JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Inova Fairfax Hospital

5 / 5

At a glance

Inova Fairfax Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure 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 Limit0.239Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.623Better than national
Central Line Associated Bloodstream Infection: Number of Device Days36282Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases42.824Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases17Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.397Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.393Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.865Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days26182Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases42.046Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases25Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.595Better than national
SSI - Colon Surgery: Lower Confidence Limit0.289Same as national
SSI - Colon Surgery: Upper Confidence Limit1.016Same as national
SSI - Colon Surgery: Number of Procedures618Same as national
SSI - Colon Surgery: Predicted Cases17.552Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery0.570Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.513Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.609Same as national
SSI - Abdominal Hysterectomy: Number of Procedures1497Same as national
SSI - Abdominal Hysterectomy: Predicted Cases12.680Same as national
SSI - Abdominal Hysterectomy: Observed Cases12Same as national
SSI - Abdominal Hysterectomy0.946Same as national
MRSA Bacteremia: Lower Confidence Limit0.256Better than national
MRSA Bacteremia: Upper Confidence Limit0.845Better than national
MRSA Bacteremia: Patient Days324150Better than national
MRSA Bacteremia: Predicted Cases22.616Better than national
MRSA Bacteremia: Observed Cases11Better than national
MRSA Bacteremia0.486Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.404Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.584Better than national
Clostridium Difficile (C.Diff): Patient Days270745Better than national
Clostridium Difficile (C.Diff): Predicted Cases233.657Better than national
Clostridium Difficile (C.Diff): Observed Cases114Better than national
Clostridium Difficile (C.Diff)0.488Better 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 patients3.6Same as national48
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national5424
Death rate for heart attack patients11.1Same as national408
Death rate for CABG surgery patients1.7Same as national365
Death rate for COPD patients8.2Same as national204
Death rate for heart failure patients10.5Same as national1383
Death rate for pneumonia patients15.8Same as national1088
Death rate for stroke patients10.8Better than national798
Pressure ulcer rate0.08Better than national18592
Death rate among surgical inpatients with serious treatable complications149.10Same as national436
Iatrogenic pneumothorax rate0.14Same as national21070
In-hospital fall-associated fracture rate0.24Same as national22620
Postoperative hemorrhage or hematoma rate2.45Same as national6582
Postoperative acute kidney injury requiring dialysis rate1.78Same as national3681
Postoperative respiratory failure rate7.72Same as national3557
Perioperative pulmonary embolism or deep vein thrombosis rate3.55Same as national7218
Postoperative sepsis rate7.14Same as national3672
Postoperative wound dehiscence rate1.70Same as national1556
Abdominopelvic accidental puncture or laceration rate1.17Same as national4823
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients-7.1Not available555
Hospital return days for heart failure patients0.1Not available1615
Hospital return days for pneumonia patients27Not available1128
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Better than national9611
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.3Same as national1020
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.8Worse than national1314
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national1314
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1648
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.3Same as national555
Rate of readmission for CABG9.6Same as national360
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.1Same as national232
Heart failure (HF) 30-Day Readmission Rate18.4Same as national1615
Rate of readmission after hip/knee replacement5Same as national44
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national1128

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 rating3784
Doctor communication - star rating3784
Communication about medicines - star rating2784
Discharge information - star rating4784
Cleanliness - star rating4784
Quietness - star rating3784
Overall hospital rating - star rating4784
Recommend hospital - star rating5784
Summary star rating3784

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 Hyperglycemia858573
Hospital Harm - Severe Hypoglycemia18457
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination9813721
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 better164403
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 better160377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28721
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 seen0200692
Head CT results3520
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients76119
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing911397
Appropriate care for severe sepsis and septic shock79817
Septic Shock 3-Hour Bundle93321
Septic Shock 6-Hour Bundle96217
Severe Sepsis 3-Hour Bundle87820
Severe Sepsis 6-Hour Bundle94557
Discharged on Antithrombotic Therapy99712
Anticoagulation Therapy for Atrial Fibrillation/Flutter82212
Antithrombotic Therapy by End of Hospital Day 295616
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Inova Fairfax Hospital rated?
Inova Fairfax Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Inova Fairfax Hospital have emergency services?
Yes. Inova Fairfax Hospital operates a 24/7 emergency department.
Where is Inova Fairfax Hospital located?
Inova Fairfax Hospital is located at 3300 Gallows Road, Falls Church, VA 22042.
What type of hospital is Inova Fairfax Hospital?
Inova Fairfax Hospital 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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