JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Spotsylvania Regional Medical Center

3 / 5

At a glance

Spotsylvania Regional Medical Center 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 Limit0.211Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.151Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2315Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.592Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.256Same 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 Limit1.973Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2181Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.518Same 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures34Not available
SSI - Colon Surgery: Predicted Cases0.888Not 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 Procedures17Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.124Not 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 Days28226Not available
MRSA Bacteremia: Predicted Cases0.976Not available
MRSA Bacteremia: Observed Cases3Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.005Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.459Better than national
Clostridium Difficile (C.Diff): Patient Days25870Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.749Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.093Better 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 patients3Same as national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national841
Death rate for heart attack patients11.8Same as national119
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.7Same as national108
Death rate for heart failure patients10.9Same as national248
Death rate for pneumonia patients15.6Same as national211
Death rate for stroke patients12.1Same as national99
Pressure ulcer rate0.31Same as national2284
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.31Same as national3335
In-hospital fall-associated fracture rate0.29Same as national3314
Postoperative hemorrhage or hematoma rate2.09Same as national547
Postoperative acute kidney injury requiring dialysis rate1.61Same as national204
Postoperative respiratory failure rate7.66Same as national214
Perioperative pulmonary embolism or deep vein thrombosis rate2.89Same as national560
Postoperative sepsis rate4.79Same as national203
Postoperative wound dehiscence rate1.73Same as national107
Abdominopelvic accidental puncture or laceration rate1.25Same as national407
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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-23.2Not available114
Hospital return days for heart failure patients21.2Not available295
Hospital return days for pneumonia patients32.1Not available219
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1274
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national358
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 national152
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national114
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national120
Heart failure (HF) 30-Day Readmission Rate22.5Same as national295
Rate of readmission after hip/knee replacement4.8Same as national28
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national219

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 rating2459
Doctor communication - star rating2459
Communication about medicines - star rating1459
Discharge information - star rating2459
Cleanliness - star rating3459
Quietness - star rating3459
Overall hospital rating - star rating2459
Recommend hospital - star rating2459
Summary star rating2459

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 volumehigh
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 vaccination50976
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 better120441
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 better116408
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16119
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33614
Left before being seen154657
Head CT results10017
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8864
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161913
Appropriate care for severe sepsis and septic shock54123
Septic Shock 3-Hour Bundle5036
Septic Shock 6-Hour Bundle6715
Severe Sepsis 3-Hour Bundle76123
Severe Sepsis 6-Hour Bundle9668
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295104
Venous Thromboembolism Prophylaxis933386
Intensive Care Unit Venous Thromboembolism Prophylaxis97617

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 Spotsylvania Regional Medical Center rated?
Spotsylvania Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Spotsylvania Regional Medical Center have emergency services?
Yes. Spotsylvania Regional Medical Center operates a 24/7 emergency department.
Where is Spotsylvania Regional Medical Center located?
Spotsylvania Regional Medical Center is located at 4600 Spotsylvania Parkway, Fredericksburg, VA 22408.
What type of hospital is Spotsylvania Regional Medical Center?
Spotsylvania Regional Medical Center 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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