Northern Regional Hospital

Hospital in Mount Airy, NC, Medicare certification number 340003. CMS publishes 56 quality measures for it.

Medicare certification

Provider of Services

CCN: 340003The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Jul 1, 1966
Last certification: Jun 15, 2017
Beds: 112
Overall star rating: 4 of 5Care Compare
Address: 830 Rockford St
Mount Airy, NC 27030
(336) 719-7000

NPI records for this facility 1

Northern Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.27 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.84 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better5 of 5
- State average 3.44 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.45 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.59 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.32 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.42 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.66 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.39 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 16

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1
- State average 1.02 (computed here)
- National average 1.06
- No different than the national rate
- 216 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.13
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for COPD patients As expected12.3
- State average 8.75 (computed here)
- National average 8.6
- No different than the national rate
- 50 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.6
- State average 11.28 (computed here)
- National average 11.1
- No different than the national rate
- 136 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.6
- State average 15.37 (computed here)
- National average 15.2
- No different than the national rate
- 283 patients
- Period from 07/01/2022
Death rate for stroke patients As expected17.3
- State average 12.32 (computed here)
- National average 11.9
- No different than the national rate
- 141 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 3.99 (computed here)
- National average 3.9
- No different than the national rate
- 1,091 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 1,640 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.3
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 1,515 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected5.12
- State average 3.73 (computed here)
- National average 3.52
- No different than the national rate
- 190 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.66
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 34 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.26
- State average 2.33 (computed here)
- National average 2.34
- No different than the national rate
- 187 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected14.23
- State average 9.09 (computed here)
- National average 9.42
- No different than the national rate
- 31 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.05
- State average 4.93 (computed here)
- National average 5.27
- No different than the national rate
- 27 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.05
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 70 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.43
- State average 0.64 (computed here)
- National average 0.63
- No different than the national rate
- 1,313 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (4)

Death rate among surgical inpatients with serious treatable complications — 1
Death rate for CABG surgery patients — 5
Death rate for heart attack patients — 1
Rate of complications for hip/knee replacement patients — 1

Infections 3

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.48
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.87
- State average 0.28
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected2.81
- State average 0.97
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (3)

Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
MRSA Bacteremia — 13
SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.6
- State average 4.66 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 8.4
- State average 6.7 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.94
- State average 0.95
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 66
- State average 64
- National average 65
- 103 patients
- Period from 10/01/2024
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 215
- State average 191
- National average 168
- 395 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 420
- State average 425
- National average 287
- 52 patients
- Period from 10/01/2024
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 192
- State average 187
- National average 162
- 336 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 96.77 (computed here)
- National average 96.1 (computed here)
- 81 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 95
- National average 93
- 180 patients
- Period from 01/01/2024
Head CT results 96
- State average 71
- National average 69
- 26 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 92
- State average 90
- National average 78
- 1,283 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.18 (computed here)
- National average 1.09 (computed here)
- 1,075 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 34,024 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 16
- National average 15
- 1,007 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 88
- State average 75
- National average 73
- 49 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 86
- State average 84
- National average 87
- 22 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 80
- State average 80
- National average 81
- 103 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 89
- State average 95
- National average 93
- 46 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 96
- State average 88.42 (computed here)
- National average 82.23 (computed here)
- 2,026 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Emergency department volume — medium
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 9

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected21.8
- State average 21.37 (computed here)
- National average 21.3
- No different than the national rate
- 297 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 23.6
- State average 4.06 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 149 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -7.7
- State average 4.36 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 283 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.6
- State average 17.06 (computed here)
- National average 17.3
- No different than the national rate
- 546 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
- State average 5.41 (computed here)
- National average 5.4
- No different than the national rate
- 31 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.1
- State average 10.53 (computed here)
- National average 10.7
- No different than the national rate
- 31 patients
- Period from 01/01/2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.9
- State average 19.82 (computed here)
- National average 20
- No different than the national rate
- 106 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.7
- State average 12.92 (computed here)
- National average 13
- No different than the national rate
- 659 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.98 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 245 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (5)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1
Rate of readmission for CABG — 5

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.