JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Carolina Pines Regional Medical Center

2 / 5

At a glance

Carolina Pines Regional Medical Center carries a 2-star CMS overall rating — below the national norm.

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 Days478Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.322Not 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 Days453Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.281Not 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 Procedures31Not available
SSI - Colon Surgery: Predicted Cases0.915Not 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 Procedures55Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.523Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days11011Not available
MRSA Bacteremia: Predicted Cases0.491Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.011Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.113Same as national
Clostridium Difficile (C.Diff): Patient Days9875Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.431Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.226Same 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 Rate4.9Same as national349
Death rate for heart attack patients11.6Same as national26
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.2Same as national37
Death rate for heart failure patients16.6Worse than national74
Death rate for pneumonia patients17.8Same as national217
Death rate for stroke patients13.5Same as national56
Pressure ulcer rate1.30Same as national1067
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national1479
In-hospital fall-associated fracture rate0.26Same as national1461
Postoperative hemorrhage or hematoma rate2.24Same as national211
Postoperative acute kidney injury requiring dialysis rate1.43Same as national89
Postoperative respiratory failure rate7.65Same as national94
Perioperative pulmonary embolism or deep vein thrombosis rate3.18Same as national218
Postoperative sepsis rate5.01Same as national66
Postoperative wound dehiscence rate1.74Same as national64
Abdominopelvic accidental puncture or laceration rate1.02Same as national172
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same 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 patients62.6Not available78
Hospital return days for pneumonia patients30.7Not available225
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.6Same as national502
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national380
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 surgery1.2Same as national201
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national38
Heart failure (HF) 30-Day Readmission Rate21.2Same as national78
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.8Same as national225

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 rating4343
Doctor communication - star rating4343
Communication about medicines - star rating3343
Discharge information - star rating4343
Cleanliness - star rating4343
Quietness - star rating4343
Overall hospital rating - star rating3343
Recommend hospital - star rating3343
Summary star rating4343

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 volumemedium
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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events01841
Healthcare workers given influenza vaccination95817
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 better140424
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 better140402
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better9015
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen132839
Head CT results9314
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100144
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing20879
Appropriate care for severe sepsis and septic shock90127
Septic Shock 3-Hour Bundle9560
Septic Shock 6-Hour Bundle10026
Severe Sepsis 3-Hour Bundle93127
Severe Sepsis 6-Hour Bundle9971
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis991321
Intensive Care Unit Venous Thromboembolism Prophylaxis99643

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 Carolina Pines Regional Medical Center rated?
Carolina Pines Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Carolina Pines Regional Medical Center have emergency services?
Yes. Carolina Pines Regional Medical Center operates a 24/7 emergency department.
Where is Carolina Pines Regional Medical Center located?
Carolina Pines Regional Medical Center is located at 1304 W Bobo Newsom Hwy, Hartsville, SC 29550.
What type of hospital is Carolina Pines Regional Medical Center?
Carolina Pines Regional Medical Center 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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