JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Winchester Medical Center

4 / 5

At a glance

Winchester Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.541Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.698Same as national
Central Line Associated Bloodstream Infection: Number of Device Days11635Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.017Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases12Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.999Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.040Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.423Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days14943Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases19.314Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.155Better than national
SSI - Colon Surgery: Lower Confidence Limit0.072Better than national
SSI - Colon Surgery: Upper Confidence Limit0.775Better than national
SSI - Colon Surgery: Number of Procedures386Better than national
SSI - Colon Surgery: Predicted Cases10.538Better than national
SSI - Colon Surgery: Observed Cases3Better than national
SSI - Colon Surgery0.285Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures23Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.186Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.453Same as national
MRSA Bacteremia: Upper Confidence Limit1.703Same as national
MRSA Bacteremia: Patient Days130121Same as national
MRSA Bacteremia: Predicted Cases9.698Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia0.928Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.233Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.551Better than national
Clostridium Difficile (C.Diff): Patient Days121448Better than national
Clostridium Difficile (C.Diff): Predicted Cases57.266Better than national
Clostridium Difficile (C.Diff): Observed Cases21Better than national
Clostridium Difficile (C.Diff)0.367Better 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 patients2.8Same as national152
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national3865
Death rate for heart attack patients11.6Same as national438
Death rate for CABG surgery patients1.5Same as national140
Death rate for COPD patients9.4Same as national342
Death rate for heart failure patients11.7Same as national1076
Death rate for pneumonia patients18.2Same as national830
Death rate for stroke patients16Worse than national512
Pressure ulcer rate0.08Better than national11791
Death rate among surgical inpatients with serious treatable complications162.27Same as national156
Iatrogenic pneumothorax rate0.14Same as national14940
In-hospital fall-associated fracture rate0.20Same as national15192
Postoperative hemorrhage or hematoma rate2.02Same as national3557
Postoperative acute kidney injury requiring dialysis rate1.43Same as national1529
Postoperative respiratory failure rate9.61Same as national1510
Perioperative pulmonary embolism or deep vein thrombosis rate3.93Same as national3713
Postoperative sepsis rate4.84Same as national1522
Postoperative wound dehiscence rate2.71Same as national826
Abdominopelvic accidental puncture or laceration rate1.71Same as national3065
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 patients5.6Not available491
Hospital return days for heart failure patients8.6Not available1317
Hospital return days for pneumonia patients23Not available875
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national6422
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.1Same as national5657
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national31
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national31
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national1096
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national491
Rate of readmission for CABG10.7Same as national140
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national372
Heart failure (HF) 30-Day Readmission Rate20.3Same as national1317
Rate of readmission after hip/knee replacement5Same as national165
Pneumonia (PN) 30-Day Readmission Rate18Same as national875

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 rating41041
Doctor communication - star rating31041
Communication about medicines - star rating31041
Discharge information - star rating31041
Cleanliness - star rating41041
Quietness - star rating31041
Overall hospital rating - star rating41041
Recommend hospital - star rating41041
Summary star rating31041

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 volumevery high
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 Hyperglycemia1034913
Hospital Harm - Severe Hypoglycemia17234
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination704520
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 better228409
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 better224399
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen377209
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96171
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing136364
Appropriate care for severe sepsis and septic shock40127
Septic Shock 3-Hour Bundle5157
Septic Shock 6-Hour Bundle7823
Severe Sepsis 3-Hour Bundle76127
Severe Sepsis 6-Hour Bundle8273
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter66125
Antithrombotic Therapy by End of Hospital Day 2
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 Winchester Medical Center rated?
Winchester Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Winchester Medical Center have emergency services?
Yes. Winchester Medical Center operates a 24/7 emergency department.
Where is Winchester Medical Center located?
Winchester Medical Center is located at 1840 Amherst St, Winchester, VA 22601.
What type of hospital is Winchester Medical Center?
Winchester 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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