Mcleod Regional Medical Center-Pee Dee
An acute care hospital in Florence, South Carolina 29506
555 E Cheves St Box 8700, Florence, South Carolina 29506. (843) 777-2900.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 461 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Oct 31, 2024: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Oct 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Oct 31, 2024: complaint inspection1 deficiency
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Discharge Planning-D/C Planning List
The inspectors’ words, 899 words
“DISCHARGE PLANNING-D/C PLANNING LIST CFR(s): [The hospital must] include the discharge planning a list of HHA’s, SNF’s, IRF’s, or LTCH’s that are available to the patient, that are participating in the Medicare program, and that serve the geographic area(as defined by the HHA) in which the patient resides, or in the case of a SNF, IRF, or LTCH, in the geographic area requested by the patient. HHAs must request to be listed by the hospital as available. (i) The list must only be presented to patients for whom home health care post hospital extended care services, SNF, IRF, or LTCH services are indicated and appropriate as determined by the discharge planning evaluation. (ii) For patients enrolled in managed care organizations, the hospital must make the patient aware of the need to verify with their managed care organization which practitioners, providers or certified suppliers are in the network of the patient’s managed care organization, it must share this with the patient or the patient’s representative. (iii) [The hospital must] document in the patient’s medical record that the list was presented to the patient or to the patient’s representative.…. This Standard is not met as evidenced by: 28883 Based on record review, interviews, and review of the policy “Inpatient Assessment and Discharge Planning Evaluation”, Case Management hospital staff failed to ensure a list of IRFs (Inpatient Rehab Facilities) and SNFs (Skilled Nursing Facilities) had been documented as provided to Patient #11 (1 of 20 patients reviewed for discharge planning) prior to discharge to ensure patient/family preferences had been taken into account. The findings included: Review on 10/30/24 at 1:00PM with Social Worker (SW) #1 of scanned in documents in Patient #11’s medical record revealed the choice form for SNF (Skilled Nursing Facilities) and STR (Short Term Rehab) had been printed on 7/17/24 at 5:29PM; which was after the patient had been discharged. There had been no other Choice Form documented in the patient’s medical record. The choice form included the SNFs Bethea Retirement Community, Morrell Nursing and Rehab, and Florence Presbyterian Community of SC (South Carolina) with the CMS (Centers for Medicare and Medicaid Services) star ratings listed. The bottom of the form included information “Optional: By signing this document I recognize I was presented with choice of a post-acute care provider. SW #1 had signed the form and above Patient #11’s typed name was handwritten the patient’s name with “verbal consent”, under the handwritten name. The form had been dated for 7/17/24. During an interview on 10/30/24 at 1:05PM, SW#1 reviewed his/her case management notes and the Choice Form s/he had documented for Patient #11 and verified it had been printed/signed indicating Patient #11’s verbal consent after the patient’s discharge on 7/17/24. According to SW #1, s/he had provided the choice form to the patient the day of discharge, with the patient giving verbal consent. S/he stated s/he had written verbal consent given as this had been done previously due to the Covid precautions. S/he has since received education that this is not acceptable; that if the patient were alert and oriented, they would need to sign or have 2 witnesses signing the patient had given his/her verbal consent. During an interview on 10/30/24 at 3:04PM, Registered Nurse (RN) Case Manager #1 stated s/he originally talked to Patient #11 and the patient’s daughter about Morrell SNF and Encompass IPR (Inpatient Rehab). When asked about the choice form process s/he stated that they usually give patients a list of options. S/he believed they had given the patient the 2 choices. S/he believed s/he uploaded the choice form with a verbal signature. RN Case Manager stated they had two chooses with more options. The daughters had visited Morrell SNF and decided they did not want that SNF. RN Case Manager #1 stated it was late when s/he spoke to the family, and s/he might not have scanned in the choice form. Review on 11/6/24 at 2:32PM of the Case Management policy that was in effect during Patient #11’s hospitalization in July 2024 entitled, “Inpatient Assessment and Discharge Planning Evaluation”, last revised 7/2023, revealed the purpose of the policy was “ ...To provide a means of assessing admissions for discharge planning needs in order to develop a proactive discharge plan that accommodates the patient’s needs and facilitates the flow of the patient through the continuum of care ... The initial assessment also identifies those who may be at high risk of requiring post-hospital services. For these patients, discharge plans are aimed at ensuring the patient has the appropriate care after leaving the hospital setting. 2. Social Determinants of Health Assessment- The Case Management team completes this assessment as part of their initial inpatient assessment. This assessment helps identify high risk patients for discharge planning interventions and community referral needs. 3. Ongoing Assessment - The Case Management team will re-evaluate discharge plans during multidisciplinary rounds to ensure the plan continues to meet discharge needs of the patient. Needed updates will occur at a minimum when the patient moves from one level of care to another, one unit location to another within the same level of care or after the patient undergoes a surgical intervention. When post-acute service needs are identified using any of the above assessments, the Case Management Department assures that the patient’s right to involvement in his or her care is honored by offering patient choice where more than one option exists.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 31, 2024 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 8; safety of care, 2 better and 0 worse of 7; readmission, 1 better and 2 worse of 11.
- Patients rate it 3 of 5 in CMS’s patient survey (957 surveys completed, Oct 1, 2024 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 72% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, worse than the national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.9%, heart failure 11.9%, pneumonia 14.4%, COPD 10.9%, stroke 10.2%, heart bypass surgery 2.2%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.9%, heart failure 23.9%, pneumonia 19.4%, COPD 23.1%, heart bypass surgery 11.3%, hip or knee replacement 6.4%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 238 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 4% left before being seen.
- 67% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by DNV, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 31% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Mcleod Health owns an unstated share directly since Oct 15, 2007.
- 31 owners or officers are people: Dudley B. Harrington (corporate officer, 100%); Judy S Bibbo (managing employee (on the payroll), 100%); Willie E Boyd (corporate officer); Frances S Jones (corporate officer); Ashley Brady (corporate officer); William N Boulware (corporate officer); Allie E Brooks (corporate officer); Shelia Rollins (managing employee (on the payroll)); Benjamin T Zeigler (corporate officer); Christian Soura (corporate officer); Ronald M Fowler (corporate officer); Virginia L Clyburn-Ipock (corporate officer); Jeannette Glenn (corporate officer); Samuel F Ervin (corporate director); Cameron Coker (managing employee (on the payroll)); Kenneth Beasley (managing employee (on the payroll)); Raymond Clark (corporate officer); Hugh S Blair (corporate officer); Mary Anderson (corporate officer); Tracy Ray (corporate officer); Donna Isgett (corporate officer); Tarek M Bishara (corporate officer); Beverly Hazelwood (corporate officer); Amy Fisher (corporate officer); Amit Vyankatesh Pande (corporate officer); Frank V Boulineau (corporate officer); Patrick Kerry Denton (corporate officer); Frank J Brand (corporate officer); James C Smith (corporate officer); Carl Chelen (corporate officer); John R Braddy (corporate officer).
- CMS’s Provider of Services file records 2 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 2 hospitals CMS lists in Florence County, 2 have an overall star rating from CMS: 2 rated 3 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| MUSC Health Florence Medical Center | 3 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.