Acute Care Hospitals · Voluntary non-profit - Private
Firsthealth Moore Regional Hospital
- 155 Memorial Drive, Pinehurst, NC 28374
- (910) 715-1000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Firsthealth Moore Regional Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails on 0.
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.009 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.922 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 7103 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 5.349 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.187 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.527 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6822 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 5.686 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.049 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.966 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 251 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 6.840 | Better than national |
| SSI - Colon Surgery: Observed Cases | 2 | Better than national |
| SSI - Colon Surgery | 0.292 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.029 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.812 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 187 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.754 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Same as national |
| SSI - Abdominal Hysterectomy | 0.570 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.502 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.270 | Same as national |
| MRSA Bacteremia: Patient Days | 106877 | Same as national |
| MRSA Bacteremia: Predicted Cases | 6.101 | Same as national |
| MRSA Bacteremia: Observed Cases | 7 | Same as national |
| MRSA Bacteremia | 1.147 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.096 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.362 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 101118 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 45.586 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 9 | Better than national |
| Clostridium Difficile (C.Diff) | 0.197 | Better than 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.8 | Same as national | 210 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.4 | Same as national | 2902 |
| Death rate for heart attack patients | 11.5 | Same as national | 320 |
| Death rate for CABG surgery patients | 2.6 | Same as national | 117 |
| Death rate for COPD patients | 8 | Same as national | 279 |
| Death rate for heart failure patients | 10.8 | Same as national | 796 |
| Death rate for pneumonia patients | 17.9 | Same as national | 919 |
| Death rate for stroke patients | 15.3 | Same as national | 314 |
| Pressure ulcer rate | 0.84 | Same as national | 9238 |
| Death rate among surgical inpatients with serious treatable complications | 176.71 | Same as national | 118 |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 11337 |
| In-hospital fall-associated fracture rate | 0.28 | Same as national | 11217 |
| Postoperative hemorrhage or hematoma rate | 2.55 | Same as national | 2815 |
| Postoperative acute kidney injury requiring dialysis rate | 1.69 | Same as national | 1377 |
| Postoperative respiratory failure rate | 4.52 | Same as national | 1382 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.84 | Same as national | 3046 |
| Postoperative sepsis rate | 4.58 | Same as national | 1365 |
| Postoperative wound dehiscence rate | 1.53 | Same as national | 749 |
| Abdominopelvic accidental puncture or laceration rate | 1.29 | Same as national | 2162 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.93 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 8.7 | Not available | 339 |
| Hospital return days for heart failure patients | 5.1 | Not available | 879 |
| Hospital return days for pneumonia patients | 12.2 | Not available | 938 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15 | Same as national | 4497 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.4 | Same as national | 740 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 12 | Same as national | 374 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.9 | Same as national | 374 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.8 | Better than national | 1420 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14 | Same as national | 339 |
| Rate of readmission for CABG | 11.1 | Same as national | 114 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.1 | Same as national | 309 |
| Heart failure (HF) 30-Day Readmission Rate | 18.9 | Same as national | 879 |
| Rate of readmission after hip/knee replacement | 5.9 | Same as national | 200 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.2 | Same as national | 938 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 1677 |
| Doctor communication - star rating | 4 | 1677 |
| Communication about medicines - star rating | 3 | 1677 |
| Discharge information - star rating | 4 | 1677 |
| Cleanliness - star rating | 3 | 1677 |
| Quietness - star rating | 4 | 1677 |
| Overall hospital rating - star rating | 4 | 1677 |
| Recommend hospital - star rating | 5 | 1677 |
| Summary star rating | 4 | 1677 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very high | — |
| 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 Events | — | — |
| Healthcare workers given influenza vaccination | 91 | 5829 |
| 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 better | 203 | 107505 |
| 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 better | 201 | 103602 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 289 | 2751 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 506 | 1395 |
| Left before being seen | 4 | 166718 |
| Head CT results | 77 | 35 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 142 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 54 | 26 |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 6374 |
| Appropriate care for severe sepsis and septic shock | 55 | 154 |
| Septic Shock 3-Hour Bundle | 60 | 65 |
| Septic Shock 6-Hour Bundle | 48 | 25 |
| Severe Sepsis 3-Hour Bundle | 85 | 154 |
| Severe Sepsis 6-Hour Bundle | 96 | 98 |
| Discharged on Antithrombotic Therapy | 97 | 388 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 341 |
| Venous Thromboembolism Prophylaxis | 95 | 9975 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Firsthealth Moore Regional Hospital rated?
- Firsthealth Moore Regional Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Firsthealth Moore Regional Hospital have emergency services?
- Yes. Firsthealth Moore Regional Hospital operates a 24/7 emergency department.
- Where is Firsthealth Moore Regional Hospital located?
- Firsthealth Moore Regional Hospital is located at 155 Memorial Drive, Pinehurst, NC 28374.
- What type of hospital is Firsthealth Moore Regional Hospital?
- Firsthealth Moore Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.