JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

Rex Hospital

5 / 5

At a glance

Rex 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 18 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.062Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.473Better than national
Central Line Associated Bloodstream Infection: Number of Device Days20018Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases20.380Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.196Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.430Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.120Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days17075Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases23.803Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases17Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.714Same as national
SSI - Colon Surgery: Lower Confidence Limit0.281Better than national
SSI - Colon Surgery: Upper Confidence Limit0.930Better than national
SSI - Colon Surgery: Number of Procedures753Better than national
SSI - Colon Surgery: Predicted Cases20.549Better than national
SSI - Colon Surgery: Observed Cases11Better than national
SSI - Colon Surgery0.535Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.354Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.791Same as national
SSI - Abdominal Hysterectomy: Number of Procedures260Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.154Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.393Same as national
MRSA Bacteremia: Lower Confidence Limit0.415Same as national
MRSA Bacteremia: Upper Confidence Limit1.457Same as national
MRSA Bacteremia: Patient Days185192Same as national
MRSA Bacteremia: Predicted Cases12.235Same as national
MRSA Bacteremia: Observed Cases10Same as national
MRSA Bacteremia0.817Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.192Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.437Better than national
Clostridium Difficile (C.Diff): Patient Days171651Better than national
Clostridium Difficile (C.Diff): Predicted Cases77.730Better than national
Clostridium Difficile (C.Diff): Observed Cases23Better than national
Clostridium Difficile (C.Diff)0.296Better 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.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients2.5Same as national196
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Better than national3860
Death rate for heart attack patients10.8Same as national453
Death rate for CABG surgery patients1.5Same as national250
Death rate for COPD patients8.7Same as national194
Death rate for heart failure patients8.1Better than national1116
Death rate for pneumonia patients13.2Better than national647
Death rate for stroke patients11.3Same as national392
Pressure ulcer rate1.39Worse than national12134
Death rate among surgical inpatients with serious treatable complications158.96Same as national202
Iatrogenic pneumothorax rate0.26Same as national14264
In-hospital fall-associated fracture rate0.28Same as national15123
Postoperative hemorrhage or hematoma rate2.44Same as national4449
Postoperative acute kidney injury requiring dialysis rate1.48Same as national2227
Postoperative respiratory failure rate10.28Same as national2145
Perioperative pulmonary embolism or deep vein thrombosis rate3.62Same as national4718
Postoperative sepsis rate4.14Same as national2121
Postoperative wound dehiscence rate1.35Same as national1045
Abdominopelvic accidental puncture or laceration rate0.62Same as national2944
CMS Medicare PSI 90: Patient safety and adverse events composite1.19Same 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 patients-2Not available550
Hospital return days for heart failure patients-9.6Not available1307
Hospital return days for pneumonia patients6.9Not available651
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national6184
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.7Same as national1010
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.5Same as national629
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.5Same as national629
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national2446
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national550
Rate of readmission for CABG9.1Same as national249
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.4Same as national200
Heart failure (HF) 30-Day Readmission Rate19.2Same as national1307
Rate of readmission after hip/knee replacement5.4Same as national176
Pneumonia (PN) 30-Day Readmission Rate16Same as national651

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 rating45124
Doctor communication - star rating45124
Communication about medicines - star rating35124
Discharge information - star rating45124
Cleanliness - star rating45124
Quietness - star rating35124
Overall hospital rating - star rating45124
Recommend hospital - star rating55124
Summary star rating45124

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 volumevery 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 vaccination9723072
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 better204400
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 better198374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38022
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 seen193015
Head CT results5012
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98146
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6327
Safe Use of Opioids - Concurrent Prescribing169040
Appropriate care for severe sepsis and septic shock61181
Septic Shock 3-Hour Bundle7777
Septic Shock 6-Hour Bundle6945
Severe Sepsis 3-Hour Bundle83181
Severe Sepsis 6-Hour Bundle9494
Discharged on Antithrombotic Therapy98438
Anticoagulation Therapy for Atrial Fibrillation/Flutter8099
Antithrombotic Therapy by End of Hospital Day 292368
Venous Thromboembolism Prophylaxis
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 Rex Hospital rated?
Rex Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Rex Hospital have emergency services?
Yes. Rex Hospital operates a 24/7 emergency department.
Where is Rex Hospital located?
Rex Hospital is located at 4420 Lake Boone Trail, Raleigh, NC 27607.
What type of hospital is Rex Hospital?
Rex Hospital is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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