JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mcleod Loris Hospital

4 / 5

At a glance

Mcleod Loris 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 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 Limit0.305Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.269Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3750Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.498Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.201Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.188Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.013Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6483Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.057Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.739Same as national
SSI - Colon Surgery: Lower Confidence Limit0.082Same as national
SSI - Colon Surgery: Upper Confidence Limit1.610Same as national
SSI - Colon Surgery: Number of Procedures149Same as national
SSI - Colon Surgery: Predicted Cases4.104Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.487Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures110Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.853Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.016Same as national
MRSA Bacteremia: Upper Confidence Limit1.567Same as national
MRSA Bacteremia: Patient Days59781Same as national
MRSA Bacteremia: Predicted Cases3.147Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.318Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.053Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.404Better than national
Clostridium Difficile (C.Diff): Patient Days58798Better than national
Clostridium Difficile (C.Diff): Predicted Cases23.883Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.167Better 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 patients3.2Same as national65
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national2103
Death rate for heart attack patients14.5Same as national171
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.3Same as national154
Death rate for heart failure patients14.1Worse than national554
Death rate for pneumonia patients18.5Same as national647
Death rate for stroke patients11.4Same as national196
Pressure ulcer rate0.37Same as national5797
Death rate among surgical inpatients with serious treatable complications181.62Same as national64
Iatrogenic pneumothorax rate0.14Same as national7341
In-hospital fall-associated fracture rate0.25Same as national7237
Postoperative hemorrhage or hematoma rate1.90Same as national1500
Postoperative acute kidney injury requiring dialysis rate1.75Same as national552
Postoperative respiratory failure rate5.36Same as national640
Perioperative pulmonary embolism or deep vein thrombosis rate2.40Same as national1594
Postoperative sepsis rate5.84Same as national549
Postoperative wound dehiscence rate1.57Same as national392
Abdominopelvic accidental puncture or laceration rate1.22Same as national1277
CMS Medicare PSI 90: Patient safety and adverse events composite0.78Same 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-28.8Not available114
Hospital return days for heart failure patients13.9Not available592
Hospital return days for pneumonia patients9.1Not available632
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national3194
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national2787
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 surgery1.1Same as national1826
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.5Same as national114
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national162
Heart failure (HF) 30-Day Readmission Rate20.7Same as national592
Rate of readmission after hip/knee replacement4.3Same as national72
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national632

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 rating41087
Doctor communication - star rating31087
Communication about medicines - star rating31087
Discharge information - star rating41087
Cleanliness - star rating31087
Quietness - star rating41087
Overall hospital rating - star rating41087
Recommend hospital - star rating51087
Summary star rating41087

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 vaccination282336
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 better140376
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 better135353
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38711
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32812
Left before being seen183414
Head CT results7027
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients84536
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing173514
Appropriate care for severe sepsis and septic shock74121
Septic Shock 3-Hour Bundle7431
Septic Shock 6-Hour Bundle8715
Severe Sepsis 3-Hour Bundle84121
Severe Sepsis 6-Hour Bundle9668
Discharged on Antithrombotic Therapy96218
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis946811
Intensive Care Unit Venous Thromboembolism Prophylaxis972266

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 Mcleod Loris Hospital rated?
Mcleod Loris Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mcleod Loris Hospital have emergency services?
According to CMS records, Mcleod Loris Hospital does not report a 24/7 emergency department.
Where is Mcleod Loris Hospital located?
Mcleod Loris Hospital is located at 3655 Mitchell Street, Loris, SC 29569.
What type of hospital is Mcleod Loris Hospital?
Mcleod Loris 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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