Complications & Deaths Measures
20
CMS-tracked
Florida · Acute Care
Memorial Hospital Pembroke
Memorial Hospital Pembroke holds a 3 of 5 CMS overall star rating - below the national average of 3.1 - in Pembroke Pines, FL.
- 3★
- CMS overall rating
- 31st
- National percentile
- 20
- Quality measures
- 6
- Infection types
Data currency: Hospital quality, safety, and patient-experience measures from the CMS Care Compare program (published quarterly), last refreshed May 2026. See our methodology for source dates. Spot a figure that looks wrong? Report a correction.
7800 Sheridan St, Pembroke Pines, FL 33024 · Broward County · (954) 962-9650
The verdict
Memorial Hospital Pembroke earns 3 of 5 stars from CMS - below the 3.1-star national average, and reports 1 quality measure better than the national benchmark against 1 worse.
- 3 / 5
- CMS overall star rating
- Higher than 31%
- of 2,866 rated US hospitals
- 1
- measures better than national of 15 compared
- Yes
- emergency department on site
Where Memorial Hospital Pembroke sits among rated US hospitals
3 Top 69% higher than 31% of 2,866 rated hospitals
Each bar is a band; taller bars hold more rated hospitals. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Hospital Compare, overall hospital rating · 2026-05-15
Memorial Hospital Pembroke vs. Florida and the nation
- Memorial Hospital Pe…
Memorial Hospital Pembroke
3 stars
- Florida avg
Florida state average
2.8 stars
- US avg
National average
3.1 stars
What this shows At 3 stars, Memorial Hospital Pembroke rates above the Florida average of 2.8 and below the national average of 3.1.
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Emergency Services
Yes
Birthing Friendly
N/A
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
CMS Overall Star Rating 60.0%
3 of 5 stars
Quality profile vs. the national benchmark
Mortality 4 measures
Safety of care 6 measures
Readmission 5 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 0.98 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.95 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | N/A | Number of Cases Too Small |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | 7.7 | Same as National |
| Death rate for heart attack patients | N/A | Number of Cases Too Small |
| Death rate for heart failure patients | 10.4 | Same as National |
| Death rate for pneumonia patients | 14.9 | Same as National |
| Death rate for stroke patients | N/A | Number of Cases Too Small |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.9 | Same as National |
| Iatrogenic pneumothorax rate | 0.19 | Same as National |
| In-hospital fall-associated fracture rate | 0.3 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.08 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | 1.56 | Same as National |
| Postoperative hemorrhage or hematoma rate | 2.73 | Same as National |
Patient Experience (HCAHPS)
Experience profile vs. the national average
Source: CMS Hospital Compare, HCAHPS patient survey star ratings.
| Survey Question | Star Rating |
|---|---|
| Cleanliness - linear mean score | N/A |
| Cleanliness - star rating | 4 |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | 3 |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | 3 |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | 3 |
| Nurse communication - linear mean score | N/A |
| Nurse communication - star rating | 4 |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | 4 |
| Quietness - linear mean score | N/A |
| Quietness - star rating | 4 |
| Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating | 4 |
| Summary star rating | 4 |
Safety & Infections
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.466 | Same as National |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.943 | Same as National |
| Clostridium Difficile (C.Diff) | 0.371 | Better than National |
| MRSA Bacteremia | 0 | Same as National |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | 0.777 | Same as National |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | N/A | Number of Cases Too Small |
| Heart failure (HF) 30-Day Readmission Rate | 19.2 | Same as National |
| Hospital return days for heart attack patients | N/A | Number of Cases Too Small |
| Hospital return days for heart failure patients | -15.7 | Average Days per 100 Discharges |
| Hospital return days for pneumonia patients | 45.1 | More Days Than Average per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.6 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | 16.2 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of readmission after hip/knee replacement | N/A | Not Available |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19 | Same as National |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.7 | Same as National |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as National |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 0.93 |
Maternal Health
| Measure | Score |
|---|---|
| Cesarean Birth | N/A |
| Maternal Morbidity Structural Measure | N/A |
| Risk Adjusted Severe Obstetric Complications (All) | N/A |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | N/A |
Nearby Hospitals in Florida
Other Medicare-certified hospitals in Florida.
96th Medical Group (Eglin AFB)
Eglin AFB, FL
No rating Acute Care - Department of Defense
Adventhealth Carrollwood
Tampa, FL
3/5
Acute Care Hospitals
Adventhealth Dade City
Dade City, FL
4/5
Acute Care Hospitals
Adventhealth Daytona Beach
Daytona Beach, FL
4/5
Acute Care Hospitals
Adventhealth Deland
Deland, FL
4/5
Acute Care Hospitals
Adventhealth Fish Memorial
Orange City, FL
5/5
Acute Care Hospitals
Compare Memorial Hospital Pembroke vs 96th Medical Group (Eglin AFB) →
Hospital Quality Guides
Frequently Asked Questions
What is the CMS star rating for Memorial Hospital Pembroke?
Memorial Hospital Pembroke has an overall CMS star rating of 3 out of 5, below the 3.1-star national average.
How does Memorial Hospital Pembroke perform on quality measures?
1 of 15 compared mortality, safety, and readmission measures rate better than the national average at Memorial Hospital Pembroke; 1 rate worse.
What do patients say about Memorial Hospital Pembroke?
Memorial Hospital Pembroke reports 17 HCAHPS patient-experience domain scores. Star ratings range from 3 to 4 out of 5.
What are the infection rates at Memorial Hospital Pembroke?
Memorial Hospital Pembroke tracks 6 healthcare-associated infection types (CDC NHSN). 1 are better than the national benchmark, 0 are worse, and 4 are at the national average.
Does Memorial Hospital Pembroke have emergency services?
Yes, Memorial Hospital Pembroke provides emergency services.
What type of hospital is Memorial Hospital Pembroke?
Memorial Hospital Pembroke is a Acute Care Hospitals facility with Government - Hospital District or Authority ownership, located in Pembroke Pines, FL.
How much does Medicare spend at Memorial Hospital Pembroke?
1 Medicare spending category is on file for Memorial Hospital Pembroke, per episode vs. the national median.
Does Memorial Hospital Pembroke offer maternal health services?
Yes, Memorial Hospital Pembroke reports 4 maternal health measures.
Data Sources
Source: Centers for Medicare & Medicaid Services (CMS) Hospital Compare. Last refreshed from CMS: . About PlainHospital
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