Evans Memorial Hospital

Hospital in Claxton, GA, Medicare certification number 110142. CMS publishes 33 quality measures for it.

Medicare certification

Provider of Services

CCN: 110142The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Mar 6, 1968
Last certification: Jan 7, 2026
Beds: 49
Address: 200 N River Street
Claxton, GA 30417
(912) 739-5105

NPI records for this facility 1

Evans Memorial Hospital, Inc.
- General Acute Care Hospital
- Claxton, GA
- NPI 1730110826
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.3 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.46 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.94 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better5 of 5
- State average 3.08 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.2 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.27 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better5 of 5
- State average 3.77 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.6 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.15 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 6

Medicare Care Compare

CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.99
- State average 1.07 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.8
- State average 15.21 (computed here)
- National average 15.2
- No different than the national rate
- 51 patients
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected5.2
- State average 4.08 (computed here)
- National average 3.9
- No different than the national rate
- 138 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.21
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 250 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.27
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 275 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.6
- State average 0.68 (computed here)
- National average 0.63
- No different than the national rate
- 196 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (14)

Abdominopelvic accidental puncture or laceration rate — 1
Death rate among surgical inpatients with serious treatable complications — 1
Death rate for CABG surgery patients — 5
Death rate for COPD patients — 1
Death rate for heart attack patients — 1
Death rate for heart failure patients — 1
Death rate for stroke patients — 1
Perioperative pulmonary embolism or deep vein thrombosis rate — 1
Postoperative acute kidney injury requiring dialysis rate — 1
Postoperative hemorrhage or hematoma rate — 1
Postoperative respiratory failure rate — 1
Postoperative sepsis rate — 1
Postoperative wound dehiscence rate — 1
Rate of complications for hip/knee replacement patients — 5

Infections 0

Medicare Care Compare

Measures CMS does not publish for this facility (6)

Catheter Associated Urinary Tract Infections (ICU + select Wards) — 13
Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
Clostridium Difficile (C.Diff) — 13
MRSA Bacteremia — 13
SSI - Abdominal Hysterectomy — 12
SSI - Colon Surgery — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 15.8
- State average 5.62 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 5
- State average 6.41 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.04
- State average 0.97
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 12

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 46
- State average 63
- National average 65
- 28 patients
- Period from 10/01/2024
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 better 140
- State average 169
- National average 168
- 438 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 301
- State average 322
- National average 287
- 19 patients
- Period from 10/01/2024
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 better 136
- State average 162
- National average 162
- 412 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 89
- National average 93
- 151 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 65
- State average 76
- National average 78
- 335 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 76
- State average 95.53 (computed here)
- National average 93.49 (computed here)
- 130 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 9,835 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 15
- National average 15
- 119 patients
- Period from 01/01/2024
Severe Sepsis 3-Hour Bundle 75
- State average 80
- National average 81
- 28 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 92
- National average 93
- 16 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 60
- State average 83.63 (computed here)
- National average 82.23 (computed here)
- 336 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (18)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 1
Antithrombotic Therapy by End of Hospital Day 2 — 1
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Discharged on Antithrombotic Therapy — 1
Emergency department volume — low
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Septic Shock 3-Hour Bundle — 1, 2
Septic Shock 6-Hour Bundle — 1, 2, 3
ST-Segment Elevation Myocardial Infarction (STEMI) — 5

Unplanned visits 3

Medicare Care Compare

Hospital return days for pneumonia patients 31.7
- State average 12.69 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 46 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.5
- State average 17.41 (computed here)
- National average 17.3
- No different than the national rate
- 66 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.9
- State average 12.97 (computed here)
- National average 13
- No different than the national rate
- 191 patients
- Period from 01/01/2022

Measures CMS does not publish for this facility (11)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Heart failure (HF) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hospital return days for heart failure patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission after hip/knee replacement — 5
Rate of readmission for CABG — 5
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients — 1
Ratio of unplanned hospital visits after hospital outpatient surgery — 1

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.