JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Iredell Memorial Hospital Inc

3 / 5

At a glance

Iredell Memorial Hospital Inc carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.

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 Limit1.178Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit6.043Worse than national
Central Line Associated Bloodstream Infection: Number of Device Days2931Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.065Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.906Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.109Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.141Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4456Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.087Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.648Same as national
SSI - Colon Surgery: Lower Confidence Limit0.225Same as national
SSI - Colon Surgery: Upper Confidence Limit4.429Same as national
SSI - Colon Surgery: Number of Procedures57Same as national
SSI - Colon Surgery: Predicted Cases1.492Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.340Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures50Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.395Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.036Same as national
MRSA Bacteremia: Upper Confidence Limit3.566Same as national
MRSA Bacteremia: Patient Days44106Same as national
MRSA Bacteremia: Predicted Cases1.383Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.723Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.018Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.365Better than national
Clostridium Difficile (C.Diff): Patient Days42640Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.125Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.110Better 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 patients4.8Same as national58
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national714
Death rate for heart attack patients14.2Same as national49
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.6Same as national117
Death rate for heart failure patients13.7Same as national204
Death rate for pneumonia patients16.2Same as national439
Death rate for stroke patients11.9Same as national110
Pressure ulcer rate0.29Same as national2442
Death rate among surgical inpatients with serious treatable complications177.76Same as national43
Iatrogenic pneumothorax rate0.18Same as national3182
In-hospital fall-associated fracture rate0.29Same as national3199
Postoperative hemorrhage or hematoma rate2.42Same as national461
Postoperative acute kidney injury requiring dialysis rate1.56Same as national149
Postoperative respiratory failure rate8.78Same as national160
Perioperative pulmonary embolism or deep vein thrombosis rate5.50Same as national480
Postoperative sepsis rate5.69Same as national138
Postoperative wound dehiscence rate1.69Same as national139
Abdominopelvic accidental puncture or laceration rate0.95Same as national467
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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 patients6.7Not available234
Hospital return days for pneumonia patients8.9Not available476
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1138
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national731
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 surgery0.9Same as national295
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national40
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national126
Heart failure (HF) 30-Day Readmission Rate19.1Same as national234
Rate of readmission after hip/knee replacement5.4Same as national33
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national476

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 rating3624
Doctor communication - star rating3624
Communication about medicines - star rating3624
Discharge information - star rating4624
Cleanliness - star rating3624
Quietness - star rating3624
Overall hospital rating - star rating4624
Recommend hospital - star rating4624
Summary star rating3624

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 volumehigh
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 vaccination852009
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 better188398
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 better186372
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30518
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 seen244081
Head CT results8833
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9649
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing222047
Appropriate care for severe sepsis and septic shock58254
Septic Shock 3-Hour Bundle66104
Septic Shock 6-Hour Bundle8649
Severe Sepsis 3-Hour Bundle78254
Severe Sepsis 6-Hour Bundle96150
Discharged on Antithrombotic Therapy96115
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29597
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis901098

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 Iredell Memorial Hospital Inc rated?
Iredell Memorial Hospital Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Iredell Memorial Hospital Inc have emergency services?
Yes. Iredell Memorial Hospital Inc operates a 24/7 emergency department.
Where is Iredell Memorial Hospital Inc located?
Iredell Memorial Hospital Inc is located at 557 Brookdale Dr, Statesville, NC 28677.
What type of hospital is Iredell Memorial Hospital Inc?
Iredell Memorial Hospital 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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