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PERSON MEMORIAL HOSPITAL - ROXBORO, NC

 



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Address
615 RIDGE RD
ROXBORO, NC, 27573
Phone (make sure to verify first before calling): (336) 599-2121

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Swing Bed Hospitals


Overall Star Rating: 3 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: Stars
Quality Measures Star Rating: 4 Stars

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Cellulitis without Major Complications
Average Covered Charges
This Hospital:

$9,451
State:

$13,979
Average Total Payments
This Hospital:

$5,992
State:

$5,681
Number of discharges: 21
This Hospital:

4.16%
State:

1.56%
Chest Pain
Average Covered Charges
This Hospital:

$6,771
North Carolina:

$12,542
Average Total Payments
Here:

$3,877
State:

$3,788
Number of discharges: 21
This Hospital:

4.16%
North Carolina:

2.07%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
This Hospital:

$13,304
North Carolina:

$20,025
Average Total Payments
This Hospital:

$8,167
North Carolina:

$7,977
Number of discharges: 31
Here:

6.14%
State:

2.12%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
This Hospital:

$8,437
North Carolina:

$13,090
Average Total Payments
Here:

$5,167
State:

$4,841
Number of discharges: 20
Here:

3.96%
North Carolina:

1.35%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
Here:

$10,927
State:

$14,805
Average Total Payments
Here:

$5,262
North Carolina:

$5,010
Number of discharges: 43
Here:

8.51%
North Carolina:

3.29%
G.I. Obstruction without Complications
Average Covered Charges
This Hospital:

$7,706
North Carolina:

$12,805
Average Total Payments
Here:

$4,450
North Carolina:

$4,533
Number of discharges: 16
Here:

3.17%
North Carolina:

0.46%
Heart Failure and Shock with Complications
Average Covered Charges
This Hospital:

$16,282
North Carolina:

$16,617
Average Total Payments
This Hospital:

$7,495
North Carolina:

$6,986
Number of discharges: 26
Here:

5.15%
North Carolina:

3.07%
Heart Failure and Shock with Major Complications
Average Covered Charges
Here:

$15,118
North Carolina:

$23,957
Average Total Payments
Here:

$9,124
North Carolina:

$10,019
Number of discharges: 27
Here:

5.35%
North Carolina:

3.02%
Heart Failure and Shock without Complications
Average Covered Charges
This Hospital:

$8,493
State:

$12,262
Average Total Payments
This Hospital:

$4,745
North Carolina:

$4,640
Number of discharges: 26
Here:

5.15%
State:

1.14%
Kidney and Urinary Tract Infections with Major Complications
Average Covered Charges
Here:

$12,051
North Carolina:

$19,339
Average Total Payments
Here:

$7,684
State:

$8,154
Number of discharges: 13
Here:

2.57%
North Carolina:

1.09%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
Here:

$11,206
North Carolina:

$14,052
Average Total Payments
This Hospital:

$5,508
State:

$5,326
Number of discharges: 26
This Hospital:

5.15%
North Carolina:

2.46%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
This Hospital:

$41,201
State:

$42,293
Average Total Payments
Here:

$14,438
North Carolina:

$13,554
Number of discharges: 41
Here:

8.12%
North Carolina:

6.15%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
Here:

$12,418
North Carolina:

$13,158
Average Total Payments
Here:

$5,214
North Carolina:

$4,790
Number of discharges: 15
This Hospital:

2.97%
North Carolina:

1.96%
Pulmonary Edema and Respiratory Failure
Average Covered Charges
Here:

$13,675
State:

$21,562
Average Total Payments
Here:

$8,167
State:

$8,579
Number of discharges: 11
Here:

2.18%
State:

1.96%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
This Hospital:

$10,693
North Carolina:

$14,717
Average Total Payments
This Hospital:

$5,600
State:

$5,673
Number of discharges: 12
This Hospital:

2.38%
North Carolina:

1.29%
Renal Failure with Complications
Average Covered Charges
This Hospital:

$12,085
State:

$16,705
Average Total Payments
This Hospital:

$6,937
State:

$6,949
Number of discharges: 19
This Hospital:

3.76%
North Carolina:

2.38%
Renal Failure with Major Complications
Average Covered Charges
This Hospital:

$17,818
North Carolina:

$26,632
Average Total Payments
This Hospital:

$11,196
State:

$11,435
Number of discharges: 14
This Hospital:

2.77%
North Carolina:

1.71%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
This Hospital:

$30,643
State:

$32,059
Average Total Payments
This Hospital:

$13,169
North Carolina:

$12,838
Number of discharges: 14
Here:

2.77%
State:

5.09%
Signs and Symptoms without Major Complications
Average Covered Charges
Here:

$8,922
State:

$13,822
Average Total Payments
This Hospital:

$4,784
North Carolina:

$4,799
Number of discharges: 19
Here:

3.76%
State:

0.58%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
This Hospital:

$14,011
State:

$17,495
Average Total Payments
This Hospital:

$7,222
State:

$6,811
Number of discharges: 34
Here:

6.73%
North Carolina:

2.26%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
This Hospital:

$17,472
North Carolina:

$25,424
Average Total Payments
Here:

$10,142
State:

$9,800
Number of discharges: 32
This Hospital:

6.34%
North Carolina:

2.12%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
This Hospital:

$10,710
North Carolina:

$13,441
Average Total Payments
Here:

$5,049
State:

$4,784
Number of discharges: 24
This Hospital:

4.75%
State:

0.79%

Provided Services

  • Nuclear Medicine Services
  • Anatomical Laboratory Services
  • Anesthesia Services
  • Blood Bank Services
  • Clinical Laboratory Services
  • Diagnostic Radiology Services
  • Dietary Services
  • Emergency Services
  • ICU - Medical/Surgical Services
  • Inpatient Rehabilitiation (Not Carf Accredited) Services
  • Inpatient Surgical Services
  • Long Term Care (Swing-Beds) Services
  • Obstetric Services
  • Occupational Therapy Services
  • Operating Room Services
  • Outpatient Services
  • Outpatient Surgery Unit Services
  • Pediatric Services
  • Pharmacy Services
  • Physical Therapy Services
  • Postoperative Recovery Room Services
  • Psychiatric Services
  • Respiratory Care Services
  • Social Services
  • Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 20.30
Registered Professional Nurses : 677.00
Other Salaried Personnel : 185.20
Certified Registered Nurse Anesthetists (CRNA) : 3.00
Dieticians : 1.00
Occupational Therapists : 0.80
Physical Therapists : 2.60
Registered Pharmacists : 2.10
Respiratory Therapists : 55.30
Speech Pathologists Or Audiologists : 10.00
Medical Social Workers : 1.00

Number Of Beds

Total: 50
Total Certified: 50

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.
Here:

27.600%
State:

33.381%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

3.100%
North Carolina:

8.387%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Hospital:

0.040%
North Carolina:

0.085%
Outpatient CT scans of the chest that were combination (double) scans.
Here:

0.017%
North Carolina:

0.026%

Quality Measures

Percent of long-stay high-risk residents with pressure ulcers
Here:

8.8%
State:

7.4%
Percent of long-stay residents who lose too much weight
This Hospital:

16.7%
State:

8.7%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

3.5%
North Carolina:

3.2%
Percent of long-stay residents with a urinary tract infection
This Hospital:

11.1%
North Carolina:

8.1%
Percent of long-stay residents experiencing one or more falls with major injury
This Hospital:

2.6%
State:

3.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

97.4%
North Carolina:

94.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

86.8%
North Carolina:

96.5%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

90.5%
State:

88.7%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

83.3%
North Carolina:

87.2%
Percent of long-stay residents who received an antipsychotic medication
Here:

9.4%
North Carolina:

21.0%

Process of Care

Heart Attack

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
Here:

2
North Carolina:

8
Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital
This Hospital:

27
North Carolina:

49
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
This Hospital:

96.0%
State:

96.2%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

97.0%
North Carolina:

99.5%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Here:

89.0%
State:

97.3%
Percent of Patients Given Discharge Instructions
This Hospital:

94.0%
North Carolina:

93.8%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
State:

99.7%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
This Hospital:

99.0%
State:

95.8%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

100.0%
State:

96.7%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
North Carolina:

99.3%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Hospital:

95.0%
State:

95.8%
Percent of Patients Assessed and Given Influenza Vaccination
This Hospital:

97.0%
State:

95.4%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

98.0%
North Carolina:

97.2%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection
This Hospital:

99.0%
State:

98.8%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Hospital:

99.0%
North Carolina:

97.7%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
This Hospital:

100.0%
State:

99.0%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
This Hospital:

96.0%
North Carolina:

97.5%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

98.0%
North Carolina:

98.4%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
This Hospital:

100.0%
State:

99.9%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
Here:

97.0%
North Carolina:

96.0%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
This Hospital:

91.0%
North Carolina:

97.6%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
This Hospital:

100.0%
North Carolina:

99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure
This Hospital:

11.9%
North Carolina:

11.5%
30-Day Mortality Rates from Pneumonia
Here:

12.7%
North Carolina:

12.5%
30-Day Readmission Rates from Heart Failure
This Hospital:

23.2%
State:

24.1%
30-Day Readmission Rates from Pneumonia
This Hospital:

18.3%
State:

18.8%

Hospital Acquired Conditions

Falls and injuries
This Hospital:

0.550%
North Carolina:

0.641%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never
This Hospital:

8%
State:

4%
Usually
This Hospital:

17%
State:

16%
Always
Here:

75%
North Carolina:

80%

How often did doctors communicate well with patients?

Sometimes or never
Here:

4%
State:

4%
Usually
This Hospital:

15%
State:

13%
Always
This Hospital:

81%
North Carolina:

83%

How often did patients receive help quickly from hospital staff?

Sometimes or never
This Hospital:

12%
North Carolina:

9%
Usually
Here:

23%
State:

24%
Always
Here:

65%
State:

67%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

9%
State:

7%
Usually
This Hospital:

24%
North Carolina:

22%
Always
This Hospital:

67%
State:

71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never
Here:

18%
North Carolina:

19%
Usually
This Hospital:

18%
State:

16%
Always
This Hospital:

64%
State:

65%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never
Here:

13%
State:

10%
Usually
Here:

21%
State:

19%
Always
Here:

66%
North Carolina:

71%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never
This Hospital:

8%
State:

9%
Usually
This Hospital:

24%
State:

28%
Always
Here:

68%
State:

63%

Were patients given information about what to do during their recovery at home?

Yes
This Hospital:

82%
State:

84%
No
Here:

18%
North Carolina:

16%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower
Here:

9%
North Carolina:

7%
7 or 8
Here:

23%
North Carolina:

23%
9 or 10
This Hospital:

68%
State:

70%

Would patients recommend the hospital to friends and family?

No
This Hospital:

5%
North Carolina:

5%
Yes, probably
This Hospital:

35%
North Carolina:

24%
Yes, definitely
This Hospital:

60%
North Carolina:

71%

Complaint Deficiency

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: Some (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Some (Potential for minimal harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

Properly installed hallway dispensers for alcohol-based hand rub: Few (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Some (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Many (Minimal harm or potential for actual harm)

At least two remote exits on each floor or fire section of the building: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Potential for minimal harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

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