JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Conway Regional Medical Center, Inc

2 / 5

At a glance

Conway Regional Medical Center, Inc 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 Limit0.459Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.357Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5670Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.294Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.133Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.283Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.715Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6313Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.464Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.774Same as national
SSI - Colon Surgery: Lower Confidence Limit0.915Same as national
SSI - Colon Surgery: Upper Confidence Limit3.442Same as national
SSI - Colon Surgery: Number of Procedures181Same as national
SSI - Colon Surgery: Predicted Cases4.799Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery1.875Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.483Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.164Same as national
SSI - Abdominal Hysterectomy: Number of Procedures208Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.581Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.898Same as national
MRSA Bacteremia: Lower Confidence Limit0.401Same as national
MRSA Bacteremia: Upper Confidence Limit4.293Same as national
MRSA Bacteremia: Patient Days38750Same as national
MRSA Bacteremia: Predicted Cases1.902Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.577Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.259Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.058Same as national
Clostridium Difficile (C.Diff): Patient Days35220Same as national
Clostridium Difficile (C.Diff): Predicted Cases14.361Same as national
Clostridium Difficile (C.Diff): Observed Cases8Same as national
Clostridium Difficile (C.Diff)0.557Same 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 Rate4.7Same as national1170
Death rate for heart attack patients11.4Same as national150
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national86
Death rate for heart failure patients11.2Same as national208
Death rate for pneumonia patients20.8Worse than national471
Death rate for stroke patients15.4Same as national119
Pressure ulcer rate0.22Same as national3734
Death rate among surgical inpatients with serious treatable complications179.02Same as national57
Iatrogenic pneumothorax rate0.41Same as national4650
In-hospital fall-associated fracture rate0.24Same as national4653
Postoperative hemorrhage or hematoma rate2.55Same as national836
Postoperative acute kidney injury requiring dialysis rate1.57Same as national264
Postoperative respiratory failure rate18.47Worse than national297
Perioperative pulmonary embolism or deep vein thrombosis rate2.91Same as national870
Postoperative sepsis rate7.14Same as national234
Postoperative wound dehiscence rate1.63Same as national307
Abdominopelvic accidental puncture or laceration rate1.10Same as national927
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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 patients24.8Not available136
Hospital return days for heart failure patients6.5Not available241
Hospital return days for pneumonia patients22.9Not available491
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.1Same as national1828
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.6Same as national1061
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 surgery1Same as national657
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national136
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national93
Heart failure (HF) 30-Day Readmission Rate19.7Same as national241
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national491

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 rating31339
Doctor communication - star rating41339
Communication about medicines - star rating21339
Discharge information - star rating31339
Cleanliness - star rating31339
Quietness - star rating31339
Overall hospital rating - star rating31339
Recommend hospital - star rating41339
Summary star rating31339

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 Hyperglycemia1210245
Hospital Harm - Severe Hypoglycemia11965
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination972024
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 better178382
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 better176358
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17916
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 seen434945
Head CT results7114
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10070
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142677
Appropriate care for severe sepsis and septic shock59438
Septic Shock 3-Hour Bundle60125
Septic Shock 6-Hour Bundle8260
Severe Sepsis 3-Hour Bundle81438
Severe Sepsis 6-Hour Bundle87263
Discharged on Antithrombotic Therapy98126
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Conway Regional Medical Center, Inc rated?
Conway Regional Medical Center, Inc has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Conway Regional Medical Center, Inc have emergency services?
Yes. Conway Regional Medical Center, Inc operates a 24/7 emergency department.
Where is Conway Regional Medical Center, Inc located?
Conway Regional Medical Center, Inc is located at 2302 College Avenue, Conway, AR 72034.
What type of hospital is Conway Regional Medical Center, Inc?
Conway Regional Medical Center, Inc is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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