Memorial Hospital of Carbondale
An acute care hospital in Carbondale, Illinois 62901
405 W Jackson, Carbondale, Illinois 62901. (618) 549-0721.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 1of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 2 deficiencies cited in the last three years (needs attention)
- 140 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Sep 3, 2026: a complaint inspection.
2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Mar 2026. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Mar 5, 2026: complaint inspection2 deficiencies
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Nursing Services
The inspectors’ words, 95 words
“NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 39025 Based on document review and interview, the Hospital failed to comply with the Condition of Participation 42 CFR 482.23, Nursing Services. Findings include: 1. The Hospital failed to ensure fall precautions were in place for a patient determined to be a high fall risk by failing to ensure the bed alarm was plugged in and activated. (A-396).”
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Nursing Care Plan
The inspectors’ words, 657 words
“NURSING CARE PLAN CFR(s): 482.23(b)(4) The hospital must ensure that the nursing staff develops, and keeps current, a nursing care plan for each patient that reflects the patient’s goals and the nursing care to be provided to meet the patient’s needs. The nursing care plan may be part of an interdisciplinary care plan. This Standard is not met as evidenced by: 39025 Based on observations, document review, and interview, it was determined for 1 of 10 (Pt #1) patients, the Hospital failed to ensure fall precautions were in place for a patient determined to be a high fall risk by failing to ensure the bed alarm was plugged in and activated. Findings include: 1. A policy titled, “Falls Management, Patients” dated effective 06/24/25 documented, “Applies to: All departments ... II. Definitions: ... Falls Interventions - Those interventions initiated once the initial falls risk assessment is completed and as applicable ... Unwitnessed Fall - a patient found on the floor or patient report of a fall ... III. Responsibilities: ... 3. ... develop appropriate reviews to assess equipment on the unit is working properly and receives appropriate maintenance ...” 2. Pt #1’s record was reviewed throughout the survey. Pt#1’s “ED (emergency department) to Hospital Admission” record dated 11/26/25 at 6:58 AM by ED physician (E#6) indicated Pt#1 had a prior medical history of “anxiety,... coronary artery disease with 3 stents (device to open blocked arteries in the heart),... high blood pressure, myocardial infarction (heart attack), right lower quadrant abdominal pain, and seizures.” Pt#1’s was admitted to the Medical/Surgical floor at 11:13 AM with a diagnosis of “1. Abdominal Pain, 2. Colitis. 3. Hypokalemia (low potassium level which can cause heart irregularities. 4. Transaminitis (fatty liver); and 5. Elevated troponin (indicative of damage to heart muscle/used to diagnose heart attack). Pt #1 was admitted to the floor with telemetry (continuous cardiac monitoring). Pt#1’s hospital “Flowsheet” dated 11/26/25 at 11:25 AM was reviewed. It indicated a “Hester Davis Fall Risk Assessment” was performed, with Pt#1’s scoring a total of 17 (high risk is 15 or greater). Pt #1’s record indicated on 11/26/25 at 3:37 PM, Pt #1’s telemetry leads were not on. After 7 minutes the telemetry technician notified the nurse. The nurse went in the room and found Pt #1 on the floor unresponsive without a pulse. The “Patient Care Timeline Code Report” dated 11/26/25 3:44 PM to 4:02 PM documented “manual compressions (CPR by hand) were initiated at 3:44 PM... 4:00 PM: Rate: 106 - Sinus tachycardia (a condition where the heart beats faster than normal, typically exceeding 100 beats per minutes). 4:02 PM: Code Outcome: Survival: Yes. Code Termination Due To: Return of spontaneous circulation.” On 12/11/25 family chose to make Pt #1 a DNR (do not resuscitate) and placed Pt #1 on comfort measures, Pt #1 ultimately expired on 12/12/25 at 8:26 AM. 3. An interview was conducted with Medical/Surgical RN (Registered Nurse - E#5) on 3/3/26 at 12:45 PM. When asked about the incident, E#5 stated, “I received this patient from ED... I received a call from the tele (telemetry) tech (E#15) who stated the patient fell off telemetry. I went right in and found him after this call from (E#15). (Pt#1) was prone on the floor next to the bed. Fall risk is based on scoring. I don’t remember what (Pt#1)’s fall score was. I immediately hit the staff assist button on wall in the room, then I hit the code blue button...” When asked about the bed alarm system, E#5 stated, “The bed alarms are weighted distribution and plugged into the wall. If they go off, the alert goes directly to the nurse’s and/or PCT’s pocket phone, much like when the call light is pushed. If the bed alarm is not plugged into the wall, the alarm would only sound in the room. I don’t recall if the alarm was going off. You can manually turn off the alarm sound on the bed.””
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 3, 2026 | Complaint inspection | No deficiencies cited |
| Mar 5, 2026 | Complaint inspection | 2 deficiencies cited |
| Aug 26, 2025 | Complaint inspection | No deficiencies cited |
| Aug 14, 2025 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 1 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 1 worse of 8; safety of care, 1 better and 0 worse of 6; readmission, 0 better and 2 worse of 10.
- Patients rate it 3 of 5 in CMS’s patient survey (427 surveys completed, Oct 1, 2024 to Sep 30, 2025): 67% rated it 9 or 10 out of 10, and 66% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, no different than national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12%, heart failure 10.4%, pneumonia 14.7%, COPD 10.5%, stroke 16.5%, heart bypass surgery 3.1%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 15.6%, heart failure 23.3%, pneumonia 18.5%, COPD 20.5%, heart bypass surgery 12.3%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 161 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 5% left before being seen.
- 44% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.07 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 1 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 95% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Southern Illinois Healthcare Enterprises Inc. owns 100% directly since Jul 6, 1983.
- Southern Illinois Hospital Services runs it.
- 16 owners or officers are people: Morton P Levine (corporate director); Robert L Mees (corporate director); Edna M Simpson (corporate director); Kathleen B Fralish (corporate director); Warren P Ladner (corporate director); Warren P Ladner (managing employee (on the payroll)); George M O’neill (corporate director); Debra L Braunling-Mcmorrow (corporate director); Daniel Booth (corporate director); W E Basanta (corporate director); Michael P Tison (corporate director); Austin A Lane (corporate director); Steven R Sabens (corporate director); Shannon S Hartke (managing employee (on the payroll)); John D Antes (corporate director); John D Antes (managing employee (on the payroll)).
- CMS’s Provider of Services file records 2 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Southern Illinois Healthcare Enterprises Inc. | Owns 5% or more directly | 100% | Jul 6, 1983 |
| Southern Illinois Hospital Services | Runs it (operational or managerial control) | 100% | Nov 12, 2007 |
How does it compare nearby?
- Of the 2 hospitals CMS lists in Jackson County, 1 has an overall star rating from CMS: 1 rated 1 of 5.
- CMS rates this one 1 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| St Joseph Memorial Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.