JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Southeastern Ohio Regional Medical Center

4 / 5

At a glance

Southeastern Ohio Regional Medical Center carries a 4-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 Days1038Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.851Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not 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 Days1207Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.911Not 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 Limit0.635Same as national
SSI - Colon Surgery: Upper Confidence Limit6.798Same as national
SSI - Colon Surgery: Number of Procedures44Same as national
SSI - Colon Surgery: Predicted Cases1.201Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery2.498Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures100Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.906Not 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 Days9473Not available
MRSA Bacteremia: Predicted Cases0.432Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.011Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.132Same as national
Clostridium Difficile (C.Diff): Patient Days8756Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.358Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.229Same 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 Rate5.1Same as national307
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national47
Death rate for heart failure patients9.5Same as national84
Death rate for pneumonia patients16.5Same as national167
Death rate for stroke patientsNot available
Pressure ulcer rate0.44Same as national847
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1209
In-hospital fall-associated fracture rate0.26Same as national1220
Postoperative hemorrhage or hematoma rate2.59Same as national162
Postoperative acute kidney injury requiring dialysis rate1.65Same as national43
Postoperative respiratory failure rate11.56Same as national42
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national169
Postoperative sepsis rate5.99Same as national35
Postoperative wound dehiscence rate1.71Same as national60
Abdominopelvic accidental puncture or laceration rate0.97Same as national239
CMS Medicare PSI 90: Patient safety and adverse events composite1.01Same 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 patients3.3Not available101
Hospital return days for pneumonia patients-10.3Not available172
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national450
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national518
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.3Same as national63
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national63
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national176
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national48
Heart failure (HF) 30-Day Readmission Rate19.5Same as national101
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national172

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 rating3368
Doctor communication - star rating3368
Communication about medicines - star rating2368
Discharge information - star rating3368
Cleanliness - star rating3368
Quietness - star rating2368
Overall hospital rating - star rating2368
Recommend hospital - star rating2368
Summary star rating3368

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 vaccination91846
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 better186511
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 better178467
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27921
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better44624
Left before being seen221081
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97182
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13928
Appropriate care for severe sepsis and septic shock60119
Septic Shock 3-Hour Bundle4224
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle76119
Severe Sepsis 6-Hour Bundle9759
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Southeastern Ohio Regional Medical Center rated?
Southeastern Ohio Regional Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Southeastern Ohio Regional Medical Center have emergency services?
Yes. Southeastern Ohio Regional Medical Center operates a 24/7 emergency department.
Where is Southeastern Ohio Regional Medical Center located?
Southeastern Ohio Regional Medical Center is located at 1341 North Clark Street, Cambridge, OH 43725.
What type of hospital is Southeastern Ohio Regional Medical Center?
Southeastern Ohio Regional Medical Center 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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