JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mcleod Health Cheraw

3 / 5

At a glance

Mcleod Health Cheraw carries a 3-star CMS overall rating — in line with the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1067Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.797Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.041Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.066Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1781Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.213Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.824Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures9Not available
SSI - Colon Surgery: Predicted Cases0.223Not 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 ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days9932Not available
MRSA Bacteremia: Predicted Cases0.331Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.189Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.023Same as national
Clostridium Difficile (C.Diff): Patient Days9932Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.035Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.743Same as 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 Rate4.3Same as national209
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national49
Death rate for heart failure patients11Same as national64
Death rate for pneumonia patients17.2Same as national168
Death rate for stroke patientsNot available
Pressure ulcer rate0.44Same as national926
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1270
In-hospital fall-associated fracture rate0.31Same as national1254
Postoperative hemorrhage or hematoma rate2.32Same as national48
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national48
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.05Same as national57
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients11.7Not available71
Hospital return days for pneumonia patients65.1Not available179
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.1Same as national359
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national170
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 surgery1Same as national35
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national49
Heart failure (HF) 30-Day Readmission Rate20.4Same as national71
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.5Same as national179

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 rating4191
Doctor communication - star rating4191
Communication about medicines - star rating4191
Discharge information - star rating5191
Cleanliness - star rating3191
Quietness - star rating4191
Overall hospital rating - star rating4191
Recommend hospital - star rating4191
Summary star rating4191

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 volumemedium
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 Hypoglycemia3787
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination28530
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 better142375
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 better129342
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27614
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33221
Left before being seen221868
Head CT results8614
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9975
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing19621
Appropriate care for severe sepsis and septic shock6279
Septic Shock 3-Hour Bundle7625
Septic Shock 6-Hour Bundle10016
Severe Sepsis 3-Hour Bundle7379
Severe Sepsis 6-Hour Bundle9343
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis891220
Intensive Care Unit Venous Thromboembolism Prophylaxis93453

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Mcleod Health Cheraw rated?
Mcleod Health Cheraw has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mcleod Health Cheraw have emergency services?
Yes. Mcleod Health Cheraw operates a 24/7 emergency department.
Where is Mcleod Health Cheraw located?
Mcleod Health Cheraw is located at 711 Chesterfield Highway, Cheraw, SC 29520.
What type of hospital is Mcleod Health Cheraw?
Mcleod Health Cheraw 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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