepsis 3-Hour BundleBetter than ~75% of hospitalsHospital score: 87.00 % National median: 81.00 % (higher is better)
Sample size: 76Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSafe Use of Opioids - Concurrent PrescribingNear the national medianHospital score: 17.00 % National median: 15.00 % (lower is better)
Sample size: 574Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 223.00 min National median: 248.00 min (lower is better)
Sample size: 20Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAverage (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 betterNear the national medianHospital score: 141.00 min National median: 148.00 min (lower is better)
Sample size: 1,356Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is betterNear the national medianHospital score: 294.00 min National median: 294.00 min (lower is better)
Sample size: 37Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18dAverage (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 betterNear the national medianHospital score: 144.00 min National median: 154.00 min (lower is better)
Sample size: 1,409Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aHead CT resultsNear the national medianHospital score: 71.00 % National median: 74.00 % (higher is better)
Sample size: 17Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Septic Shock 6-Hour BundleNear the national medianHospital score: 91.00 % National median: 89.00 % (higher is better)
Sample size: 33Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRSevere Sepsis 6-Hour BundleNear the national medianHospital score: 91.00 % National median: 94.00 % (higher is better)
Sample size: 47Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRVenous Thromboembolism ProphylaxisNear the national medianHospital score: 83.00 % National median: 90.00 % (higher is better)
Sample size: 1,274Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsWorse than ~75% of hospitalsHospital score: 85.00 % National median: 97.00 % (higher is better)
Sample size: 165Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Intensive Care Unit Venous Thromboembolism ProphylaxisWorse than ~75% of hospitalsHospital score: 93.00 % National median: 97.00 % (higher is better)
Sample size: 207Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Left before being seenWorse than ~75% of hospitalsHospital score: 2.00 % National median: 1.00 % (lower is better)
Sample size: 30,645Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Healthcare workers given influenza vaccinationWorse than ~75% of hospitalsHospital score: 51.00 % National median: 79.00 % (higher is better)
Sample size: 718Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3
Clinical Staff
Jackson Hospital has 148 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Nurse Practitioner44
Diagnostic Radiology13
Internal Medicine11
Family Practice11
Certified Registered Nurse Anesthetist (Crna)9
Emergency Medicine7
Cardiovascular Disease (Cardiology)6
Orthopedic Surgery5
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
146(99%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
17(11%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
89 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 30
(34%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 148 clinicians affiliated with Jackson Hospital.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.