JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Cjw Medical Center

4 / 5

At a glance

Cjw Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 30 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.060Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.641Better than national
Central Line Associated Bloodstream Infection: Number of Device Days11826Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.728Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.236Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.072Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.547Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12250Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases17.630Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.227Better than national
SSI - Colon Surgery: Lower Confidence Limit0.066Better than national
SSI - Colon Surgery: Upper Confidence Limit0.704Better than national
SSI - Colon Surgery: Number of Procedures415Better than national
SSI - Colon Surgery: Predicted Cases11.591Better than national
SSI - Colon Surgery: Observed Cases3Better than national
SSI - Colon Surgery0.259Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.130Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.567Same as national
SSI - Abdominal Hysterectomy: Number of Procedures320Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.574Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.777Same as national
MRSA Bacteremia: Lower Confidence Limit0.215Better than national
MRSA Bacteremia: Upper Confidence Limit0.971Better than national
MRSA Bacteremia: Patient Days177254Better than national
MRSA Bacteremia: Predicted Cases14.256Better than national
MRSA Bacteremia: Observed Cases7Better than national
MRSA Bacteremia0.491Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.131Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.316Better than national
Clostridium Difficile (C.Diff): Patient Days168140Better than national
Clostridium Difficile (C.Diff): Predicted Cases96.131Better than national
Clostridium Difficile (C.Diff): Observed Cases20Better than national
Clostridium Difficile (C.Diff)0.208Better 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 patients3Same as national886
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national4547
Death rate for heart attack patients11.5Same as national398
Death rate for CABG surgery patients1.5Same as national232
Death rate for COPD patients8.8Same as national209
Death rate for heart failure patients10.7Same as national927
Death rate for pneumonia patients16.9Same as national802
Death rate for stroke patients15Same as national638
Pressure ulcer rate0.07Better than national13166
Death rate among surgical inpatients with serious treatable complications123.54Better than national213
Iatrogenic pneumothorax rate0.13Same as national16242
In-hospital fall-associated fracture rate0.27Same as national16622
Postoperative hemorrhage or hematoma rate1.36Same as national4292
Postoperative acute kidney injury requiring dialysis rate1.91Same as national2029
Postoperative respiratory failure rate22.49Worse than national2027
Perioperative pulmonary embolism or deep vein thrombosis rate2.85Same as national4430
Postoperative sepsis rate4.96Same as national2102
Postoperative wound dehiscence rate1.38Same as national1076
Abdominopelvic accidental puncture or laceration rate0.57Same as national3293
CMS Medicare PSI 90: Patient safety and adverse events composite1.10Same 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 patients12.5Not available440
Hospital return days for heart failure patients3.6Not available1071
Hospital return days for pneumonia patients-2.7Not available851
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national7234
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national5988
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.4Worse than national1305
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national440
Rate of readmission for CABG9.2Same as national228
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national234
Heart failure (HF) 30-Day Readmission Rate20.1Same as national1071
Rate of readmission after hip/knee replacement4.6Same as national824
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national851

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 rating31301
Doctor communication - star rating31301
Communication about medicines - star rating21301
Discharge information - star rating31301
Cleanliness - star rating31301
Quietness - star rating31301
Overall hospital rating - star rating21301
Recommend hospital - star rating31301
Summary star rating31301

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 vaccination742964
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 better157448
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 better158431
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14115
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 seen1145447
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients93104
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)030
Safe Use of Opioids - Concurrent Prescribing1310082
Appropriate care for severe sepsis and septic shock67180
Septic Shock 3-Hour Bundle6133
Septic Shock 6-Hour Bundle8817
Severe Sepsis 3-Hour Bundle84181
Severe Sepsis 6-Hour Bundle8489
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293535
Venous Thromboembolism Prophylaxis9318315
Intensive Care Unit Venous Thromboembolism Prophylaxis974095

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 MeasureNo

Frequently asked questions

How is Cjw Medical Center rated?
Cjw Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Cjw Medical Center have emergency services?
Yes. Cjw Medical Center operates a 24/7 emergency department.
Where is Cjw Medical Center located?
Cjw Medical Center is located at 7101 Jahnke Road, Richmond, VA 23225.
What type of hospital is Cjw Medical Center?
Cjw Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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