JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Byrd Regional Hospital

2 / 5

At a glance

Byrd Regional Hospital carries a 2-star CMS overall rating — below the national norm. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days358Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.229Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1208Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.636Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures2Not available
SSI - Colon Surgery: Predicted Cases0.052Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures66Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.739Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days6713Not available
MRSA Bacteremia: Predicted Cases0.242Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.281Same as national
Clostridium Difficile (C.Diff): Patient Days6345Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.338Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same as national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.3Same as national200
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national78
Death rate for heart failure patients12.4Same as national86
Death rate for pneumonia patients17.9Same as national134
Death rate for stroke patientsNot available
Pressure ulcer rate0.51Same as national528
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national875
In-hospital fall-associated fracture rate0.26Same as national938
Postoperative hemorrhage or hematoma rate2.30Same as national73
Postoperative acute kidney injury requiring dialysis rate1.66Same as national33
Postoperative respiratory failure rate8.69Same as national41
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national74
Postoperative sepsis rate5.16Same as national30
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.04Same as national76
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients41.9Not available115
Hospital return days for pneumonia patients25.2Not available146
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)17.4Worse than national357
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national199
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national94
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national93
Heart failure (HF) 30-Day Readmission Rate20.5Same as national115
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national146

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating3197
Doctor communication - star rating3197
Communication about medicines - star rating4197
Discharge information - star rating3197
Cleanliness - star rating4197
Quietness - star rating4197
Overall hospital rating - star rating4197
Recommend hospital - star rating3197
Summary star rating3197

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumelow
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia41741
Hospital Harm - Severe Hypoglycemia1383
Hospital Harm - Opioid Related Adverse Events1932
Healthcare workers given influenza vaccination37784
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 better146371
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 better123293
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21215
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31463
Left before being seen119018
Head CT results6213
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8365
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1029
Appropriate care for severe sepsis and septic shock7446
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8946
Severe Sepsis 6-Hour Bundle8834
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis51106
Intensive Care Unit Venous Thromboembolism Prophylaxis4844

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Byrd Regional Hospital rated?
Byrd Regional Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Byrd Regional Hospital have emergency services?
Yes. Byrd Regional Hospital operates a 24/7 emergency department.
Where is Byrd Regional Hospital located?
Byrd Regional Hospital is located at 1020 Fertitta Blvd, Leesville, LA 71446.
What type of hospital is Byrd Regional Hospital?
Byrd Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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