JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Uva Health Culpeper Medical Center

2 / 5

At a glance

Uva Health Culpeper Medical Center carries a 2-star CMS overall rating — below 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 Days822Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.614Not 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 Limit0.042Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.183Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1717Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.179Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.848Same as national
SSI - Colon Surgery: Lower Confidence Limit0.047Same as national
SSI - Colon Surgery: Upper Confidence Limit4.635Same as national
SSI - Colon Surgery: Number of Procedures39Same as national
SSI - Colon Surgery: Predicted Cases1.064Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.940Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.125Not 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 Days18046Not available
MRSA Bacteremia: Predicted Cases0.543Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.465Better than national
Clostridium Difficile (C.Diff): Patient Days18031Better than national
Clostridium Difficile (C.Diff): Predicted Cases6.447Better 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 Rate4.7Same as national591
Death rate for heart attack patients13.1Same as national25
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.7Same as national96
Death rate for heart failure patients12.5Same as national214
Death rate for pneumonia patients16.5Same as national278
Death rate for stroke patients13Same as national51
Pressure ulcer rate0.37Same as national1716
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national2176
In-hospital fall-associated fracture rate0.25Same as national2085
Postoperative hemorrhage or hematoma rate2.57Same as national253
Postoperative acute kidney injury requiring dialysis rate1.66Same as national63
Postoperative respiratory failure rate11.33Same as national62
Perioperative pulmonary embolism or deep vein thrombosis rate3.97Same as national269
Postoperative sepsis rate5.05Same as national53
Postoperative wound dehiscence rate1.73Same as national74
Abdominopelvic accidental puncture or laceration rate1.00Same as national190
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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 patients11.6Not available243
Hospital return days for pneumonia patients27.3Not available295
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national914
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national249
Rate of inpatient admissions for patients receiving outpatient chemotherapy12Same as national145
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.6Same as national145
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national204
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national99
Heart failure (HF) 30-Day Readmission Rate19.6Same as national243
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17Same as national295

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 rating3525
Doctor communication - star rating3525
Communication about medicines - star rating2525
Discharge information - star rating3525
Cleanliness - star rating3525
Quietness - star rating2525
Overall hospital rating - star rating3525
Recommend hospital - star rating3525
Summary star rating3525

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 Hyperglycemia114111
Hospital Harm - Severe Hypoglycemia1888
Hospital Harm - Opioid Related Adverse Events01714
Healthcare workers given influenza vaccination93883
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 better166393
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 better163375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better48211
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen138810
Head CT results8419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients85234
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16669
Appropriate care for severe sepsis and septic shock63120
Septic Shock 3-Hour Bundle7138
Septic Shock 6-Hour Bundle7218
Severe Sepsis 3-Hour Bundle84120
Severe Sepsis 6-Hour Bundle8983
Discharged on Antithrombotic Therapy9768
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29464
Venous Thromboembolism Prophylaxis861305
Intensive Care Unit Venous Thromboembolism Prophylaxis91849

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 Uva Health Culpeper Medical Center rated?
Uva Health Culpeper Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Uva Health Culpeper Medical Center have emergency services?
Yes. Uva Health Culpeper Medical Center operates a 24/7 emergency department.
Where is Uva Health Culpeper Medical Center located?
Uva Health Culpeper Medical Center is located at 501 Sunset Lane, Culpeper, VA 22701.
What type of hospital is Uva Health Culpeper Medical Center?
Uva Health Culpeper 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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