Acute Care Hospitals · Voluntary non-profit - Private
Cape Fear Valley Medical Center
- 1638 Owen Drive P O Box 2000, Fayetteville, NC 28302
- (910) 609-4000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Cape Fear Valley Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.666 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.688 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 15053 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 16.526 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 18 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 1.089 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.390 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.290 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 11625 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 14.826 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 11 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.742 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.724 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.541 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 250 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 7.015 | Same as national |
| SSI - Colon Surgery: Observed Cases | 10 | Same as national |
| SSI - Colon Surgery | 1.426 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.688 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 4.165 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 275 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.661 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 5 | Same as national |
| SSI - Abdominal Hysterectomy | 1.879 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.228 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.934 | Better than national |
| MRSA Bacteremia: Patient Days | 193676 | Better than national |
| MRSA Bacteremia: Predicted Cases | 16.273 | Better than national |
| MRSA Bacteremia: Observed Cases | 8 | Better than national |
| MRSA Bacteremia | 0.492 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.468 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.798 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 174290 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 87.616 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 54 | Better than national |
| Clostridium Difficile (C.Diff) | 0.616 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.5 | Same as national | 28 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.2 | Same as national | 2228 |
| Death rate for heart attack patients | 13.7 | Same as national | 270 |
| Death rate for CABG surgery patients | 2.4 | Same as national | 86 |
| Death rate for COPD patients | 8.9 | Same as national | 267 |
| Death rate for heart failure patients | 9.9 | Same as national | 603 |
| Death rate for pneumonia patients | 21.6 | Worse than national | 625 |
| Death rate for stroke patients | 11.6 | Same as national | 351 |
| Pressure ulcer rate | 1.09 | Same as national | 8747 |
| Death rate among surgical inpatients with serious treatable complications | 201.86 | Same as national | 105 |
| Iatrogenic pneumothorax rate | 0.18 | Same as national | 10317 |
| In-hospital fall-associated fracture rate | 0.22 | Same as national | 10531 |
| Postoperative hemorrhage or hematoma rate | 1.94 | Same as national | 1795 |
| Postoperative acute kidney injury requiring dialysis rate | 1.37 | Same as national | 502 |
| Postoperative respiratory failure rate | 7.48 | Same as national | 530 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.40 | Same as national | 1912 |
| Postoperative sepsis rate | 5.28 | Same as national | 477 |
| Postoperative wound dehiscence rate | 1.82 | Same as national | 369 |
| Abdominopelvic accidental puncture or laceration rate | 1.52 | Same as national | 1776 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.06 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 8.8 | Not available | 252 |
| Hospital return days for heart failure patients | 12 | Not available | 730 |
| Hospital return days for pneumonia patients | 46 | Not available | 619 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.4 | Same as national | 3688 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.2 | Same as national | 209 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 12.2 | Same as national | 301 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.8 | Same as national | 301 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 372 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.7 | Same as national | 252 |
| Rate of readmission for CABG | 10.2 | Same as national | 84 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.8 | Same as national | 295 |
| Heart failure (HF) 30-Day Readmission Rate | 21.1 | Same as national | 730 |
| Rate of readmission after hip/knee replacement | 4.4 | Same as national | 25 |
| Pneumonia (PN) 30-Day Readmission Rate | 17.7 | Same as national | 619 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 2799 |
| Doctor communication - star rating | 3 | 2799 |
| Communication about medicines - star rating | 3 | 2799 |
| Discharge information - star rating | 3 | 2799 |
| Cleanliness - star rating | 3 | 2799 |
| Quietness - star rating | 3 | 2799 |
| Overall hospital rating - star rating | 2 | 2799 |
| Recommend hospital - star rating | 2 | 2799 |
| Summary star rating | 3 | 2799 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very high | — |
| 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 vaccination | 96 | 6687 |
| 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 | 232 | 394 |
| 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 | 219 | 360 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 674 | 31 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | — | — |
| Left before being seen | 1 | 90270 |
| Head CT results | 55 | 40 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 96 | 28 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 78 | 192 |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 9483 |
| Appropriate care for severe sepsis and septic shock | 50 | 96 |
| Septic Shock 3-Hour Bundle | 78 | 23 |
| Septic Shock 6-Hour Bundle | 85 | 13 |
| Severe Sepsis 3-Hour Bundle | 62 | 97 |
| Severe Sepsis 6-Hour Bundle | 90 | 30 |
| Discharged on Antithrombotic Therapy | 96 | 535 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 91 | 523 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 98 | 2194 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Cape Fear Valley Medical Center rated?
- Cape Fear Valley Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Cape Fear Valley Medical Center have emergency services?
- Yes. Cape Fear Valley Medical Center operates a 24/7 emergency department.
- Where is Cape Fear Valley Medical Center located?
- Cape Fear Valley Medical Center is located at 1638 Owen Drive P O Box 2000, Fayetteville, NC 28302.
- What type of hospital is Cape Fear Valley Medical Center?
- Cape Fear Valley Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.