Acute Care Hospitals · Voluntary non-profit - Private
Mary Washington Hospital
- 1001 Sam Perry Boulevard, Fredericksburg, VA 22401
- (540) 741-1100
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Mary Washington Hospital 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 18 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.079 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.844 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 8839 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 9.671 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 3 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.310 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.230 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 10213 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 13.040 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.225 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.709 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 208 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 5.647 | Same as national |
| SSI - Colon Surgery: Observed Cases | 4 | Same as national |
| SSI - Colon Surgery | 0.708 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 33 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.303 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.182 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.378 | Same as national |
| MRSA Bacteremia: Patient Days | 103948 | Same as national |
| MRSA Bacteremia: Predicted Cases | 7.002 | Same as national |
| MRSA Bacteremia: Observed Cases | 4 | Same as national |
| MRSA Bacteremia | 0.571 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.039 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.201 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 96887 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 61.982 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 6 | Better than national |
| Clostridium Difficile (C.Diff) | 0.097 | 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 | 3.2 | Same as national | 80 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.9 | Same as national | 3291 |
| Death rate for heart attack patients | 13.4 | Same as national | 373 |
| Death rate for CABG surgery patients | 2.6 | Same as national | 124 |
| Death rate for COPD patients | 7.7 | Same as national | 302 |
| Death rate for heart failure patients | 10.5 | Same as national | 905 |
| Death rate for pneumonia patients | 17 | Same as national | 1161 |
| Death rate for stroke patients | 12.9 | Same as national | 406 |
| Pressure ulcer rate | 0.63 | Same as national | 11416 |
| Death rate among surgical inpatients with serious treatable complications | 185.35 | Same as national | 169 |
| Iatrogenic pneumothorax rate | 0.15 | Same as national | 13321 |
| In-hospital fall-associated fracture rate | 0.33 | Same as national | 13861 |
| Postoperative hemorrhage or hematoma rate | 2.17 | Same as national | 2576 |
| Postoperative acute kidney injury requiring dialysis rate | 3.27 | Worse than national | 904 |
| Postoperative respiratory failure rate | 15.53 | Worse than national | 826 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.80 | Same as national | 2542 |
| Postoperative sepsis rate | 8.63 | Same as national | 722 |
| Postoperative wound dehiscence rate | 2.91 | Same as national | 528 |
| Abdominopelvic accidental puncture or laceration rate | 2.05 | Worse than national | 2168 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.40 | Worse than 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 | 20.7 | Not available | 367 |
| Hospital return days for heart failure patients | 17.6 | Not available | 1076 |
| Hospital return days for pneumonia patients | 52.7 | Not available | 1178 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.4 | Same as national | 5629 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.8 | Same as national | 844 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.2 | Same as national | 477 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.3 | Same as national | 477 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 941 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 15 | Same as national | 367 |
| Rate of readmission for CABG | 10.8 | Same as national | 118 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 20.6 | Same as national | 327 |
| Heart failure (HF) 30-Day Readmission Rate | 21.2 | Same as national | 1076 |
| Rate of readmission after hip/knee replacement | 4 | Same as national | 69 |
| Pneumonia (PN) 30-Day Readmission Rate | 19.7 | Worse than national | 1178 |
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 | 2 | 2197 |
| Doctor communication - star rating | 3 | 2197 |
| Communication about medicines - star rating | 2 | 2197 |
| Discharge information - star rating | 3 | 2197 |
| Cleanliness - star rating | 3 | 2197 |
| Quietness - star rating | 2 | 2197 |
| Overall hospital rating - star rating | 2 | 2197 |
| Recommend hospital - star rating | 3 | 2197 |
| Summary star rating | 3 | 2197 |
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 | 94 | 4663 |
| 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 | 174 | 400 |
| 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 | 171 | 381 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 278 | 18 |
| 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 | 106055 |
| Head CT results | 83 | 18 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 87 | 134 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 63 | 30 |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 5330 |
| Appropriate care for severe sepsis and septic shock | 50 | 172 |
| Septic Shock 3-Hour Bundle | 65 | 49 |
| Septic Shock 6-Hour Bundle | 72 | 25 |
| Severe Sepsis 3-Hour Bundle | 69 | 172 |
| Severe Sepsis 6-Hour Bundle | 94 | 85 |
| Discharged on Antithrombotic Therapy | 98 | 371 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 75 | 11553 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 75 | 2132 |
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 Mary Washington Hospital rated?
- Mary Washington Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Mary Washington Hospital have emergency services?
- Yes. Mary Washington Hospital operates a 24/7 emergency department.
- Where is Mary Washington Hospital located?
- Mary Washington Hospital is located at 1001 Sam Perry Boulevard, Fredericksburg, VA 22401.
- What type of hospital is Mary Washington Hospital?
- Mary Washington Hospital 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.