JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sentara Williamsburg Regional Medical Center

5 / 5

At a glance

Sentara Williamsburg Regional Medical Center carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.614Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2737Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.856Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.447Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2653Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.070Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.193Same as national
SSI - Colon Surgery: Number of Procedures59Same as national
SSI - Colon Surgery: Predicted Cases1.366Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures41Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.352Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.227Same as national
MRSA Bacteremia: Patient Days30270Same as national
MRSA Bacteremia: Predicted Cases1.345Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.027Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.529Better than national
Clostridium Difficile (C.Diff): Patient Days29295Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.502Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.160Better 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 patients5.5Same as national120
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national1376
Death rate for heart attack patients11.1Same as national197
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.8Same as national92
Death rate for heart failure patients9.5Same as national420
Death rate for pneumonia patients15Same as national384
Death rate for stroke patients12.6Same as national194
Pressure ulcer rate0.18Same as national4224
Death rate among surgical inpatients with serious treatable complications153.80Same as national46
Iatrogenic pneumothorax rate0.22Same as national5029
In-hospital fall-associated fracture rate0.23Same as national4848
Postoperative hemorrhage or hematoma rate2.00Same as national838
Postoperative acute kidney injury requiring dialysis rate1.59Same as national244
Postoperative respiratory failure rate8.92Same as national256
Perioperative pulmonary embolism or deep vein thrombosis rate2.69Same as national915
Postoperative sepsis rate4.56Same as national216
Postoperative wound dehiscence rate1.66Same as national181
Abdominopelvic accidental puncture or laceration rate0.89Same as national733
CMS Medicare PSI 90: Patient safety and adverse events composite0.78Same 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 patients10.3Not available163
Hospital return days for heart failure patients-17.2Not available454
Hospital return days for pneumonia patients19.3Not available372
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.1Better than national2118
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national1017
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 surgery1Same as national601
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national163
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national98
Heart failure (HF) 30-Day Readmission Rate17Same as national454
Rate of readmission after hip/knee replacement5.4Same as national103
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national372

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 rating5857
Doctor communication - star rating4857
Communication about medicines - star rating3857
Discharge information - star rating4857
Cleanliness - star rating4857
Quietness - star rating3857
Overall hospital rating - star rating4857
Recommend hospital - star rating5857
Summary star rating4857

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 Hypoglycemia11581
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination851395
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 better1662216
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 better1642124
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23274
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better28219
Left before being seen336540
Head CT results2818
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8541
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141347
Appropriate care for severe sepsis and septic shock79180
Septic Shock 3-Hour Bundle8163
Septic Shock 6-Hour Bundle8137
Severe Sepsis 3-Hour Bundle93180
Severe Sepsis 6-Hour Bundle97106
Discharged on Antithrombotic Therapy99130
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298108
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 Williamsburg Regional Medical Center rated?
Sentara Williamsburg Regional Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Sentara Williamsburg Regional Medical Center have emergency services?
Yes. Sentara Williamsburg Regional Medical Center operates a 24/7 emergency department.
Where is Sentara Williamsburg Regional Medical Center located?
Sentara Williamsburg Regional Medical Center is located at 100 Sentara Circle, Williamsburg, VA 23185.
What type of hospital is Sentara Williamsburg Regional Medical Center?
Sentara Williamsburg Regional Medical Center 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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