JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Southwest Ms Regional Medical Center

2 / 5

At a glance

Southwest Ms Regional Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 0 and worse on 6.

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 Limit0.043Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.208Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1820Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.172Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.853Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.017Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.660Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4124Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.971Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.337Same as national
SSI - Colon Surgery: Lower Confidence Limit1.180Worse than national
SSI - Colon Surgery: Upper Confidence Limit7.136Worse than national
SSI - Colon Surgery: Number of Procedures54Worse than national
SSI - Colon Surgery: Predicted Cases1.553Worse than national
SSI - Colon Surgery: Observed Cases5Worse than national
SSI - Colon Surgery3.220Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures74Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.772Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.707Same as national
MRSA Bacteremia: Upper Confidence Limit7.567Same as national
MRSA Bacteremia: Patient Days19856Same as national
MRSA Bacteremia: Predicted Cases1.079Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia2.780Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.228Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.378Same as national
Clostridium Difficile (C.Diff): Patient Days18932Same as national
Clostridium Difficile (C.Diff): Predicted Cases8.043Same as national
Clostridium Difficile (C.Diff): Observed Cases5Same as national
Clostridium Difficile (C.Diff)0.622Same 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 Rate5.2Worse than national508
Death rate for heart attack patients15.5Same as national67
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.4Same as national68
Death rate for heart failure patients12.8Same as national131
Death rate for pneumonia patients15.9Same as national255
Death rate for stroke patientsNot available
Pressure ulcer rate0.30Same as national1932
Death rate among surgical inpatients with serious treatable complications160.06Same as national35
Iatrogenic pneumothorax rate0.18Same as national2435
In-hospital fall-associated fracture rate0.25Same as national2493
Postoperative hemorrhage or hematoma rate2.80Same as national354
Postoperative acute kidney injury requiring dialysis rate2.08Same as national43
Postoperative respiratory failure rate7.69Same as national49
Perioperative pulmonary embolism or deep vein thrombosis rate3.87Same as national374
Postoperative sepsis rate5.01Same as national39
Postoperative wound dehiscence rate1.69Same as national78
Abdominopelvic accidental puncture or laceration rate0.99Same as national417
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients41.9Not available78
Hospital return days for heart failure patients13Not available160
Hospital return days for pneumonia patients19.8Not available280
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national849
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national777
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.4Same as national130
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national130
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national212
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national78
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national83
Heart failure (HF) 30-Day Readmission Rate20.9Same as national160
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national280

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 rating4518
Doctor communication - star rating3518
Communication about medicines - star rating3518
Discharge information - star rating3518
Cleanliness - star rating3518
Quietness - star rating4518
Overall hospital rating - star rating4518
Recommend hospital - star rating3518
Summary star rating3518

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 vaccination571097
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 better127578
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 better124552
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21614
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31013
Left before being seen134414
Head CT results6411
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9451
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14917
Appropriate care for severe sepsis and septic shock66290
Septic Shock 3-Hour Bundle79112
Septic Shock 6-Hour Bundle9174
Severe Sepsis 3-Hour Bundle79292
Severe Sepsis 6-Hour Bundle96136
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis991880
Intensive Care Unit Venous Thromboembolism Prophylaxis99655

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 Southwest Ms Regional Medical Center rated?
Southwest Ms Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Southwest Ms Regional Medical Center have emergency services?
Yes. Southwest Ms Regional Medical Center operates a 24/7 emergency department.
Where is Southwest Ms Regional Medical Center located?
Southwest Ms Regional Medical Center is located at 215 Marion Av Box 1307, Mccomb, MS 39649.
What type of hospital is Southwest Ms Regional Medical Center?
Southwest Ms Regional Medical Center 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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