JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Maria Parham Medical Center

2 / 5

At a glance

Maria Parham Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.195Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2766Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.506Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.215Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.297Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3450Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.555Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.844Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures36Not available
SSI - Colon Surgery: Predicted Cases0.844Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures18Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.150Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.774Same as national
MRSA Bacteremia: Patient Days18840Same as national
MRSA Bacteremia: Predicted Cases1.080Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.530Better than national
Clostridium Difficile (C.Diff): Patient Days18252Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.655Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.3Worse than national353
Death rate for heart attack patients11.4Same as national52
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.1Same as national72
Death rate for heart failure patients11.1Same as national72
Death rate for pneumonia patients21.2Worse than national164
Death rate for stroke patients14.1Same as national69
Pressure ulcer rate0.33Same as national1409
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1551
In-hospital fall-associated fracture rate0.26Same as national1645
Postoperative hemorrhage or hematoma rate2.25Same as national172
Postoperative acute kidney injury requiring dialysis rate1.65Same as national34
Postoperative respiratory failure rate10.99Same as national36
Perioperative pulmonary embolism or deep vein thrombosis rate4.15Same as national170
Postoperative sepsis rate5.14Same as national27
Postoperative wound dehiscence rate1.73Same as national55
Abdominopelvic accidental puncture or laceration rate1.00Same as national236
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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 patients16.2Not available78
Hospital return days for pneumonia patients24Not available149
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national501
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national515
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national72
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national72
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national52
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national42
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.2Same as national80
Heart failure (HF) 30-Day Readmission Rate20.8Same as national78
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national149

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 rating1367
Doctor communication - star rating2367
Communication about medicines - star rating1367
Discharge information - star rating2367
Cleanliness - star rating3367
Quietness - star rating2367
Overall hospital rating - star rating1367
Recommend hospital - star rating1367
Summary star rating2367

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 vaccination84951
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 better178403
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 better167373
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better61420
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better43911
Left before being seen240586
Head CT results9626
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing9481
Appropriate care for severe sepsis and septic shock69106
Septic Shock 3-Hour Bundle7434
Septic Shock 6-Hour Bundle8919
Severe Sepsis 3-Hour Bundle80106
Severe Sepsis 6-Hour Bundle10056
Discharged on Antithrombotic Therapy9581
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis932270
Intensive Care Unit Venous Thromboembolism Prophylaxis97347

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 Maria Parham Medical Center rated?
Maria Parham Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Maria Parham Medical Center have emergency services?
Yes. Maria Parham Medical Center operates a 24/7 emergency department.
Where is Maria Parham Medical Center located?
Maria Parham Medical Center is located at Po Box 59, Henderson, NC 27536.
What type of hospital is Maria Parham Medical Center?
Maria Parham Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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.

Report an issue with this page