healthcarefacts

Hospital in Macclenny, Florida

Ed Fraser Memorial Hospital

Acute Care Hospitals

159 N 3rd St, Macclenny, FL 32063
(904) 259-3151

CMS overall star rating

CMS gives this hospital an overall star rating of 1 out of 5. The rating summarizes the measure groups below. How to read hospital star ratings.

Compared with Florida and the U.S.

  • This hospital1
  • Florida average3.1 (168 rated)
  • U.S. average3.2 (3,174 rated)

Averages are the mean overall star rating of hospitals that have one in the CMS file: 168 in Florida, 3,174 nationwide. Hospitals without a rating are left out.

Measure groups

Each square is one measure in the CMS group. The comparison is the one CMS publishes: better than, no different from, or worse than the national rate.

Mortality

Measures of deaths within 30 days of care for certain conditions and procedures.

CMS reported 3 of 8 mortality measures for this hospital; none were worse than the national rate. Better: 0. No different: 3. Worse: 0.

Safety of care

Measures of infections and complications.

CMS did not report safety of care measures for this hospital in this release.[5]

Readmission

Measures of unplanned returns to the hospital.

CMS reported 4 of 11 readmission measures for this hospital; 1 was worse than the national rate. Better: 0. No different: 3. Worse: 1.

Patient experience

CMS reported 5 of 15 patient experience measures for this hospital. This file does not say how they compare with the national rate.

Timely and effective care

CMS reported 6 of 10 timely and effective care measures for this hospital. This file does not say how they compare with the national rate.

Patient survey (HCAHPS)

Patient survey summary star ratingNot available[15]

63 patients completed the survey between Oct 1, 2024 to Sep 30, 2025, a response rate of 22%.[6] 75% of surveyed patients said they would definitely recommend the hospital. 75% of surveyed patients rated the hospital 9 or 10 out of 10.

  • This hospitalNot available
  • Florida average2.7 (165 rated)
  • U.S. average3.3 (3,183 rated)

Mean patient survey summary star rating of hospitals that have one.

Survey topic star ratings
Nurse communicationNot available[15]
Doctor communicationNot available[15]
Communication about medicinesNot available[15]
Discharge informationNot available[15]
CleanlinessNot available[15]
Quietness at nightNot available[15]
Overall hospital ratingNot available[15]
Would recommendNot available[15]

Facility details

Hospital typeAcute Care Hospitals
OwnershipVoluntary non-profit - Private
Emergency servicesYes
Birthing-friendly designationNot available
CountyBaker
CMS certification number100134
Name in CMS fileED FRASER MEMORIAL HOSPITAL

Also in Macclenny

Other hospitals in Macclenny
HospitalCMS overall ratingTypeEmergency services
Northeast Florida State HospitalNot availablePsychiatricNo
Nursing homes in Macclenny
Nursing homeCMS overall ratingHealth inspection ratingCertified bedsOwnership
Macclenny Nursing and Rehab Center120For profit - Limited Liability company
W Frank Wells Nursing Home69Non profit - Corporation

All 2 hospitals and 2 nursing homes in Macclenny

CMS footnotes on this page

[5]
Results are not available for this reporting period.
[6]
Fewer than 100 patients completed the CAHPS survey. Use these scores with caution, as the number of surveys may be too low to reliably assess facility performance.
[15]
The number of cases/patients is too few to report a star rating.