JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Southeastern Regional Medical Center, Inc

5 / 5

At a glance

Southeastern Regional Medical Center, Inc carries a 5-star CMS overall rating — above the national norm. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days609Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.408Not 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 Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days448Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.212Not 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 Limit—Same as national
SSI - Colon Surgery: Upper Confidence Limit1.195Same as national
SSI - Colon Surgery: Number of Procedures50Same as national
SSI - Colon Surgery: Predicted Cases2.506Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.275Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.416Same as national
SSI - Abdominal Hysterectomy: Number of Procedures69Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.220Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.639Same as national
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days5698Not available
MRSA Bacteremia: Predicted Cases0.244Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.093Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.824Same as national
Clostridium Difficile (C.Diff): Patient Days5698Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.623Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.552Same 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national74
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients—Not available—
Death rate for pneumonia patients—Not available—
Death rate for stroke patients—Not available—
Pressure ulcer rate0.51Same as national302
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national396
In-hospital fall-associated fracture rate0.27Same as national472
Postoperative hemorrhage or hematoma rate2.99Same as national213
Postoperative acute kidney injury requiring dialysis rate1.57Same as national203
Postoperative respiratory failure rate11.72Same as national137
Perioperative pulmonary embolism or deep vein thrombosis rate3.13Same as national221
Postoperative sepsis rate5.80Same as national197
Postoperative wound dehiscence rate1.71Same as national100
Abdominopelvic accidental puncture or laceration rate0.96Same as national197
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients—Not available—
Hospital return days for heart failure patients—Not available—
Hospital return days for pneumonia patients—Not available—
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national157
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national139
Rate of inpatient admissions for patients receiving outpatient chemotherapy7.9Better than national438
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national438
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national102
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate—Not available—
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate—Not available—

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 rating5261
Doctor communication - star rating5261
Communication about medicines - star rating5261
Discharge information - star rating5261
Cleanliness - star rating5261
Quietness - star rating5261
Overall hospital rating - star rating5261
Recommend hospital - star rating5261
Summary star rating5261

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 volume——
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 Hyperglycemia11490
Hospital Harm - Severe Hypoglycemia——
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination84930
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——
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——
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 better——
Left before being seen——
Head CT results——
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9042
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing836
Appropriate care for severe sepsis and septic shock8131
Septic Shock 3-Hour Bundle8312
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle9731
Severe Sepsis 6-Hour Bundle9623
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 2——
Venous Thromboembolism Prophylaxis97555
Intensive Care Unit Venous Thromboembolism Prophylaxis99186

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 Southeastern Regional Medical Center, Inc rated?
Southeastern Regional Medical Center, Inc has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Southeastern Regional Medical Center, Inc have emergency services?
According to CMS records, Southeastern Regional Medical Center, Inc does not report a 24/7 emergency department.
Where is Southeastern Regional Medical Center, Inc located?
Southeastern Regional Medical Center, Inc is located at 600 Celebrate Life Parkway North, Newnan, GA 30265.
What type of hospital is Southeastern Regional Medical Center, Inc?
Southeastern Regional Medical Center, Inc is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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