JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Vcu Health Tappahannock Hospital

4 / 5

At a glance

Vcu Health Tappahannock Hospital carries a 4-star CMS overall rating — above the national norm.

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 Days535Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.419Not 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 Days584Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.433Not 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures7Not available
SSI - Colon Surgery: Predicted Cases0.170Not 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 ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days7496Not available
MRSA Bacteremia: Predicted Cases0.365Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.118Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.329Same as national
Clostridium Difficile (C.Diff): Patient Days7496Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.837Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.705Same as 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 Rate4.2Same as national326
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national39
Death rate for heart failure patients10.7Same as national136
Death rate for pneumonia patients13.3Same as national148
Death rate for stroke patients11.6Same as national52
Pressure ulcer rate0.47Same as national961
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1346
In-hospital fall-associated fracture rate0.26Same as national1296
Postoperative hemorrhage or hematoma rate2.31Same as national102
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.33Same as national109
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.74Same as national33
Abdominopelvic accidental puncture or laceration rate1.04Same as national62
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patients34.3Not available148
Hospital return days for pneumonia patients-18.1Not available149
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national495
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national323
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.3Same as national63
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national63
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national85
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national41
Heart failure (HF) 30-Day Readmission Rate20.6Same as national148
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national149

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 rating4272
Doctor communication - star rating4272
Communication about medicines - star rating3272
Discharge information - star rating3272
Cleanliness - star rating4272
Quietness - star rating4272
Overall hospital rating - star rating3272
Recommend hospital - star rating4272
Summary star rating4272

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 volumelow
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 Hypoglycemia1501
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination70481
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 better198375
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 better191345
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38313
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better39321
Left before being seen219068
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9292
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13299
Appropriate care for severe sepsis and septic shock47133
Septic Shock 3-Hour Bundle5836
Septic Shock 6-Hour Bundle6015
Severe Sepsis 3-Hour Bundle69133
Severe Sepsis 6-Hour Bundle9063
Discharged on Antithrombotic Therapy9739
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis98410

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Vcu Health Tappahannock Hospital rated?
Vcu Health Tappahannock Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Vcu Health Tappahannock Hospital have emergency services?
Yes. Vcu Health Tappahannock Hospital operates a 24/7 emergency department.
Where is Vcu Health Tappahannock Hospital located?
Vcu Health Tappahannock Hospital is located at 618 Hospital Road, Tappahannock, VA 22560.
What type of hospital is Vcu Health Tappahannock Hospital?
Vcu Health Tappahannock Hospital 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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