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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum, Inc. All rights reserved.

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Fonteum Care Compare · Acute Care Hospitals · CCN 190118

Desoto Regional Health System

Acute Care Hospitals · Mansfield, LA

Entity nameDesoto Regional Health System
CMS Complications and Deaths 2026-04-28 · 2026-05-07
CCN190118
CMS Complications and Deaths 2026-04-28 · 2026-05-07
TypeAcute Care Hospitals
CMS Complications and Deaths 2026-04-28 · 2026-05-07
LocationMansfield, LA
CMS Complications and Deaths 2026-04-28 · 2026-05-07
CMS star rating2 / 5
CMS Complications and Deaths 2026-04-28 · 2026-05-07
OwnershipVoluntary non-profit - Private
CMS Hospital General Info · 2026-05-07
Emergency servicesYes
CMS Hospital General Info · 2026-05-07
CCN 190118Acute Care HospitalsUpdated 2026-05-07CMS overall star rating: 2 / 5 · 2026-05-07
CMS-attested · 190118See the proof → Differ

Desoto Regional Health System is a Medicare-certified hospital (Acute Care Hospitals) in Mansfield, LA, identified by CMS Certification Number 190118. CMS assigns it an overall rating of 2 out of 5. Fonteum publishes 68 provenance-tracked CMS quality measures for this hospital, each signed to its primary federal dataset as of Q2 2026.

Fonteum is a US healthcare provenance registry that publishes signed, chain-of-custody-attested research and data pages on Medicare, Medicaid, and federal regulator datasets, drawing from 23 federal source families across CMS, OIG, HRSA, AHRQ, and HHS.

Data last updated: 2026-05-07 · Source: Multiple CMS Care Compare datasets · View on Medicare.gov

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer. Last reviewed: June 2026 · Next review: December 2026. This page is data-led and informational; it reports CMS measures and their provenance, not clinical guidance.

How do patients rate Desoto Regional Health System?

CMS publishes 23 patient experience (hcahps) measures for Desoto Regional Health System, each chained to its source row and reporting period Q2 2026.

Communication about medicines — always (%)79%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Communication about medicines — sometimes or never (%)15%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Communication about medicines — usually (%)6%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Discharge information — no (%)19%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Discharge information — yes (%)81%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — always (%)86%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — sometimes or never (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — usually (%)11%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — always (%)87%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — sometimes or never (%)4%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — usually (%)9%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 0–6 (%)9%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 7–8 (%)19%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 9–10 (%)72%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — always (%)78%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — sometimes or never (%)7%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — usually (%)15%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — always (%)82%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — sometimes or never (%)1%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — usually (%)17%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — definitely no (%)6%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — definitely yes (%)73%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — probably yes (%)21%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07

What are the mortality rates at Desoto Regional Health System?

CMS publishes 3 mortality measures for Desoto Regional Health System, each chained to its source row and reporting period Q2 2026.

Mortality — Desoto Regional Health System · CCN 190118 · 2026-05-07
MeasureValueCompared to nationalSource
Death rate for heart failure patients10.9%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Death rate for pneumonia patients16%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07

How often are patients readmitted to Desoto Regional Health System?

CMS publishes 6 readmissions measures for Desoto Regional Health System, each chained to its source row and reporting period Q2 2026.

Readmissions — Desoto Regional Health System · CCN 190118 · 2026-05-07
MeasureValueCompared to nationalSource
Heart failure (HF) 30-Day Readmission Rate19.3%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Hospital return days for heart failure patients-13.5→ Average Days per 100 DischargesCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Hospital return days for pneumonia patients-17.7→ Average Days per 100 DischargesCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Pneumonia (PN) 30-Day Readmission Rate15.5%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07

What are the complication and safety rates at Desoto Regional Health System?

CMS publishes 3 complications and patient safety measures for Desoto Regional Health System, each chained to its source row and reporting period Q2 2026.

Complications and patient safety — Desoto Regional Health System · CCN 190118 · 2026-05-07
MeasureValueCompared to nationalSource
Iatrogenic pneumothorax rate0.21%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
In-hospital fall-associated fracture rate0.27%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Pressure ulcer rate0.58%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07

What are the infection rates at Desoto Regional Health System?

CMS publishes 9 healthcare-associated infections measures for Desoto Regional Health System, each chained to its source row and reporting period Q2 2026.

Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days364
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.199
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Observed Cases0
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Patient Days1,648
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Predicted Cases0.3
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Observed Cases0
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Patient Days1,648
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Predicted Cases0.031
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07

How timely and effective is care at Desoto Regional Health System?

CMS publishes 8 timely and effective care measures for Desoto Regional Health System, each chained to its source row and reporting period Q2 2026.

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 better110
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better316
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
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 better107
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Emergency department volumelow
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Healthcare workers given influenza vaccination50%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Left before being seen2%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Venous Thromboembolism Prophylaxis16%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07

How does Fonteum cover hospital quality data?

Fonteum indexes quality data from 23 federal source families, including all six CMS Care Compare facility programs. Each CCN is keyed to its primary CMS dataset — every field traced to a source row and reporting period.

Facility typeCCNsSource
Hospitals6,019CMS Care Compare
Home Health12,392CMS hah8-mnua
Hospice6,943CMS yc9t-dgbk
Dialysis7,557CMS 23ew-n7w9
ASC5,611CMS 4jcv-atw7
IRF / LTACH1,538CMS CC (data-only)
40,060 total CCN-keyed facilities (6 program types) · CMS Care CompareCMS Care Compare →

CMS Care Compare · 6 facility types · data.cms.gov · US Government Work

How does Fonteum connect this hospital to its sources?

Desoto Regional Health System (CCN 190118) is identified across 6 CMS Care Compare datasets published on data.cms.gov. Every field on this page is chained to its source dataset and row.

190118CMS Complicadata.cms.gov

Trace this CCN across 23 federal datasets →

How is this hospital’s data sourced and attested?

Each field on this page is sourced from 6 CMS Care Compare datasets published on data.cms.gov — US Government Works. Fonteum re-publishes each value with a provenance record identifying the federal source, release date, and redistribution basis.

  1. Source acquisition — download the CMS Care Compare files (6 datasets) from data.cms.gov.
  2. Entity resolution — key every row to the hospital’s CMS Certification Number (CCN 190118).
  3. Field projection — extract the fields shown on this page.
  4. Quality checks — drop rows CMS suppresses or marks not available.
  5. Chain attestation — sign each field into the Fonteum provenance graph.
Source: CMS Complications and Deaths 2026-04-28·Snapshot: 2026-05-07·Method: hospital-detail/v1·ID: CCN 190118

Read the full Fonteum provenance methodology or browse the 23 federal source families behind every page.

Which CMS datasets back this page?

  • CMS Complications and Deaths 2026-04-28 · archived copy
    Centers for Medicare & Medicaid Services · US Government Work
  • Medicare.gov Care Compare — Desoto Regional Health System
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS HCAHPS Patient Survey 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Healthcare Associated Infections 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Hospital General Information 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Timely and Effective Care 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Unplanned Hospital Visits 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work

Frequently asked questions

What is the CMS overall star rating for Desoto Regional Health System?
Desoto Regional Health System holds a CMS overall star rating of 2 out of 5 as of Q2 2026. CMS calculates this rating quarterly from quality measures spanning mortality, safety of care, readmission, patient experience, and timely and effective care, all drawn from the CMS Care Compare program.
Who owns Desoto Regional Health System?
Desoto Regional Health System is classified by CMS as "Voluntary non-profit - Private". Ownership type is reported by the hospital to CMS and published in the Hospital General Information dataset; it describes the controlling entity, not the quality of care, which Fonteum reports separately and traces to each source row.
How many CMS quality measures does Fonteum track for Desoto Regional Health System?
Fonteum publishes 68 CMS quality measures for Desoto Regional Health System across 6 groups — patient experience (hcahps), mortality, readmissions, complications and patient safety, healthcare-associated infections, timely and effective care. Every measure is a separate provenance claim signed to the CMS dataset, reporting period, and source row it was asserted from, and is hover-traceable on this page.
Where does Desoto Regional Health System's quality data come from?
Desoto Regional Health System's data is drawn directly from 6 primary CMS Care Compare datasets published on data.cms.gov, including patient survey, mortality, readmission, complication, infection, and timely-care files. Fonteum re-publishes each value with a chained 14-field provenance record rather than an aggregated score.
What does CMS Certification Number 190118 identify?
The CMS Certification Number (CCN) 190118 is the federal identifier Medicare assigns to Desoto Regional Health System. It is unique, dated, and federally issued, and it links this hospital across every CMS dataset — cost reports, Care Compare quality files, and the Provider of Services file — which is how Fonteum joins Desoto Regional Health System's records.
Does Desoto Regional Health System provide emergency services?
Yes. CMS records that Desoto Regional Health System provides emergency services, per the Hospital General Information dataset as of Q2 2026. Emergency-service status indicates the hospital operates an emergency department; it is reported by the hospital to CMS and chained to its source row on this page.

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Desoto Regional Health System is a Medicare-certified hospital identified by CMS Certification Number 190118. Data sourced from the CMS Complications and Deaths 2026-04-28 (data.cms.gov), a US Government Work. Methodology · Report an error · Medicare.gov

Compliance posture

Methodology · Corrections log · Editorial policy