JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Holmes Regional Medical Center

4 / 5

At a glance

Holmes Regional Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.055Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.092Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6974Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.051Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.331Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.305Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9835Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.831Better 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 Limit0.058Same as national
SSI - Colon Surgery: Upper Confidence Limit1.134Same as national
SSI - Colon Surgery: Number of Procedures209Same as national
SSI - Colon Surgery: Predicted Cases5.827Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.343Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.172Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.839Same as national
SSI - Abdominal Hysterectomy: Number of Procedures557Same as national
SSI - Abdominal Hysterectomy: Predicted Cases4.439Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.676Same as national
MRSA Bacteremia: Lower Confidence Limit0.284Same as national
MRSA Bacteremia: Upper Confidence Limit1.287Same as national
MRSA Bacteremia: Patient Days154852Same as national
MRSA Bacteremia: Predicted Cases10.763Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia0.650Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.096Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.289Better than national
Clostridium Difficile (C.Diff): Patient Days154198Better than national
Clostridium Difficile (C.Diff): Predicted Cases75.066Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.173Better 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 patients2.9Same as national93
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national3338
Death rate for heart attack patients11.4Same as national233
Death rate for CABG surgery patients2.4Same as national186
Death rate for COPD patients8.7Same as national223
Death rate for heart failure patients12.1Same as national561
Death rate for pneumonia patients14.3Same as national653
Death rate for stroke patients14.2Same as national559
Pressure ulcer rate0.54Same as national10026
Death rate among surgical inpatients with serious treatable complications159.82Same as national227
Iatrogenic pneumothorax rate0.18Same as national13115
In-hospital fall-associated fracture rate0.17Same as national13755
Postoperative hemorrhage or hematoma rate2.96Same as national3605
Postoperative acute kidney injury requiring dialysis rate1.93Same as national1582
Postoperative respiratory failure rate6.09Same as national1584
Perioperative pulmonary embolism or deep vein thrombosis rate3.55Same as national3798
Postoperative sepsis rate4.35Same as national1578
Postoperative wound dehiscence rate2.11Same as national698
Abdominopelvic accidental puncture or laceration rate0.86Same as national2195
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients-8.9Not available299
Hospital return days for heart failure patients-13.1Not available651
Hospital return days for pneumonia patients-21.3Not available710
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national5740
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national136
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 national850
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12Same as national299
Rate of readmission for CABG9.6Same as national181
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.4Same as national257
Heart failure (HF) 30-Day Readmission Rate17.5Same as national651
Rate of readmission after hip/knee replacement3.7Same as national91
Pneumonia (PN) 30-Day Readmission Rate13Better than national710

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 rating2624
Doctor communication - star rating2624
Communication about medicines - star rating2624
Discharge information - star rating2624
Cleanliness - star rating3624
Quietness - star rating2624
Overall hospital rating - star rating2624
Recommend hospital - star rating3624
Summary star rating2624

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 Hypoglycemia26586
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination795354
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 better224398
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 better222378
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26716
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 seen375895
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10016
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing198518
Appropriate care for severe sepsis and septic shock80131
Septic Shock 3-Hour Bundle9341
Septic Shock 6-Hour Bundle10030
Severe Sepsis 3-Hour Bundle90131
Severe Sepsis 6-Hour Bundle8671
Discharged on Antithrombotic Therapy96597
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 288579
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 Holmes Regional Medical Center rated?
Holmes Regional Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Holmes Regional Medical Center have emergency services?
Yes. Holmes Regional Medical Center operates a 24/7 emergency department.
Where is Holmes Regional Medical Center located?
Holmes Regional Medical Center is located at 1350 S Hickory St, Melbourne, FL 32901.
What type of hospital is Holmes Regional Medical Center?
Holmes Regional Medical Center 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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