JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Northern Regional Hospital

4 / 5

At a glance

Northern Regional Hospital carries a 4-star CMS overall rating — above the national norm.

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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1176Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.827Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.723Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2568Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.739Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.682Same as national
SSI - Colon Surgery: Upper Confidence Limit7.296Same as national
SSI - Colon Surgery: Number of Procedures41Same as national
SSI - Colon Surgery: Predicted Cases1.119Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery2.681Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures11Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.110Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days18984Not available
MRSA Bacteremia: Predicted Cases0.880Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.399Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.501Same as national
Clostridium Difficile (C.Diff): Patient Days18430Same as national
Clostridium Difficile (C.Diff): Predicted Cases11.004Same as national
Clostridium Difficile (C.Diff): Observed Cases9Same as national
Clostridium Difficile (C.Diff)0.818Same as 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.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national457
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients13Same as national62
Death rate for heart failure patients10.2Same as national142
Death rate for pneumonia patients14.2Same as national277
Death rate for stroke patients14.2Same as national97
Pressure ulcer rate0.43Same as national1313
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1640
In-hospital fall-associated fracture rate0.30Same as national1515
Postoperative hemorrhage or hematoma rate2.26Same as national187
Postoperative acute kidney injury requiring dialysis rate1.66Same as national34
Postoperative respiratory failure rate14.23Same as national31
Perioperative pulmonary embolism or deep vein thrombosis rate5.12Same as national190
Postoperative sepsis rate5.05Same as national27
Postoperative wound dehiscence rate2.05Same as national70
Abdominopelvic accidental puncture or laceration rate1.00Same as national216
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients0.7Not available155
Hospital return days for pneumonia patients3.9Not available278
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national632
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national659
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national31
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national31
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national245
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national63
Heart failure (HF) 30-Day Readmission Rate19.5Same as national155
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national278

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.

MeasureScoreSample
Nurse communication - star rating5447
Doctor communication - star rating5447
Communication about medicines - star rating3447
Discharge information - star rating5447
Cleanliness - star rating4447
Quietness - star rating4447
Overall hospital rating - star rating4447
Recommend hospital - star rating4447
Summary star rating4447

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.

MeasureScoreSample
Emergency department volumemedium
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 Hypoglycemia11075
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination921283
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 better207397
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 better191345
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better37644
Left before being seen234024
Head CT results9328
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100180
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151007
Appropriate care for severe sepsis and septic shock60102
Septic Shock 3-Hour Bundle8642
Septic Shock 6-Hour Bundle8217
Severe Sepsis 3-Hour Bundle75102
Severe Sepsis 6-Hour Bundle8642
Discharged on Antithrombotic Therapy9681
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis962026
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Northern Regional Hospital rated?
Northern Regional Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Northern Regional Hospital have emergency services?
Yes. Northern Regional Hospital operates a 24/7 emergency department.
Where is Northern Regional Hospital located?
Northern Regional Hospital is located at 830 Rockford St, Mount Airy, NC 27030.
What type of hospital is Northern Regional Hospital?
Northern Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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.

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