JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Sentara Leigh Hospital

3 / 5

At a glance

Sentara Leigh 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 12 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 Limit0.135Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.027Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9295Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.392Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.426Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.107Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.811Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9468Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.903Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.336Better than national
SSI - Colon Surgery: Lower Confidence Limit0.053Same as national
SSI - Colon Surgery: Upper Confidence Limit1.041Same as national
SSI - Colon Surgery: Number of Procedures244Same as national
SSI - Colon Surgery: Predicted Cases6.347Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.315Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures54Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.557Not available
SSI - Abdominal Hysterectomy: Observed Cases4Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.135Same as national
MRSA Bacteremia: Upper Confidence Limit1.442Same as national
MRSA Bacteremia: Patient Days100915Same as national
MRSA Bacteremia: Predicted Cases5.663Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.530Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.063Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.286Better than national
Clostridium Difficile (C.Diff): Patient Days94615Better than national
Clostridium Difficile (C.Diff): Predicted Cases48.455Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.144Better 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 patients5.1Same as national81
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national2362
Death rate for heart attack patients13Same as national255
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national215
Death rate for heart failure patients10.6Same as national833
Death rate for pneumonia patients17.6Same as national660
Death rate for stroke patients13.8Same as national278
Pressure ulcer rate0.10Better than national8482
Death rate among surgical inpatients with serious treatable complications148.76Same as national87
Iatrogenic pneumothorax rate0.23Same as national9200
In-hospital fall-associated fracture rate0.27Same as national9460
Postoperative hemorrhage or hematoma rate1.90Same as national1683
Postoperative acute kidney injury requiring dialysis rate2.30Same as national678
Postoperative respiratory failure rate11.18Same as national525
Perioperative pulmonary embolism or deep vein thrombosis rate3.49Same as national1730
Postoperative sepsis rate6.47Same as national582
Postoperative wound dehiscence rate1.57Same as national401
Abdominopelvic accidental puncture or laceration rate1.11Same as national1614
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients11.4Not available179
Hospital return days for heart failure patients10.3Not available957
Hospital return days for pneumonia patients45.6Not available660
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.2Worse than national3769
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national1226
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 surgery0.9Same as national1810
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national179
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.8Same as national239
Heart failure (HF) 30-Day Readmission Rate19.6Same as national957
Rate of readmission after hip/knee replacement6.2Same as national77
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national660

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 rating4760
Doctor communication - star rating3760
Communication about medicines - star rating2760
Discharge information - star rating3760
Cleanliness - star rating3760
Quietness - star rating4760
Overall hospital rating - star rating4760
Recommend hospital - star rating5760
Summary star rating3760

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 Hypoglycemia25128
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination883364
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 better1763506
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 better1753375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19698
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better27637
Left before being seen3103765
Head CT results6043
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9999
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing135294
Appropriate care for severe sepsis and septic shock77277
Septic Shock 3-Hour Bundle8897
Septic Shock 6-Hour Bundle9265
Severe Sepsis 3-Hour Bundle84277
Severe Sepsis 6-Hour Bundle98141
Discharged on Antithrombotic Therapy97326
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 289307
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 Sentara Leigh Hospital rated?
Sentara Leigh Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Sentara Leigh Hospital have emergency services?
According to CMS records, Sentara Leigh Hospital does not report a 24/7 emergency department.
Where is Sentara Leigh Hospital located?
Sentara Leigh Hospital is located at 830 Kempsville Road, Norfolk, VA 23502.
What type of hospital is Sentara Leigh Hospital?
Sentara Leigh Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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