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Acute Care Hospitals · Government - Hospital District or Authority

Memorial Regional Hospital

3 / 5

At a glance

Memorial Regional Hospital 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 0. 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 Limit0.248Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.628Better than national
Central Line Associated Bloodstream Infection: Number of Device Days34212Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases44.423Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases18Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.405Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.170Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.875Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9918Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.265Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.421Better than national
SSI - Colon Surgery: Lower Confidence Limit0.295Same as national
SSI - Colon Surgery: Upper Confidence Limit1.786Same as national
SSI - Colon Surgery: Number of Procedures203Same as national
SSI - Colon Surgery: Predicted Cases6.207Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.806Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.147Same as national
SSI - Abdominal Hysterectomy: Number of Procedures153Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.395Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.585Same as national
MRSA Bacteremia: Upper Confidence Limit1.754Same as national
MRSA Bacteremia: Patient Days236776Same as national
MRSA Bacteremia: Predicted Cases12.353Same as national
MRSA Bacteremia: Observed Cases13Same as national
MRSA Bacteremia1.052Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.296Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.513Better than national
Clostridium Difficile (C.Diff): Patient Days208038Better than national
Clostridium Difficile (C.Diff): Predicted Cases129.796Better than national
Clostridium Difficile (C.Diff): Observed Cases51Better than national
Clostridium Difficile (C.Diff)0.393Better 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 patients3.8Same as national29
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1384
Death rate for heart attack patients12Same as national135
Death rate for CABG surgery patients2Same as national82
Death rate for COPD patients7.2Same as national95
Death rate for heart failure patients9Same as national373
Death rate for pneumonia patients15.3Same as national334
Death rate for stroke patients13.9Same as national193
Pressure ulcer rate0.53Same as national6639
Death rate among surgical inpatients with serious treatable complications134.38Same as national107
Iatrogenic pneumothorax rate0.15Same as national7156
In-hospital fall-associated fracture rate0.21Same as national7327
Postoperative hemorrhage or hematoma rate1.45Same as national1570
Postoperative acute kidney injury requiring dialysis rate1.62Same as national527
Postoperative respiratory failure rate9.53Same as national556
Perioperative pulmonary embolism or deep vein thrombosis rate4.86Same as national1710
Postoperative sepsis rate5.09Same as national594
Postoperative wound dehiscence rate1.82Same as national395
Abdominopelvic accidental puncture or laceration rate1.28Same as national1143
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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 patients22.5Not available149
Hospital return days for heart failure patients22.8Not available441
Hospital return days for pneumonia patients31.6Not available349
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.6Worse than national2518
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national292
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national311
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.4Same as national311
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national304
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national149
Rate of readmission for CABG11.7Same as national81
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.2Same as national107
Heart failure (HF) 30-Day Readmission Rate20.6Same as national441
Rate of readmission after hip/knee replacement5.2Same as national28
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national349

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 rating23109
Doctor communication - star rating33109
Communication about medicines - star rating23109
Discharge information - star rating23109
Cleanliness - star rating33109
Quietness - star rating23109
Overall hospital rating - star rating33109
Recommend hospital - star rating33109
Summary star rating23109

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 vaccination9210264
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 better162754
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 better159727
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20516
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29411
Left before being seen1189906
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9388
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing147153
Appropriate care for severe sepsis and septic shock69206
Septic Shock 3-Hour Bundle8360
Septic Shock 6-Hour Bundle8833
Severe Sepsis 3-Hour Bundle83206
Severe Sepsis 6-Hour Bundle92120
Discharged on Antithrombotic Therapy100559
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293517
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis992802

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 Memorial Regional Hospital rated?
Memorial Regional Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Regional Hospital have emergency services?
Yes. Memorial Regional Hospital operates a 24/7 emergency department.
Where is Memorial Regional Hospital located?
Memorial Regional Hospital is located at 3501 Johnson St, Hollywood, FL 33021.
What type of hospital is Memorial Regional Hospital?
Memorial Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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