Quality Report


Quality Report

Nash Hospitals, Inc.

DBA: UNC Health Nash
HCO ID: 6542
2460 Curtis Ellis Drive
Rocky Mount, NC, 27804
(252) 962-8000
www.nashunchealthcare.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Home Care
Accreditation Decision
Effective Date
6/17/2021
Last Full Survey Date
2/21/2024
Last On-Site Survey Date
2/21/2024
Gold Seal
Hospital
Accreditation Decision
Effective Date
12/4/2021
Last Full Survey Date
2/23/2024
Last On-Site Survey Date
4/3/2024

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
8/23/2022
Last Full Survey Date
8/22/2022
Last On-Site Survey Date
8/22/2022

Sites

Bryant T. Aldridge Rehabilitation Center
2400 Medpark Drive
Rocky Mount, NC, 27804

Available Services

  • Inpatient Unit (Inpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )

Coastal Plain Hospital
2301 Medpark Drive
Rocky Mount, NC, 27804

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Hospice and Palliative Care of Nash General Hospital
2460 Curtis Ellis Drive, Building 100
Rocky Mount, NC, 27804

Available Services

  • Hospice Care

Nash Breast Care Center
250 Nash Medical Arts Mall, Suite B
Rocky Mount, NC, 27804

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Nash Cardiopulmonary Rehabilitation Outpatient Services
2460 Curtis Ellis Drive, Building 100
Rocky Mount, NC, 27804

Available Services

  • Outpatient Clinics (Outpatient )

Nash Hospitals, Inc.
DBA: UNC Health Nash
2460 Curtis Ellis Drive
Rocky Mount, NC, 27804

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • UNC Cancer Care at Nash

Nash Sleep Disorders Center
250 Nash Medical Arts Mall, Suite C
Rocky Mount, NC, 27804

Available Services

  • Outpatient Clinics (Outpatient )

Nash Wound Care Center
2460 Curtis Ellis Drive, Building 101
Rocky Mount, NC, 27804

Available Services

  • Outpatient Clinics (Outpatient )

Organization Commentary

Mr. Lee Isley, President/CEO

At Nash Hospitals, Inc., we are driven by our mission "to provide quality health care services and to help improve the health of the community in a caring, efficient and financially sound manner." To this end, we aggressively pursue excellence in all components of care with appropriate resources and initiatives. Every three years, we invite the Joint Commission on Accreditation of Healthcare Organizations to review our organization against their set of accreditation standards. We voluntarily submit ourselves to this objective examination as an exercise to prepare and challenge ourselves to attain the highest standards of patient care. Our success in the accreditation program is a tribute to the exceptional people who work at this organization as well as to the enduring philosophy of excellence which energizes the pursuit of our mission. We request that you contact us if you have any questions about our report. Questions can be forwarded to our Quality Improvement Department Director who will contact you. We look forward to serving you and all your health care needs as we continue our quest of building a healthier community.

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.