JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Pardee Hospital Henderson County

5 / 5

At a glance

Pardee Hospital Henderson County carries a 5-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 Limit0.388Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.155Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2483Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.965Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.527Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.940Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4137Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.186Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.690Same as national
SSI - Colon Surgery: Upper Confidence Limit3.542Same as national
SSI - Colon Surgery: Number of Procedures145Same as national
SSI - Colon Surgery: Predicted Cases3.523Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.703Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures46Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.364Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.191Same as national
MRSA Bacteremia: Upper Confidence Limit3.759Same as national
MRSA Bacteremia: Patient Days36056Same as national
MRSA Bacteremia: Predicted Cases1.758Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.138Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.231Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.046Same as national
Clostridium Difficile (C.Diff): Patient Days35882Same as national
Clostridium Difficile (C.Diff): Predicted Cases13.233Same as national
Clostridium Difficile (C.Diff): Observed Cases7Same as national
Clostridium Difficile (C.Diff)0.529Same 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 patients3.7Same as national386
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1392
Death rate for heart attack patients12.1Same as national205
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.5Same as national102
Death rate for heart failure patients13.5Same as national288
Death rate for pneumonia patients13.4Same as national270
Death rate for stroke patients10.5Same as national145
Pressure ulcer rate0.51Same as national3609
Death rate among surgical inpatients with serious treatable complications180.05Same as national34
Iatrogenic pneumothorax rate0.21Same as national4920
In-hospital fall-associated fracture rate0.23Same as national4808
Postoperative hemorrhage or hematoma rate3.18Same as national1376
Postoperative acute kidney injury requiring dialysis rate1.50Same as national800
Postoperative respiratory failure rate5.01Same as national792
Perioperative pulmonary embolism or deep vein thrombosis rate3.07Same as national1457
Postoperative sepsis rate3.70Same as national743
Postoperative wound dehiscence rate1.64Same as national308
Abdominopelvic accidental puncture or laceration rate0.86Same as national860
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients4.7Not available166
Hospital return days for heart failure patients-48.6Not available296
Hospital return days for pneumonia patients-36.7Not available273
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Same as national2013
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national879
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.4Same as national281
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national281
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1155
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national166
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.4Same as national104
Heart failure (HF) 30-Day Readmission Rate17.6Same as national296
Rate of readmission after hip/knee replacement4.6Same as national373
Pneumonia (PN) 30-Day Readmission Rate14Same as national273

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 rating41129
Doctor communication - star rating41129
Communication about medicines - star rating31129
Discharge information - star rating31129
Cleanliness - star rating41129
Quietness - star rating31129
Overall hospital rating - star rating41129
Recommend hospital - star rating51129
Summary star rating41129

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 Hypoglycemia11546
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination882760
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 better172402
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 better171379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18311
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22112
Left before being seen532139
Head CT results5317
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97114
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing182281
Appropriate care for severe sepsis and septic shock67107
Septic Shock 3-Hour Bundle7942
Septic Shock 6-Hour Bundle10029
Severe Sepsis 3-Hour Bundle79107
Severe Sepsis 6-Hour Bundle9143
Discharged on Antithrombotic Therapy99135
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29988
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Pardee Hospital Henderson County rated?
Pardee Hospital Henderson County has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Pardee Hospital Henderson County have emergency services?
Yes. Pardee Hospital Henderson County operates a 24/7 emergency department.
Where is Pardee Hospital Henderson County located?
Pardee Hospital Henderson County is located at 800 N Justice St, Hendersonville, NC 28791.
What type of hospital is Pardee Hospital Henderson County?
Pardee Hospital Henderson County is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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