JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Tidelands Waccamaw Community Hospital

4 / 5

At a glance

Tidelands Waccamaw Community Hospital 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 Days1329Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.865Not 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 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 Days1289Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.843Not 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 LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.326Same as national
SSI - Colon Surgery: Number of Procedures94Same as national
SSI - Colon Surgery: Predicted Cases2.260Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures35Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.249Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.237Same as national
MRSA Bacteremia: Patient Days36229Same as national
MRSA Bacteremia: Predicted Cases1.339Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.294Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.329Same as national
Clostridium Difficile (C.Diff): Patient Days33387Same as national
Clostridium Difficile (C.Diff): Predicted Cases10.416Same as national
Clostridium Difficile (C.Diff): Observed Cases7Same as national
Clostridium Difficile (C.Diff)0.672Same 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 patients4.5Same as national54
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national1383
Death rate for heart attack patients13.5Same as national108
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.6Same as national158
Death rate for heart failure patients12.4Same as national383
Death rate for pneumonia patients18.5Same as national455
Death rate for stroke patients13.2Same as national147
Pressure ulcer rate0.56Same as national3699
Death rate among surgical inpatients with serious treatable complications188.33Same as national32
Iatrogenic pneumothorax rate0.22Same as national5091
In-hospital fall-associated fracture rate0.31Same as national4921
Postoperative hemorrhage or hematoma rate1.90Same as national990
Postoperative acute kidney injury requiring dialysis rate1.46Same as national501
Postoperative respiratory failure rate8.57Same as national501
Perioperative pulmonary embolism or deep vein thrombosis rate4.59Same as national1027
Postoperative sepsis rate4.67Same as national459
Postoperative wound dehiscence rate1.66Same as national278
Abdominopelvic accidental puncture or laceration rate1.37Same as national852
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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 patients-0.3Not available412
Hospital return days for pneumonia patients0Not available456
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national2082
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national2548
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national583
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national44
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.6Same as national170
Heart failure (HF) 30-Day Readmission Rate19Same as national412
Rate of readmission after hip/knee replacement5.4Same as national55
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national456

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 rating4578
Doctor communication - star rating4578
Communication about medicines - star rating3578
Discharge information - star rating4578
Cleanliness - star rating2578
Quietness - star rating3578
Overall hospital rating - star rating4578
Recommend hospital - star rating4578
Summary star rating4578

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 vaccination881810
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 better181417
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 better178390
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32012
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better18018
Left before being seen330961
Head CT results10011
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94108
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141573
Appropriate care for severe sepsis and septic shock54112
Septic Shock 3-Hour Bundle6146
Septic Shock 6-Hour Bundle5520
Severe Sepsis 3-Hour Bundle82112
Severe Sepsis 6-Hour Bundle9463
Discharged on Antithrombotic Therapy10082
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29274
Venous Thromboembolism Prophylaxis812486
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 Tidelands Waccamaw Community Hospital rated?
Tidelands Waccamaw Community Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Tidelands Waccamaw Community Hospital have emergency services?
Yes. Tidelands Waccamaw Community Hospital operates a 24/7 emergency department.
Where is Tidelands Waccamaw Community Hospital located?
Tidelands Waccamaw Community Hospital is located at 4070 Hwy 17, Murrells Inlet, SC 29576.
What type of hospital is Tidelands Waccamaw Community Hospital?
Tidelands Waccamaw Community 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.

Report an issue with this page