Self Regional Healthcare

Hospital in Greenwood, SC, Medicare certification number 420071. CMS publishes 67 quality measures for it.

Medicare certification

Provider of Services

CCN: 420071The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Apr 1, 1969
Last certification: Sep 9, 2022
Beds: 358
Overall star rating: 4 of 5Care Compare
Address: 1325 Spring Street
Greenwood, SC 29646
(864) 227-4111

NPI records for this facility 4

Self Regional Healthcare
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Medicare enrollment
Self Regional Healthcare
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
Medicare enrollment
Self Regional Healthcare
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
Medicare enrollment
Self Regional Healthcare
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.08 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.72 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.36 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.48 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.68 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.34 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.62 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.7 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.42 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.87
- State average 1.02 (computed here)
- National average 1.06
- No different than the national rate
- 896 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.98
- State average 0.96 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected164.64
- State average 172.77 (computed here)
- National average 173.3
- No different than the national rate
- 41 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected3.2
- State average 2.47 (computed here)
- National average 2.4
- No different than the national rate
- 94 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.9
- State average 9.05 (computed here)
- National average 8.6
- No different than the national rate
- 123 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12
- State average 12.1 (computed here)
- National average 11.9
- No different than the national rate
- 221 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.4
- State average 11.55 (computed here)
- National average 11.1
- No different than the national rate
- 368 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15
- State average 15.93 (computed here)
- National average 15.2
- No different than the national rate
- 383 patients
- Period from 07/01/2022
Death rate for stroke patients As expected14.5
- State average 12.08 (computed here)
- National average 11.9
- No different than the national rate
- 236 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Worse5.5
- State average 3.86 (computed here)
- National average 3.9
- Worse than the national rate
- 2,888 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 5,155 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.34
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 5,216 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Worse6.06
- State average 3.45 (computed here)
- National average 3.52
- Worse than the national rate
- 1,252 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.36
- State average 1.6 (computed here)
- National average 1.67
- No different than the national rate
- 535 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.26
- State average 2.29 (computed here)
- National average 2.34
- No different than the national rate
- 1,148 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.41
- State average 9.45 (computed here)
- National average 9.42
- No different than the national rate
- 554 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.83
- State average 5.07 (computed here)
- National average 5.27
- No different than the national rate
- 526 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.61
- State average 1.75 (computed here)
- National average 1.77
- No different than the national rate
- 324 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.22
- State average 0.53 (computed here)
- National average 0.63
- No different than the national rate
- 4,401 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.9
- State average 4.21 (computed here)
- National average 4.1
- No different than the national rate
- 30 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.18
- State average 0.56
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.77
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.18
- State average 0.3
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.28
- State average 0.61
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.54
- State average 1.09
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 9.8
- State average 6.74 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 5.5
- State average 6.44 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.07
- State average 0.99
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 94
- State average 94 (computed here)
- National average 92.79 (computed here)
- 176 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 65
- State average 63
- National average 65
- 509 patients
- Period from 10/01/2024
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 202
- State average 163
- National average 168
- 398 patients
- Period from 10/01/2024
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 199
- State average 158
- National average 162
- 386 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 263
- State average 244
- National average 257
- 12 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.81 (computed here)
- National average 96.1 (computed here)
- 200 patients
- Period from 01/01/2024
Head CT results 81
- State average 72
- National average 69
- 31 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 95
- State average 73
- National average 78
- 3,370 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.4 (computed here)
- National average 0.18 (computed here)
- 6,142 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.68 (computed here)
- National average 1.09 (computed here)
- 2,811 patients
- Period from 01/01/2024
Left before being seen 3
- State average 2
- National average 2
- 54,371 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 17
- National average 15
- 2,960 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 81
- State average 72
- National average 73
- 295 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 87
- State average 88
- National average 87
- 161 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 86
- State average 80
- National average 81
- 509 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 95
- National average 93
- 343 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 60
- State average 51.18 (computed here)
- National average 46.51 (computed here)
- 70 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — high
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 5
Global Malnutrition Composite Score — 4
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 4
Global Malnutrition Composite Score: Malnutrition Risk Screening — 4
Global Malnutrition Composite Score: Nutrition Assessment — 4
Global Malnutrition Composite Score: Nutritional Care Plan — 4
Hospital Harm - Severe Hyperglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.9
- State average 14.31 (computed here)
- National average 14.4
- No different than the national rate
- 285 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.4
- State average 21.55 (computed here)
- National average 21.3
- No different than the national rate
- 553 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 12.9
- State average 1.02 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 222 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 13.1
- State average 4.03 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 394 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -3.9
- State average 2.82 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 394 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.4
- State average 17.74 (computed here)
- National average 17.3
- No different than the national rate
- 509 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.3
- State average 5.43 (computed here)
- National average 5.4
- No different than the national rate
- 279 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.4
- State average 10.07 (computed here)
- National average 10.7
- No different than the national rate
- 279 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.9
- State average 6.1 (computed here)
- National average 5.8
- No different than the national rate
- 27 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected9.1
- State average 11.41 (computed here)
- National average 11
- No different than the national rate
- 101 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.7
- State average 20.02 (computed here)
- National average 20
- No different than the national rate
- 232 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.6
- State average 13.03 (computed here)
- National average 13
- No different than the national rate
- 93 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 672 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.