★★★☆☆3 out of 5 StarsWhy 3 stars?Iredell Memorial Hospital Inc's 3-star rating reflects below-average performance on Timely Care.
CMS Overall Hospital Quality Star Rating · Iredell Memorial Hospital Inc
How was Iredell Memorial Hospital Inc's 3-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Iredell Memorial Hospital Inc. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed Iredell Memorial Hospital Inc's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
6 of 7
0 better6 same0 worse
Safety of Care
22%
18 of 19
1 better16 same1 worse
Readmissions
22%
5 of 6
0 better4 same1 worse
Timely & Effective Care
12%
16 of 22
1 better11 same4 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Iredell Memorial Hospital Inc
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 3.90 95% interval: 3.10 – 4.70 Sample size: 714Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for COPD patientsNo Different Than the National RateHospital score: 9.60 95% interval: 6.50 – 13.90 Sample size: 117Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 14.20 95% interval: 10.40 – 19.00 Sample size: 49Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 13.70 95% interval: 10.50 – 17.80 Sample size: 204Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 16.20 95% interval: 13.40 – 19.60 Sample size: 439Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 11.90 95% interval: 8.70 – 16.10 Sample size: 110Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKDeath rate for CABG surgery patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABG
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Iredell Memorial Hospital Inc
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.11 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 0.95 95% interval: 0.00 – 2.00 Sample size: 467Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Catheter Associated Urinary Tract Infections (ICU + select Wards)No Different than National BenchmarkHospital score: 0.65 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.18 95% interval: 0.00 – 0.41 Sample size: 3,182Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 4.80 95% interval: 2.70 – 8.80 Sample size: 58Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.29 95% interval: 0.08 – 0.49 Sample size: 3,199Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08MRSA BacteremiaNo Different than National BenchmarkHospital score: 0.72 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRPostoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.42 95% interval: 0.77 – 4.07 Sample size: 461Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 5.50 95% interval: 3.09 – 7.92 Sample size: 480Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.56 95% interval: 0.00 – 3.24 Sample size: 149Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 8.78 95% interval: 0.30 – 17.26 Sample size: 160Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.69 95% interval: 1.52 – 9.85 Sample size: 138Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.29 95% interval: 0.00 – 1.21 Sample size: 2,442Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 0.98 95% interval: 0.58 – 1.38 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 1.34 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 177.76 95% interval: 120.76 – 234.76 Sample size: 43Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.69 95% interval: 0.19 – 3.19 Sample size: 139Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Central Line Associated Bloodstream Infection (ICU + select Wards)Worse than the National BenchmarkHospital score: 2.91 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRSSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIR
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Iredell Memorial Hospital Inc
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Iredell's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses76%
Communication with Doctors78%
Hospital Cleanliness69%
Hospital Quietness57%
Staff ResponsivenessN/A
Discharge Information88%
Overall Hospital Rating (9 or 10)69%
Would Recommend Hospital70%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Below National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Iredell Memorial Hospital Inc
WorseUS AvgBetter
Underlying measures:Head CT resultsBetter than ~75% of hospitalsHospital score: 88.00 % National median: 74.00 % (higher is better)
Sample size: 33Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Antithrombotic Therapy by End of Hospital Day 2Near the national medianHospital score: 95.00 % National median: 94.00 % (higher is better)
Sample size: 97Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_05Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsNear the national medianHospital score: 96.00 % National median: 97.00 % (higher is better)
Sample size: 49Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 305.00 min National median: 248.00 min (lower is better)
Sample size: 18Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAverage (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 betterNear the national medianHospital score: 186.00 min National median: 148.00 min (lower is better)
Sample size: 372Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterNear the national medianHospital score: 188.00 min National median: 154.00 min (lower is better)
Sample size: 398Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aAppropriate care for severe sepsis and septic shockNear the national medianHospital score: 58.00 % National median: 64.00 % (higher is better)
Sample size: 254Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleNear the national medianHospital score: 66.00 % National median: 72.00 % (higher is better)
Sample size: 104Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSeptic Shock 6-Hour BundleNear the national medianHospital score: 86.00 % National median: 89.00 % (higher is better)
Sample size: 49Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRSevere Sepsis 3-Hour BundleNear the national medianHospital score: 78.00 % National median: 81.00 % (higher is better)
Sample size: 254Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleNear the national medianHospital score: 96.00 % National median: 94.00 % (higher is better)
Sample size: 150Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRHealthcare workers given influenza vaccinationNear the national medianHospital score: 85.00 % National median: 79.00 % (higher is better)
Sample size: 2,009Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Discharged on Antithrombotic TherapyWorse than ~75% of hospitalsHospital score: 96.00 % National median: 98.00 % (higher is better)
Sample size: 115Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Safe Use of Opioids - Concurrent PrescribingWorse than ~75% of hospitalsHospital score: 22.00 % National median: 15.00 % (lower is better)
Sample size: 2,047Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSIntensive Care Unit Venous Thromboembolism ProphylaxisWorse than ~75% of hospitalsHospital score: 90.00 % National median: 97.00 % (higher is better)
Sample size: 1,098Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Left before being seenWorse than ~75% of hospitalsHospital score: 2.00 % National median: 1.00 % (lower is better)
Sample size: 44,081Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22
Clinical Staff
Iredell Memorial Hospital Inc has 277 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Nurse Practitioner46
Certified Registered Nurse Anesthetist (Crna)28
Physician Assistant27
Diagnostic Radiology27
Internal Medicine26
Emergency Medicine15
Family Practice15
General Surgery9
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
274(99%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
23(8%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
83 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 60
(72%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 277 clinicians affiliated with Iredell Memorial Hospital Inc.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.