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Acute Care Hospitals · Voluntary non-profit - Private

Mcleod Regional Medical Center-Pee Dee

3 / 5

At a glance

Mcleod Regional Medical Center-Pee Dee 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 18 and worse on 6. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.173Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.888Better than national
Central Line Associated Bloodstream Infection: Number of Device Days11826Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.056Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.427Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.261Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.864Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13490Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases22.129Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.497Better than national
SSI - Colon Surgery: Lower Confidence Limit1.210Worse than national
SSI - Colon Surgery: Upper Confidence Limit3.069Worse than national
SSI - Colon Surgery: Number of Procedures314Worse than national
SSI - Colon Surgery: Predicted Cases9.090Worse than national
SSI - Colon Surgery: Observed Cases18Worse than national
SSI - Colon Surgery1.980Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures85Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.777Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.274Same as national
MRSA Bacteremia: Upper Confidence Limit1.031Same as national
MRSA Bacteremia: Patient Days155266Same as national
MRSA Bacteremia: Predicted Cases16.016Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia0.562Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.304Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.617Better than national
Clostridium Difficile (C.Diff): Patient Days140063Better than national
Clostridium Difficile (C.Diff): Predicted Cases70.427Better than national
Clostridium Difficile (C.Diff): Observed Cases31Better than national
Clostridium Difficile (C.Diff)0.440Better 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 patients3.1Same as national47
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national2922
Death rate for heart attack patients13Same as national388
Death rate for CABG surgery patients2Same as national176
Death rate for COPD patients11.6Same as national253
Death rate for heart failure patients13.6Same as national744
Death rate for pneumonia patients16.1Same as national770
Death rate for stroke patients12.7Same as national404
Pressure ulcer rate0.77Same as national10875
Death rate among surgical inpatients with serious treatable complications175.35Same as national132
Iatrogenic pneumothorax rate0.12Same as national12554
In-hospital fall-associated fracture rate0.21Same as national12922
Postoperative hemorrhage or hematoma rate2.16Same as national2726
Postoperative acute kidney injury requiring dialysis rate2.29Same as national984
Postoperative respiratory failure rate12.92Same as national1004
Perioperative pulmonary embolism or deep vein thrombosis rate2.42Same as national2841
Postoperative sepsis rate5.11Same as national912
Postoperative wound dehiscence rate1.45Same as national567
Abdominopelvic accidental puncture or laceration rate0.85Same as national2423
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same 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 patients12.9Not available427
Hospital return days for heart failure patients16.7Not available867
Hospital return days for pneumonia patients0.9Not available813
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national4969
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.9Same as national3769
Rate of inpatient admissions for patients receiving outpatient chemotherapy12Same as national569
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national569
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1260
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.3Same as national427
Rate of readmission for CABG13.1Same as national170
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.6Same as national269
Heart failure (HF) 30-Day Readmission Rate22Worse than national867
Rate of readmission after hip/knee replacement4.2Same as national51
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national813

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 rating3989
Doctor communication - star rating3989
Communication about medicines - star rating2989
Discharge information - star rating3989
Cleanliness - star rating3989
Quietness - star rating4989
Overall hospital rating - star rating4989
Recommend hospital - star rating4989
Summary star rating3989

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 vaccination3111807
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 better237360
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 better230343
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better44215
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 seen471553
Head CT results10014
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients881256
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7330
Safe Use of Opioids - Concurrent Prescribing178495
Appropriate care for severe sepsis and septic shock68228
Septic Shock 3-Hour Bundle8279
Septic Shock 6-Hour Bundle10046
Severe Sepsis 3-Hour Bundle81228
Severe Sepsis 6-Hour Bundle92128
Discharged on Antithrombotic Therapy97447
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9015396
Intensive Care Unit Venous Thromboembolism Prophylaxis943308

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 Regional Medical Center-Pee Dee rated?
Mcleod Regional Medical Center-Pee Dee has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mcleod Regional Medical Center-Pee Dee have emergency services?
Yes. Mcleod Regional Medical Center-Pee Dee operates a 24/7 emergency department.
Where is Mcleod Regional Medical Center-Pee Dee located?
Mcleod Regional Medical Center-Pee Dee is located at 555 E Cheves St Box 8700, Florence, SC 29506.
What type of hospital is Mcleod Regional Medical Center-Pee Dee?
Mcleod Regional Medical Center-Pee Dee 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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