JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Wilkes Regional Medical Center

3 / 5

At a glance

Wilkes Regional Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit—Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.339Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1714Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.281Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.891Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2220Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.584Same 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 Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures25Not available
SSI - Colon Surgery: Predicted Cases0.690Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.048Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit0.267Same as national
MRSA Bacteremia: Upper Confidence Limit5.269Same as national
MRSA Bacteremia: Patient Days19993Same as national
MRSA Bacteremia: Predicted Cases1.254Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.595Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.009Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.840Better than national
Clostridium Difficile (C.Diff): Patient Days19495Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.873Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.170Better 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national364
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients8.5Same as national49
Death rate for heart failure patients10.4Same as national104
Death rate for pneumonia patients13.7Same as national102
Death rate for stroke patients13.8Same as national50
Pressure ulcer rate0.41Same as national1321
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national1573
In-hospital fall-associated fracture rate0.26Same as national1521
Postoperative hemorrhage or hematoma rate2.29Same as national162
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.74Same as national176
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate1.75Same as national40
Abdominopelvic accidental puncture or laceration rate1.03Same as national213
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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—Not available—
Hospital return days for heart failure patients-1.1Not available109
Hospital return days for pneumonia patients23.3Not available110
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national592
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national340
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.9Same as national55
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national55
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national127
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national53
Heart failure (HF) 30-Day Readmission Rate19.1Same as national109
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national110

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 rating3565
Doctor communication - star rating4565
Communication about medicines - star rating3565
Discharge information - star rating3565
Cleanliness - star rating3565
Quietness - star rating4565
Overall hospital rating - star rating3565
Recommend hospital - star rating3565
Summary star rating3565

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 Hypoglycemia——
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination87603
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 better171465
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 better168430
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better12814
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better35821
Left before being seen330968
Head CT results6123
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients93115
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing231582
Appropriate care for severe sepsis and septic shock63246
Septic Shock 3-Hour Bundle7984
Septic Shock 6-Hour Bundle7658
Severe Sepsis 3-Hour Bundle82247
Severe Sepsis 6-Hour Bundle91147
Discharged on Antithrombotic Therapy9776
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 29672
Venous Thromboembolism Prophylaxis872504
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 Wilkes Regional Medical Center rated?
Wilkes Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Wilkes Regional Medical Center have emergency services?
Yes. Wilkes Regional Medical Center operates a 24/7 emergency department.
Where is Wilkes Regional Medical Center located?
Wilkes Regional Medical Center is located at 1370 West D St, North Wilkesboro, NC 28659.
What type of hospital is Wilkes Regional Medical Center?
Wilkes Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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