JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sentara Halifax Regional Hospital

3 / 5

At a glance

Sentara Halifax Regional 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 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days690Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.424Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1285Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.701Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures22Not available
SSI - Colon Surgery: Predicted Cases0.620Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures25Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.272Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days10160Not available
MRSA Bacteremia: Predicted Cases0.507Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.620Better than national
Clostridium Difficile (C.Diff): Patient Days10160Better than national
Clostridium Difficile (C.Diff): Predicted Cases4.830Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national510
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national135
Death rate for heart failure patients13.5Same as national261
Death rate for pneumonia patients17.8Same as national177
Death rate for stroke patients14.5Same as national72
Pressure ulcer rate0.34Same as national1679
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national2048
In-hospital fall-associated fracture rate0.30Same as national2017
Postoperative hemorrhage or hematoma rate2.28Same as national136
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national143
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.74Same as national38
Abdominopelvic accidental puncture or laceration rate1.03Same as national185
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patientsNot available
Hospital return days for heart failure patients-16.7Not available292
Hospital return days for pneumonia patients13.7Not available169
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national791
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national901
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.2Same as national49
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national49
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national82
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national159
Heart failure (HF) 30-Day Readmission Rate18.5Same as national292
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national169

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 rating5457
Doctor communication - star rating4457
Communication about medicines - star rating3457
Discharge information - star rating3457
Cleanliness - star rating3457
Quietness - star rating4457
Overall hospital rating - star rating3457
Recommend hospital - star rating3457
Summary star rating4457

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 Hypoglycemia1902
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination81560
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 better1691327
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 better1651226
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27856
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better36550
Left before being seen422155
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9355
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)0
Safe Use of Opioids - Concurrent Prescribing16418
Appropriate care for severe sepsis and septic shock70138
Septic Shock 3-Hour Bundle6644
Septic Shock 6-Hour Bundle9020
Severe Sepsis 3-Hour Bundle88138
Severe Sepsis 6-Hour Bundle9292
Discharged on Antithrombotic Therapy10053
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210041
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Sentara Halifax Regional Hospital rated?
Sentara Halifax Regional Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Sentara Halifax Regional Hospital have emergency services?
Yes. Sentara Halifax Regional Hospital operates a 24/7 emergency department.
Where is Sentara Halifax Regional Hospital located?
Sentara Halifax Regional Hospital is located at 2204 Wilborn Avenue, South Boston, VA 24592.
What type of hospital is Sentara Halifax Regional Hospital?
Sentara Halifax Regional 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.

Report an issue with this page