JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mount Pleasant Hospital

5 / 5

At a glance

Mount Pleasant Hospital carries a 5-star CMS overall rating — above 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 Days822Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.486Not 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 LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1167Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.603Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.013Same as national
SSI - Colon Surgery: Upper Confidence Limit1.299Same as national
SSI - Colon Surgery: Number of Procedures149Same as national
SSI - Colon Surgery: Predicted Cases3.797Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.263Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures10Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.088Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days14243Not available
MRSA Bacteremia: Predicted Cases0.552Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.220Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.673Same as national
Clostridium Difficile (C.Diff): Patient Days14243Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.768Same as national
Clostridium Difficile (C.Diff): Observed Cases4Same as national
Clostridium Difficile (C.Diff)0.693Same 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 patients3.5Same as national143
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Same as national701
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national35
Death rate for heart failure patients10.5Same as national175
Death rate for pneumonia patients13.5Same as national198
Death rate for stroke patients12.2Same as national50
Pressure ulcer rate0.36Same as national1738
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2368
In-hospital fall-associated fracture rate0.29Same as national2235
Postoperative hemorrhage or hematoma rate2.45Same as national541
Postoperative acute kidney injury requiring dialysis rate1.61Same as national283
Postoperative respiratory failure rate9.42Same as national284
Perioperative pulmonary embolism or deep vein thrombosis rate3.13Same as national580
Postoperative sepsis rate5.36Same as national241
Postoperative wound dehiscence rate1.71Same as national177
Abdominopelvic accidental puncture or laceration rate0.91Same as national461
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients55.6Not available178
Hospital return days for pneumonia patients-26.9Not available200
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national1046
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national345
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 national362
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national36
Heart failure (HF) 30-Day Readmission Rate21.1Same as national178
Rate of readmission after hip/knee replacement4.3Same as national138
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national200

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 rating5684
Doctor communication - star rating4684
Communication about medicines - star rating4684
Discharge information - star rating4684
Cleanliness - star rating4684
Quietness - star rating5684
Overall hospital rating - star rating5684
Recommend hospital - star rating5684
Summary star rating4684

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination84980
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 better136441
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 better129405
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20213
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25223
Left before being seen121065
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99106
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16883
Appropriate care for severe sepsis and septic shock8185
Septic Shock 3-Hour Bundle7823
Septic Shock 6-Hour Bundle9417
Severe Sepsis 3-Hour Bundle8985
Severe Sepsis 6-Hour Bundle9862
Discharged on Antithrombotic Therapy9851
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis951575
Intensive Care Unit Venous Thromboembolism Prophylaxis99464

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 Mount Pleasant Hospital rated?
Mount Pleasant Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Mount Pleasant Hospital have emergency services?
Yes. Mount Pleasant Hospital operates a 24/7 emergency department.
Where is Mount Pleasant Hospital located?
Mount Pleasant Hospital is located at 3510 Highway 17 North Suite 140, Mount Pleasant, SC 29466.
What type of hospital is Mount Pleasant Hospital?
Mount Pleasant 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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