Complications & Deaths Measures
20
CMS-tracked
Georgia · Acute Care
University McDuffie County Regional Medical Center
University McDuffie County Regional Medical Center is a CMS-tracked acute care hospitals in Thomson, GA. CMS has not issued an overall star rating for this facility yet.
- 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.
2460 Washington Road, Thomson, GA 30824 · Mc Duffie County · (706) 595-1411
The verdict
University McDuffie County Regional Medical Center is Medicare-certified but has no CMS overall star rating yet, typically a sign its reporting volumes fell below CMS's thresholds during the latest measurement window. 20 individual quality measures are still on file.
- 0
- measures better than national of 7 compared
- Yes
- emergency department on site
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
Quality profile vs. the national benchmark
Mortality 1 measure
Safety of care 2 measures
Readmission 4 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 1.04 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.97 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | N/A | Not Available |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | N/A | Number of Cases Too Small |
| Death rate for heart attack patients | N/A | Not Available |
| Death rate for heart failure patients | N/A | Number of Cases Too Small |
| Death rate for pneumonia patients | 16.5 | Same as National |
| Death rate for stroke patients | N/A | Number of Cases Too Small |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as National |
| Iatrogenic pneumothorax rate | 0.21 | Same as National |
| In-hospital fall-associated fracture rate | 0.27 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.44 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | N/A | Number of Cases Too Small |
| Postoperative hemorrhage or hematoma rate | 2.33 | 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 | 3 |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | 2 |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | 3 |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | 4 |
| 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 | 5 |
| 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) | N/A | Not Available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | N/A | Not Available |
| Clostridium Difficile (C.Diff) | 0 | Same as National |
| MRSA Bacteremia | N/A | Not Available |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | N/A | Not Available |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | N/A | Not Available |
| Heart failure (HF) 30-Day Readmission Rate | 19.6 | Same as National |
| Hospital return days for heart attack patients | N/A | Not Available |
| Hospital return days for heart failure patients | 42.4 | More Days Than Average per 100 Discharges |
| Hospital return days for pneumonia patients | 109.6 | More Days Than Average per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.8 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | 17 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of readmission after hip/knee replacement | N/A | Number of Cases Too Small |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | N/A | Number of Cases Too Small |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.5 | Same as National |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as National |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 0.89 |
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 Georgia
Other Medicare-certified hospitals in Georgia.
Adventhealth Gordon
Calhoun, GA
3/5
Acute Care Hospitals
Adventhealth Murray
Chatsworth, GA
5/5
Acute Care Hospitals
Adventhealth Redmond
Rome, GA
4/5
Acute Care Hospitals
Appling Healthcare
Baxley, GA
No rating Acute Care Hospitals
Archbold Brooks
Quitman, GA
No rating Critical Access Hospitals
Archbold Memorial Hospital
Thomasville, GA
3/5
Acute Care Hospitals
Compare University McDuffie County Regional Medical Center vs Adventhealth Gordon →
Hospital Quality Guides
Frequently Asked Questions
What is the CMS star rating for University McDuffie County Regional Medical Center?
University McDuffie County Regional Medical Center does not currently have a CMS star rating, typically because reporting volumes fell below CMS's calculation threshold.
How does University McDuffie County Regional Medical Center perform on quality measures?
0 of 7 compared mortality, safety, and readmission measures rate better than the national average at University McDuffie County Regional Medical Center; 1 rate worse.
What do patients say about University McDuffie County Regional Medical Center?
University McDuffie County Regional Medical Center reports 17 HCAHPS patient-experience domain scores. Star ratings range from 2 to 5 out of 5.
What are the infection rates at University McDuffie County Regional Medical Center?
University McDuffie County Regional Medical Center tracks 6 healthcare-associated infection types (CDC NHSN). 0 are better than the national benchmark, 0 are worse, and 1 are at the national average.
Does University McDuffie County Regional Medical Center have emergency services?
Yes, University McDuffie County Regional Medical Center provides emergency services.
What type of hospital is University McDuffie County Regional Medical Center?
University McDuffie County Regional Medical Center is a Acute Care Hospitals facility with Government - Hospital District or Authority ownership, located in Thomson, GA.
How much does Medicare spend at University McDuffie County Regional Medical Center?
1 Medicare spending category is on file for University McDuffie County Regional Medical Center, per episode vs. the national median.
Does University McDuffie County Regional Medical Center offer maternal health services?
Yes, University McDuffie County Regional Medical Center reports 4 maternal health measures.
Data Sources
Source: Centers for Medicare & Medicaid Services (CMS) Hospital Compare. Last refreshed from CMS: . About PlainHospital
Read our methodology & full data source list
Every figure on PlainHospital is rendered directly from federal source data, no number is typed in by an editor. This page draws directly on federal source data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.