Acute Care Hospitals · Government - Hospital District or Authority
Memorial Regional Hospital
- 3501 Johnson St, Hollywood, FL 33021
- (954) 987-2000
- Acute Care Hospitals
- Emergency services available 24/7
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.248 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.628 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 34212 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 44.423 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 18 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.405 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.170 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.875 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 9918 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 14.265 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.421 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.295 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.786 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 203 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 6.207 | Same as national |
| SSI - Colon Surgery: Observed Cases | 5 | Same as national |
| SSI - Colon Surgery | 0.806 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.147 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 153 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.395 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Same as national |
| SSI - Abdominal Hysterectomy | 0.000 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.585 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.754 | Same as national |
| MRSA Bacteremia: Patient Days | 236776 | Same as national |
| MRSA Bacteremia: Predicted Cases | 12.353 | Same as national |
| MRSA Bacteremia: Observed Cases | 13 | Same as national |
| MRSA Bacteremia | 1.052 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.296 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.513 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 208038 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 129.796 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 51 | Better than national |
| Clostridium Difficile (C.Diff) | 0.393 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.8 | Same as national | 29 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.8 | Same as national | 1384 |
| Death rate for heart attack patients | 12 | Same as national | 135 |
| Death rate for CABG surgery patients | 2 | Same as national | 82 |
| Death rate for COPD patients | 7.2 | Same as national | 95 |
| Death rate for heart failure patients | 9 | Same as national | 373 |
| Death rate for pneumonia patients | 15.3 | Same as national | 334 |
| Death rate for stroke patients | 13.9 | Same as national | 193 |
| Pressure ulcer rate | 0.53 | Same as national | 6639 |
| Death rate among surgical inpatients with serious treatable complications | 134.38 | Same as national | 107 |
| Iatrogenic pneumothorax rate | 0.15 | Same as national | 7156 |
| In-hospital fall-associated fracture rate | 0.21 | Same as national | 7327 |
| Postoperative hemorrhage or hematoma rate | 1.45 | Same as national | 1570 |
| Postoperative acute kidney injury requiring dialysis rate | 1.62 | Same as national | 527 |
| Postoperative respiratory failure rate | 9.53 | Same as national | 556 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.86 | Same as national | 1710 |
| Postoperative sepsis rate | 5.09 | Same as national | 594 |
| Postoperative wound dehiscence rate | 1.82 | Same as national | 395 |
| Abdominopelvic accidental puncture or laceration rate | 1.28 | Same as national | 1143 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.00 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 22.5 | Not available | 149 |
| Hospital return days for heart failure patients | 22.8 | Not available | 441 |
| Hospital return days for pneumonia patients | 31.6 | Not available | 349 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.6 | Worse than national | 2518 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13 | Same as national | 292 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.7 | Same as national | 311 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.4 | Same as national | 311 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as national | 304 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.6 | Same as national | 149 |
| Rate of readmission for CABG | 11.7 | Same as national | 81 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.2 | Same as national | 107 |
| Heart failure (HF) 30-Day Readmission Rate | 20.6 | Same as national | 441 |
| Rate of readmission after hip/knee replacement | 5.2 | Same as national | 28 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.2 | Same as national | 349 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 2 | 3109 |
| Doctor communication - star rating | 3 | 3109 |
| Communication about medicines - star rating | 2 | 3109 |
| Discharge information - star rating | 2 | 3109 |
| Cleanliness - star rating | 3 | 3109 |
| Quietness - star rating | 2 | 3109 |
| Overall hospital rating - star rating | 3 | 3109 |
| Recommend hospital - star rating | 3 | 3109 |
| Summary star rating | 2 | 3109 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 vaccination | 92 | 10264 |
| 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 better | 162 | 754 |
| 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 better | 159 | 727 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 205 | 16 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 294 | 11 |
| Left before being seen | 1 | 189906 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 93 | 88 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 7153 |
| Appropriate care for severe sepsis and septic shock | 69 | 206 |
| Septic Shock 3-Hour Bundle | 83 | 60 |
| Septic Shock 6-Hour Bundle | 88 | 33 |
| Severe Sepsis 3-Hour Bundle | 83 | 206 |
| Severe Sepsis 6-Hour Bundle | 92 | 120 |
| Discharged on Antithrombotic Therapy | 100 | 559 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 93 | 517 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 2802 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
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).
Compare with nearby hospitals
- Compare side-by-side →Not rated overall
Baycare Hospital Wesley Chapel
Wesley Chapel, FL
- Compare side-by-side →Not rated overall
Blountstown, FL
- Compare side-by-side →Not rated overall
96th Medical Group (eglin Afb)
Eglin Afb, FL
- Compare side-by-side →Not rated overall
Wauchula, FL
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.