JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Tidalhealth Peninsula Regional, Inc

4 / 5

At a glance

Tidalhealth Peninsula Regional, Inc carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. 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 Limit0.030Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.592Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10841Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.156Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.179Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.391Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.473Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9042Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.214Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.803Same as national
SSI - Colon Surgery: Lower Confidence Limit0.071Same as national
SSI - Colon Surgery: Upper Confidence Limit1.405Same as national
SSI - Colon Surgery: Number of Procedures178Same as national
SSI - Colon Surgery: Predicted Cases4.703Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.425Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures44Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.348Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.253Same as national
MRSA Bacteremia: Upper Confidence Limit1.923Same as national
MRSA Bacteremia: Patient Days96059Same as national
MRSA Bacteremia: Predicted Cases5.017Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.797Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.147Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.486Better than national
Clostridium Difficile (C.Diff): Patient Days90083Better than national
Clostridium Difficile (C.Diff): Predicted Cases39.351Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.280Better than 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 patients2.8Same as national121
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national2999
Death rate for heart attack patients11.5Same as national452
Death rate for CABG surgery patients3Same as national270
Death rate for COPD patients11.8Worse than national443
Death rate for heart failure patients9.9Same as national514
Death rate for pneumonia patients17.7Same as national681
Death rate for stroke patients13.8Same as national530
Pressure ulcer rate0.65Same as national11319
Death rate among surgical inpatients with serious treatable complications212.08Same as national93
Iatrogenic pneumothorax rate0.40Worse than national12755
In-hospital fall-associated fracture rate0.30Same as national13112
Postoperative hemorrhage or hematoma rate2.04Same as national2866
Postoperative acute kidney injury requiring dialysis rate0.93Same as national1441
Postoperative respiratory failure rate11.19Same as national1486
Perioperative pulmonary embolism or deep vein thrombosis rate2.58Same as national3237
Postoperative sepsis rate2.86Same as national1500
Postoperative wound dehiscence rate1.76Same as national643
Abdominopelvic accidental puncture or laceration rate0.66Same as national1985
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patients20.9Not available482
Hospital return days for heart failure patients-12.9Not available560
Hospital return days for pneumonia patients11.4Not available684
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.8Better than national4778
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.7Same as national1766
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national207
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.4Same as national207
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national889
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national482
Rate of readmission for CABG9.3Same as national260
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national475
Heart failure (HF) 30-Day Readmission Rate17.5Same as national560
Rate of readmission after hip/knee replacement4.3Same as national114
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national684

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 rating4591
Doctor communication - star rating3591
Communication about medicines - star rating2591
Discharge information - star rating4591
Cleanliness - star rating2591
Quietness - star rating2591
Overall hospital rating - star rating3591
Recommend hospital - star rating3591
Summary star rating3591

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 volumevery high
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 vaccination944180
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 better177364
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 better176339
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22222
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 seen380141
Head CT results6216
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99242
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing134059
Appropriate care for severe sepsis and septic shock55128
Septic Shock 3-Hour Bundle5645
Septic Shock 6-Hour Bundle7617
Severe Sepsis 3-Hour Bundle81128
Severe Sepsis 6-Hour Bundle8974
Discharged on Antithrombotic Therapy98374
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298325
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis952550

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 Tidalhealth Peninsula Regional, Inc rated?
Tidalhealth Peninsula Regional, Inc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Tidalhealth Peninsula Regional, Inc have emergency services?
Yes. Tidalhealth Peninsula Regional, Inc operates a 24/7 emergency department.
Where is Tidalhealth Peninsula Regional, Inc located?
Tidalhealth Peninsula Regional, Inc is located at 100 East Carroll Avenue, Salisbury, MD 21801.
What type of hospital is Tidalhealth Peninsula Regional, Inc?
Tidalhealth Peninsula Regional, Inc 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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