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Acute Care Hospitals · Voluntary non-profit - Private

Firsthealth Moore Regional Hospital

4 / 5

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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.009Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.922Better than national
Central Line Associated Bloodstream Infection: Number of Device Days7103Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.349Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.187Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.527Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6822Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.686Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.049Better than national
SSI - Colon Surgery: Upper Confidence Limit0.966Better than national
SSI - Colon Surgery: Number of Procedures251Better than national
SSI - Colon Surgery: Predicted Cases6.840Better than national
SSI - Colon Surgery: Observed Cases2Better than national
SSI - Colon Surgery0.292Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.029Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.812Same as national
SSI - Abdominal Hysterectomy: Number of Procedures187Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.754Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.570Same as national
MRSA Bacteremia: Lower Confidence Limit0.502Same as national
MRSA Bacteremia: Upper Confidence Limit2.270Same as national
MRSA Bacteremia: Patient Days106877Same as national
MRSA Bacteremia: Predicted Cases6.101Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia1.147Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.096Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.362Better than national
Clostridium Difficile (C.Diff): Patient Days101118Better than national
Clostridium Difficile (C.Diff): Predicted Cases45.586Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.197Better 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.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.8Same as national210
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national2902
Death rate for heart attack patients11.5Same as national320
Death rate for CABG surgery patients2.6Same as national117
Death rate for COPD patients8Same as national279
Death rate for heart failure patients10.8Same as national796
Death rate for pneumonia patients17.9Same as national919
Death rate for stroke patients15.3Same as national314
Pressure ulcer rate0.84Same as national9238
Death rate among surgical inpatients with serious treatable complications176.71Same as national118
Iatrogenic pneumothorax rate0.19Same as national11337
In-hospital fall-associated fracture rate0.28Same as national11217
Postoperative hemorrhage or hematoma rate2.55Same as national2815
Postoperative acute kidney injury requiring dialysis rate1.69Same as national1377
Postoperative respiratory failure rate4.52Same as national1382
Perioperative pulmonary embolism or deep vein thrombosis rate3.84Same as national3046
Postoperative sepsis rate4.58Same as national1365
Postoperative wound dehiscence rate1.53Same as national749
Abdominopelvic accidental puncture or laceration rate1.29Same as national2162
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 patients8.7Not available339
Hospital return days for heart failure patients5.1Not available879
Hospital return days for pneumonia patients12.2Not available938
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national4497
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national740
Rate of inpatient admissions for patients receiving outpatient chemotherapy12Same as national374
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national374
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national1420
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national339
Rate of readmission for CABG11.1Same as national114
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national309
Heart failure (HF) 30-Day Readmission Rate18.9Same as national879
Rate of readmission after hip/knee replacement5.9Same as national200
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national938

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 rating41677
Doctor communication - star rating41677
Communication about medicines - star rating31677
Discharge information - star rating41677
Cleanliness - star rating31677
Quietness - star rating41677
Overall hospital rating - star rating41677
Recommend hospital - star rating51677
Summary star rating41677

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 volumevery 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 vaccination915829
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 better203107505
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 better201103602
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2892751
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better5061395
Left before being seen4166718
Head CT results7735
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100142
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5426
Safe Use of Opioids - Concurrent Prescribing146374
Appropriate care for severe sepsis and septic shock55154
Septic Shock 3-Hour Bundle6065
Septic Shock 6-Hour Bundle4825
Severe Sepsis 3-Hour Bundle85154
Severe Sepsis 6-Hour Bundle9698
Discharged on Antithrombotic Therapy97388
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294341
Venous Thromboembolism Prophylaxis959975
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 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).

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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