Acute Care Hospitals · Government - Local
Duke Regional Hospital
- 3643 N Roxboro Street, Durham, NC 27704
- (919) 470-4000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Duke Regional Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0.
Healthcare-Associated Infections
lower is better · 36 measures reported
Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.348 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.572 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 8594 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 8.807 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 7 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.795 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.040 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.787 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6557 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 8.394 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 2 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.238 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | — | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.793 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 138 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 3.776 | Better than national |
| SSI - Colon Surgery: Observed Cases | 0 | Better than national |
| SSI - Colon Surgery | 0.000 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 81 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.706 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.051 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.995 | Better than national |
| MRSA Bacteremia: Patient Days | 105698 | Better than national |
| MRSA Bacteremia: Predicted Cases | 6.639 | Better than national |
| MRSA Bacteremia: Observed Cases | 2 | Better than national |
| MRSA Bacteremia | 0.301 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.032 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.244 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 96573 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 39.510 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 4 | Better than national |
| Clostridium Difficile (C.Diff) | 0.101 | Better than national |
Complications & Deaths
lower is better · 20 measures reported
Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.5 | Same as national | 146 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.4 | Better than national | 1327 |
| Death rate for heart attack patients | 11.2 | Same as national | 134 |
| Death rate for CABG surgery patients | 3 | Same as national | 48 |
| Death rate for COPD patients | 8.5 | Same as national | 145 |
| Death rate for heart failure patients | 12.5 | Same as national | 374 |
| Death rate for pneumonia patients | 14.6 | Same as national | 297 |
| Death rate for stroke patients | 11.2 | Same as national | 124 |
| Pressure ulcer rate | 0.52 | Same as national | 4538 |
| Death rate among surgical inpatients with serious treatable complications | 134.57 | Same as national | 57 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 5561 |
| In-hospital fall-associated fracture rate | 0.25 | Same as national | 5533 |
| Postoperative hemorrhage or hematoma rate | 2.62 | Same as national | 1088 |
| Postoperative acute kidney injury requiring dialysis rate | 1.91 | Same as national | 472 |
| Postoperative respiratory failure rate | 9.07 | Same as national | 503 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.20 | Same as national | 1215 |
| Postoperative sepsis rate | 4.64 | Same as national | 468 |
| Postoperative wound dehiscence rate | 1.67 | Same as national | 234 |
| Abdominopelvic accidental puncture or laceration rate | 1.12 | Same as national | 931 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.98 | Same as national | — |
Unplanned Hospital Visits & Readmissions
lower is better · 14 measures reported
How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 34.8 | Not available | 126 |
| Hospital return days for heart failure patients | -10.2 | Not available | 413 |
| Hospital return days for pneumonia patients | -4.6 | Not available | 317 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.1 | Same as national | 2164 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 11.2 | Same as national | 1346 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 12.3 | Same as national | 80 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5 | Same as national | 80 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 504 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.2 | Same as national | 126 |
| Rate of readmission for CABG | 11.5 | Same as national | 45 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.2 | Same as national | 157 |
| Heart failure (HF) 30-Day Readmission Rate | 19.5 | Same as national | 413 |
| Rate of readmission after hip/knee replacement | 4.8 | Same as national | 126 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.4 | Same as national | 317 |
Patient Experience (HCAHPS)
higher is better · 9 measures reported
What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 525 |
| Doctor communication - star rating | 4 | 525 |
| Communication about medicines - star rating | 3 | 525 |
| Discharge information - star rating | 4 | 525 |
| Cleanliness - star rating | 2 | 525 |
| Quietness - star rating | 3 | 525 |
| Overall hospital rating - star rating | 4 | 525 |
| Recommend hospital - star rating | 4 | 525 |
| Summary star rating | 4 | 525 |
Timely & Effective Care
higher is better (unless a wait time) · 30 measures reported
How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very high | — |
| Global Malnutrition Composite Score | — | — |
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented | — | — |
| Global Malnutrition Composite Score: Malnutrition Risk Screening | — | — |
| Global Malnutrition Composite Score: Nutrition Assessment | — | — |
| Global Malnutrition Composite Score: Nutritional Care Plan | — | — |
| Hospital Harm - Severe Hyperglycemia | — | — |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 97 | 3502 |
| 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 | 250 | 408 |
| 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 | 244 | 375 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 497 | 32 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | — | — |
| Left before being seen | 3 | 64126 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 92 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 4622 |
| Appropriate care for severe sepsis and septic shock | 65 | 168 |
| Septic Shock 3-Hour Bundle | 61 | 74 |
| Septic Shock 6-Hour Bundle | 91 | 32 |
| Severe Sepsis 3-Hour Bundle | 86 | 169 |
| Severe Sepsis 6-Hour Bundle | 99 | 93 |
| Discharged on Antithrombotic Therapy | 99 | 239 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 89 | 8694 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 95 | 1101 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Duke Regional Hospital rated?
- Duke Regional Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
- Does Duke Regional Hospital have emergency services?
- Yes. Duke Regional Hospital operates a 24/7 emergency department.
- Where is Duke Regional Hospital located?
- Duke Regional Hospital is located at 3643 N Roxboro Street, Durham, NC 27704.
- What type of hospital is Duke Regional Hospital?
- Duke Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).
Compare with nearby hospitals
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Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.