JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Pelham Medical Center

5 / 5

At a glance

Pelham Medical Center 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.928Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1715Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.023Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
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 Days1973Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.669Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.021Same as national
SSI - Colon Surgery: Upper Confidence Limit2.102Same as national
SSI - Colon Surgery: Number of Procedures85Same as national
SSI - Colon Surgery: Predicted Cases2.346Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.426Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.022Not 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 Days19636Not available
MRSA Bacteremia: Predicted Cases0.317Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.068Same as national
Clostridium Difficile (C.Diff): Patient Days19636Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.806Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national529
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national39
Death rate for heart failure patients12.7Same as national97
Death rate for pneumonia patients15.3Same as national156
Death rate for stroke patients11Same as national61
Pressure ulcer rate0.42Same as national1362
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1766
In-hospital fall-associated fracture rate0.30Same as national1706
Postoperative hemorrhage or hematoma rate2.41Same as national473
Postoperative acute kidney injury requiring dialysis rate1.63Same as national313
Postoperative respiratory failure rate9.26Same as national311
Perioperative pulmonary embolism or deep vein thrombosis rate3.73Same as national480
Postoperative sepsis rate4.71Same as national281
Postoperative wound dehiscence rate1.72Same as national184
Abdominopelvic accidental puncture or laceration rate0.99Same as national272
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients25.5Not available107
Hospital return days for pneumonia patients-2.9Not available161
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national738
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national285
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 national383
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national39
Heart failure (HF) 30-Day Readmission Rate20.1Same as national107
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national161

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 rating5523
Doctor communication - star rating4523
Communication about medicines - star rating4523
Discharge information - star rating5523
Cleanliness - star rating5523
Quietness - star rating4523
Overall hospital rating - star rating5523
Recommend hospital - star rating5523
Summary star rating5523

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 Events01896
Healthcare workers given influenza vaccination661054
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 better176408
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 better173381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32219
Left before being seen238745
Head CT results7020
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9579
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing241129
Appropriate care for severe sepsis and septic shock68108
Septic Shock 3-Hour Bundle6242
Septic Shock 6-Hour Bundle7117
Severe Sepsis 3-Hour Bundle89108
Severe Sepsis 6-Hour Bundle9762
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis981962
Intensive Care Unit Venous Thromboembolism Prophylaxis98294

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 Pelham Medical Center rated?
Pelham Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Pelham Medical Center have emergency services?
Yes. Pelham Medical Center operates a 24/7 emergency department.
Where is Pelham Medical Center located?
Pelham Medical Center is located at 250 Westmoreland Road, Greer, SC 29651.
What type of hospital is Pelham Medical Center?
Pelham Medical Center 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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