These Are The Safest Hospitals In NC, Report Says. See If Yours Made The List
(The Charlotte Observer, Evan Moore) — How safe are North Carolina hospitals? A national health care watchdog group determined the state had dropped outside the top 10 in its latest hospital rankings.
The Leapfrog Group released its spring 2024 Hospital Safety Grades on Thursday, May 1, scoring local hospitals with A through F letter grades. In its report, North Carolina hospitals were rated the 12th safest in the United States — the lowest ranking since 2022. In total, 92 hospitals in North Carolina received safety grades in Leapfrog’s spring 2025 report. Utah was ranked No. 1, with the highest percentage of hospitals that received A grades. Rhode Island, New Jersey, Connecticut and South Carolina followed, respectively. Here’s how Charlotte and Raleigh-area hospitals stacked up in the new rankings, how the grades are calculated, and how the data should be interpreted.
What makes a hospital safe? The Hospital Safety Grade list assigns a letter grade to general hospitals in the U.S. based on how well they prevent medical errors, accidents, injuries and infections that kill or harm patients. About 30 measures are used to determine these safety grades. The Leapfrog Group also utilized these five patient experience measures that have a direct relationship with safety outcomes to come up with grades:
Nurse communication
Doctor communication
Staff responsiveness
Communication about medicines
Discharge communication
Grades are assigned using publicly available data, and measures’ scores are calculated using patient responses to a national and standardized survey following a hospital visit, Leapfrog said.
Here are North Carolina’s Leapfrog safety rankings in recent years:
No. 1 in spring 2022
No. 7 in fall 2022
No. 6 in spring 2023
No. 3 in fall 2023
No. 8 in spring 2024
No. 4 in fall 2024
No. 12 in spring 2025
Report highlights ‘Straight A’ NC hospitals
For the first time, Leapfrog recognized hospitals that received A grades for five or more grading rounds, designating them as “Straight A” hospitals. There are 18 “Straight A” hospitals in North Carolina, including five in the Charlotte and Raleigh regions: Atrium Health Union (Monroe) CaroMont Regional Medical Center (Gastonia) Duke Raleigh Hospital (Raleigh) Duke Regional Hospital (Durham) Duke University Hospital (Durham) Novant Health Huntersville Medical Center (Huntersville) Novant Health Mint Hill Medical Center (Charlotte) Novant Health Presbyterian Medical Center (Charlotte) WakeMed Cary Hospital (Cary) WakeMed Raleigh Campus (Raleigh)
How safe are Charlotte-area hospitals? The following Charlotte-area hospitals received A grades in Leapfrog’s Spring 2025 Hospital Safety Grades report:
Atrium Health Union (Monroe) CaroMont Regional Medical Center (Gastonia) Novant Health Huntersville Medical Center (Huntersville) Novant Health Mint Hill Medical Center (Charlotte) Novant Health Presbyterian Medical Center (Charlotte)
These Charlotte hospitals received B grades: Atrium Health Pineville (Charlotte) Atrium Health Cabarrus (Concord) Atrium Health Mercy (Charlotte) Atrium Health Union West (Matthews) Carolinas Medical Center (Charlotte) Novant Health Matthews Medical Center (Matthews) Atrium Health University City was the only Charlotte-area hospital with a C grade.
To read how safe Raleigh-area hospitals are and how safety grades are calculated, read more here