Jackson-Madison County General Hospital

Hospital in Jackson, TN, Medicare certification number 440002. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 440002The 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: Jul 1, 1966
Last certification: Nov 1, 2019
Beds: 771
Overall star rating: 3 of 5Care Compare
Address: 620 Skyline Drive
Jackson, TN 38301
(731) 541-5000

NPI records for this facility 1

Jackson Madison County General Hospital
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.21 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.65 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.17 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.27 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.47 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.17 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.7 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.52 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.25 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.74
- State average 1 (computed here)
- National average 1.06
- No different than the national rate
- 2,767 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.87
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected183.41
- State average 181.38 (computed here)
- National average 173.3
- No different than the national rate
- 208 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.8
- State average 2.38 (computed here)
- National average 2.4
- No different than the national rate
- 180 patients
- Period from 07/01/2022
Death rate for COPD patients As expected12.1
- State average 9.07 (computed here)
- National average 8.6
- No different than the national rate
- 309 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.6
- State average 12.26 (computed here)
- National average 11.9
- No different than the national rate
- 623 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected13.2
- State average 11.61 (computed here)
- National average 11.1
- No different than the national rate
- 1,159 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected19.3
- State average 16.17 (computed here)
- National average 15.2
- No different than the national rate
- 1,148 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.3
- State average 12.98 (computed here)
- National average 11.9
- No different than the national rate
- 803 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.1
- State average 4.36 (computed here)
- National average 3.9
- No different than the national rate
- 6,242 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.19
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 14,161 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.17
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 14,596 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.99
- State average 3.4 (computed here)
- National average 3.52
- No different than the national rate
- 3,115 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.1
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 797 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.56
- State average 2.29 (computed here)
- National average 2.34
- No different than the national rate
- 3,008 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.14
- State average 9.55 (computed here)
- National average 9.42
- No different than the national rate
- 840 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.37
- State average 5.25 (computed here)
- National average 5.27
- No different than the national rate
- 761 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.87
- State average 1.73 (computed here)
- National average 1.77
- No different than the national rate
- 578 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.42
- State average 0.61 (computed here)
- National average 0.63
- No different than the national rate
- 12,098 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.61
- State average 0.41
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.54
- State average 0.63
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.19
- State average 0.25
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Worse1.73
- State average 0.99
- National average 1
- Worse than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.39
- State average 0.89
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 9
- State average 5.37 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 5.4
- State average 6.1 (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) 1.1
- State average 1.02
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 54
- State average 59
- National average 65
- 572 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 242
- State average 170
- National average 168
- 480 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 241
- State average 162
- National average 162
- 458 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 258
- State average 308
- National average 257
- 14 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 95.07 (computed here)
- National average 96.1 (computed here)
- 733 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 95
- National average 93
- 101 patients
- Period from 01/01/2024
Head CT results 75
- State average 69
- National average 69
- 12 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 63
- State average 75
- National average 78
- 9,023 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 2
- State average 10.17 (computed here)
- National average 8.08 (computed here)
- 51,882 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.54 (computed here)
- National average 1.09 (computed here)
- 8,188 patients
- Period from 01/01/2024
Left before being seen 4
- State average 3
- National average 2
- 79,110 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 14
- National average 15
- 7,378 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 69
- State average 63
- National average 73
- 210 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 95
- State average 83
- National average 87
- 111 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 73
- State average 77
- National average 81
- 573 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 89
- State average 92
- National average 93
- 318 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 54
- State average 41.67 (computed here)
- National average 46.51 (computed here)
- 56 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
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
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.8
- State average 14.37 (computed here)
- National average 14.4
- No different than the national rate
- 777 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.5
- State average 21.35 (computed here)
- National average 21.3
- No different than the national rate
- 1,628 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 8.4
- State average 1.29 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 627 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 9.7
- State average 5.29 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,266 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 4.4
- State average 5.61 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 1,164 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.1
- State average 17.45 (computed here)
- National average 17.3
- No different than the national rate
- 1,386 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.2
- State average 5.03 (computed here)
- National average 5.4
- No different than the national rate
- 522 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.9
- State average 11.23 (computed here)
- National average 10.7
- No different than the national rate
- 522 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.5
- State average 5.92 (computed here)
- National average 5.8
- No different than the national rate
- 25 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12.2
- State average 10.8 (computed here)
- National average 11
- No different than the national rate
- 208 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.1
- State average 19.86 (computed here)
- National average 20
- No different than the national rate
- 538 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.6
- State average 12.75 (computed here)
- National average 13
- No different than the national rate
- 1,306 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.01 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,340 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

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.