JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Stafford Hospital, Llc

4 / 5

At a glance

Stafford Hospital, Llc carries a 4-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.

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 Days1236Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.775Not 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 Days1052Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.759Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.832Same as national
SSI - Colon Surgery: Number of Procedures39Same as national
SSI - Colon Surgery: Predicted Cases1.058Same 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 Procedures29Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.224Not 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 Days21403Not available
MRSA Bacteremia: Predicted Cases0.641Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.080Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.852Better than national
Clostridium Difficile (C.Diff): Patient Days19098Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.586Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.313Better 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 Rate3.7Same as national530
Death rate for heart attack patients11.3Same as national52
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national78
Death rate for heart failure patients9.5Same as national168
Death rate for pneumonia patients14.5Same as national191
Death rate for stroke patients13.6Same as national44
Pressure ulcer rate0.39Same as national1582
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national2078
In-hospital fall-associated fracture rate0.34Same as national2118
Postoperative hemorrhage or hematoma rate2.20Same as national225
Postoperative acute kidney injury requiring dialysis rate1.65Same as national57
Postoperative respiratory failure rate8.09Same as national59
Perioperative pulmonary embolism or deep vein thrombosis rate3.68Same as national221
Postoperative sepsis rate6.00Same as national37
Postoperative wound dehiscence rate2.07Same as national54
Abdominopelvic accidental puncture or laceration rate1.01Same as national272
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 patientsNot available
Hospital return days for heart failure patients10.3Not available185
Hospital return days for pneumonia patients33.4Not available198
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national795
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national162
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 national286
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national36
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national82
Heart failure (HF) 30-Day Readmission Rate20Same as national185
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national198

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 rating3736
Doctor communication - star rating3736
Communication about medicines - star rating2736
Discharge information - star rating4736
Cleanliness - star rating4736
Quietness - star rating3736
Overall hospital rating - star rating3736
Recommend hospital - star rating3736
Summary star rating3736

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination901570
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 better189407
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 better181383
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23413
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better42612
Left before being seen339470
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8899
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131143
Appropriate care for severe sepsis and septic shock61148
Septic Shock 3-Hour Bundle7148
Septic Shock 6-Hour Bundle7625
Severe Sepsis 3-Hour Bundle76148
Severe Sepsis 6-Hour Bundle10084
Discharged on Antithrombotic Therapy10058
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis772271
Intensive Care Unit Venous Thromboembolism Prophylaxis81380

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 Stafford Hospital, Llc rated?
Stafford Hospital, Llc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Stafford Hospital, Llc have emergency services?
Yes. Stafford Hospital, Llc operates a 24/7 emergency department.
Where is Stafford Hospital, Llc located?
Stafford Hospital, Llc is located at 101 Hospital Center Boulevard, Stafford, VA 22554.
What type of hospital is Stafford Hospital, Llc?
Stafford Hospital, Llc 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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