JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Lewisgale Hospital Montgomery

3 / 5

At a glance

Lewisgale Hospital Montgomery 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.

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 Limit0.023Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.277Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2440Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.166Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.462Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.140Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.765Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2331Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.390Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.837Same as national
SSI - Colon Surgery: Lower Confidence Limit0.180Same as national
SSI - Colon Surgery: Upper Confidence Limit3.556Same as national
SSI - Colon Surgery: Number of Procedures67Same as national
SSI - Colon Surgery: Predicted Cases1.858Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.076Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures34Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.248Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.050Same as national
MRSA Bacteremia: Upper Confidence Limit4.917Same as national
MRSA Bacteremia: Patient Days20265Same as national
MRSA Bacteremia: Predicted Cases1.003Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.997Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.006Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.549Better than national
Clostridium Difficile (C.Diff): Patient Days20265Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.989Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.111Better 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 patients3.8Same as national37
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national858
Death rate for heart attack patients11.1Same as national231
Death rate for CABG surgery patientsNot available
Death rate for COPD patients12Same as national62
Death rate for heart failure patients13.2Same as national151
Death rate for pneumonia patients15.6Same as national257
Death rate for stroke patients13.2Same as national105
Pressure ulcer rate0.25Same as national2390
Death rate among surgical inpatients with serious treatable complications164.22Same as national29
Iatrogenic pneumothorax rate0.19Same as national3294
In-hospital fall-associated fracture rate0.24Same as national3252
Postoperative hemorrhage or hematoma rate2.36Same as national626
Postoperative acute kidney injury requiring dialysis rate1.62Same as national173
Postoperative respiratory failure rate5.82Same as national196
Perioperative pulmonary embolism or deep vein thrombosis rate2.64Same as national647
Postoperative sepsis rate4.52Same as national165
Postoperative wound dehiscence rate1.65Same as national180
Abdominopelvic accidental puncture or laceration rate0.93Same as national491
CMS Medicare PSI 90: Patient safety and adverse events composite0.72Same 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-20.2Not available204
Hospital return days for heart failure patients32.3Not available170
Hospital return days for pneumonia patients17.4Not available250
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national1239
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national859
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 surgery1.1Same as national373
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12Same as national204
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national67
Heart failure (HF) 30-Day Readmission Rate21.7Same as national170
Rate of readmission after hip/knee replacement5.9Same as national39
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national250

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 rating5549
Doctor communication - star rating4549
Communication about medicines - star rating3549
Discharge information - star rating4549
Cleanliness - star rating5549
Quietness - star rating3549
Overall hospital rating - star rating4549
Recommend hospital - star rating5549
Summary star rating4549

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 volumemedium
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 vaccination511129
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 better134448
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 better130412
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better15115
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32922
Left before being seen033363
Head CT results8715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98102
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing191379
Appropriate care for severe sepsis and septic shock62112
Septic Shock 3-Hour Bundle2524
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle80112
Severe Sepsis 6-Hour Bundle9656
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29770
Venous Thromboembolism Prophylaxis952298
Intensive Care Unit Venous Thromboembolism Prophylaxis98652

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Lewisgale Hospital Montgomery rated?
Lewisgale Hospital Montgomery has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Lewisgale Hospital Montgomery have emergency services?
Yes. Lewisgale Hospital Montgomery operates a 24/7 emergency department.
Where is Lewisgale Hospital Montgomery located?
Lewisgale Hospital Montgomery is located at 3700 South Main Street, Blacksburg, VA 24060.
What type of hospital is Lewisgale Hospital Montgomery?
Lewisgale Hospital Montgomery 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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