JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Tidelands Georgetown Memorial Hospital

2 / 5

At a glance

Tidelands Georgetown Memorial Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1561Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.906Not 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 Days1589Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.781Not 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures24Not available
SSI - Colon Surgery: Predicted Cases0.636Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures43Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.336Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.037Same as national
MRSA Bacteremia: Upper Confidence Limit3.692Same as national
MRSA Bacteremia: Patient Days20495Same as national
MRSA Bacteremia: Predicted Cases1.336Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.749Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.044Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.874Better than national
Clostridium Difficile (C.Diff): Patient Days20495Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.564Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.264Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national471
Death rate for heart attack patients13.1Same as national113
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.4Same as national39
Death rate for heart failure patients15.9Worse than national154
Death rate for pneumonia patients14.3Same as national150
Death rate for stroke patients11.7Same as national53
Pressure ulcer rate0.38Same as national1332
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.30Same as national1803
In-hospital fall-associated fracture rate0.26Same as national1798
Postoperative hemorrhage or hematoma rate2.79Same as national323
Postoperative acute kidney injury requiring dialysis rate1.61Same as national134
Postoperative respiratory failure rate9.60Same as national139
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national334
Postoperative sepsis rate4.91Same as national131
Postoperative wound dehiscence rate1.73Same as national63
Abdominopelvic accidental puncture or laceration rate1.00Same as national270
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 patients19.5Not available139
Hospital return days for heart failure patients13.6Not available158
Hospital return days for pneumonia patients1.7Not available150
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national682
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national1138
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national431
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.9Same as national431
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national257
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national139
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national37
Heart failure (HF) 30-Day Readmission Rate19.6Same as national158
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national150

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 rating2473
Doctor communication - star rating4473
Communication about medicines - star rating2473
Discharge information - star rating3473
Cleanliness - star rating2473
Quietness - star rating3473
Overall hospital rating - star rating2473
Recommend hospital - star rating2473
Summary star rating3473

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 vaccination871640
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 better164416
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 better161403
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 seen327544
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients90108
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing19675
Appropriate care for severe sepsis and septic shock34111
Septic Shock 3-Hour Bundle5437
Septic Shock 6-Hour Bundle3813
Severe Sepsis 3-Hour Bundle64113
Severe Sepsis 6-Hour Bundle8753
Discharged on Antithrombotic Therapy9982
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29164
Venous Thromboembolism Prophylaxis661797
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Tidelands Georgetown Memorial Hospital rated?
Tidelands Georgetown Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Tidelands Georgetown Memorial Hospital have emergency services?
Yes. Tidelands Georgetown Memorial Hospital operates a 24/7 emergency department.
Where is Tidelands Georgetown Memorial Hospital located?
Tidelands Georgetown Memorial Hospital is located at 606 Black River Rd Drawer 1718, Georgetown, SC 29440.
What type of hospital is Tidelands Georgetown Memorial Hospital?
Tidelands Georgetown Memorial Hospital 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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