JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Carilion Medical Center

3 / 5

At a glance

Carilion Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.425Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.178Same as national
Central Line Associated Bloodstream Infection: Number of Device Days16539Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases20.527Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases15Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.731Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.321Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.209Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9073Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.657Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.659Same as national
SSI - Colon Surgery: Lower Confidence Limit0.360Same as national
SSI - Colon Surgery: Upper Confidence Limit1.627Same as national
SSI - Colon Surgery: Number of Procedures307Same as national
SSI - Colon Surgery: Predicted Cases8.509Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery0.823Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.117Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.306Same as national
SSI - Abdominal Hysterectomy: Number of Procedures312Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.866Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.698Same as national
MRSA Bacteremia: Lower Confidence Limit0.582Same as national
MRSA Bacteremia: Upper Confidence Limit1.475Same as national
MRSA Bacteremia: Patient Days198851Same as national
MRSA Bacteremia: Predicted Cases18.909Same as national
MRSA Bacteremia: Observed Cases18Same as national
MRSA Bacteremia0.952Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.200Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.406Better than national
Clostridium Difficile (C.Diff): Patient Days177587Better than national
Clostridium Difficile (C.Diff): Predicted Cases107.108Better than national
Clostridium Difficile (C.Diff): Observed Cases31Better than national
Clostridium Difficile (C.Diff)0.289Better 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.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients4.7Same as national85
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national3795
Death rate for heart attack patients12.2Same as national488
Death rate for CABG surgery patients2.1Same as national196
Death rate for COPD patients8.4Same as national203
Death rate for heart failure patients11.5Same as national938
Death rate for pneumonia patients19.1Worse than national757
Death rate for stroke patients17.7Worse than national624
Pressure ulcer rate1.14Worse than national12290
Death rate among surgical inpatients with serious treatable complications207.91Worse than national287
Iatrogenic pneumothorax rate0.13Same as national14429
In-hospital fall-associated fracture rate0.32Same as national14611
Postoperative hemorrhage or hematoma rate1.90Same as national4717
Postoperative acute kidney injury requiring dialysis rate2.24Same as national2101
Postoperative respiratory failure rate6.40Same as national2039
Perioperative pulmonary embolism or deep vein thrombosis rate2.48Same as national4953
Postoperative sepsis rate4.18Same as national2033
Postoperative wound dehiscence rate1.56Same as national895
Abdominopelvic accidental puncture or laceration rate1.15Same as national2925
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients7.4Not available527
Hospital return days for heart failure patients-16.5Not available1036
Hospital return days for pneumonia patients-27.2Not available742
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Better than national6175
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.6Same as national1997
Rate of inpatient admissions for patients receiving outpatient chemotherapy9Same as national126
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national126
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national2539
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national527
Rate of readmission for CABG9.6Same as national193
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national210
Heart failure (HF) 30-Day Readmission Rate18.3Same as national1036
Rate of readmission after hip/knee replacement5Same as national72
Pneumonia (PN) 30-Day Readmission Rate13.5Better than national742

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.

MeasureScoreSample
Nurse communication - star rating31008
Doctor communication - star rating31008
Communication about medicines - star rating21008
Discharge information - star rating31008
Cleanliness - star rating31008
Quietness - star rating21008
Overall hospital rating - star rating31008
Recommend hospital - star rating41008
Summary star rating31008

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.

MeasureScoreSample
Emergency department volumevery 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 vaccination969743
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 better261387
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 better260359
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27727
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 seen187042
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9790
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1510031
Appropriate care for severe sepsis and septic shock47509
Septic Shock 3-Hour Bundle44132
Septic Shock 6-Hour Bundle8852
Severe Sepsis 3-Hour Bundle72510
Severe Sepsis 6-Hour Bundle84239
Discharged on Antithrombotic Therapy97621
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis8616050
Intensive Care Unit Venous Thromboembolism Prophylaxis975316

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Carilion Medical Center rated?
Carilion Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Carilion Medical Center have emergency services?
Yes. Carilion Medical Center operates a 24/7 emergency department.
Where is Carilion Medical Center located?
Carilion Medical Center is located at 1906 Belleview Avenue, Se, Roanoke, VA 24014.
What type of hospital is Carilion Medical Center?
Carilion Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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.

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