Overview

Address
101 HARRIS ROAD, KILMARNOCK, VA 22482
Phone
(804) 435-8000
Hospital Type
Critical Access (CAH)
Ownership
Non-Profit
Emergency Services
Yes
4 /5
CMS Overall Rating
p63
Critical Access (CAH) — Small rural hospital (≤25 inpatient beds) at least 35 miles from the nearest hospital. Reimbursed at 101% of cost rather than standard DRG rates. Exempt from most CMS payment adjustment programs.

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 4 of 7 measures reported
4
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 1 of 8 measures reported
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
7
1
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 9 of 12 measures reported
9 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE
Hybrid_HWM 3.80 No Different Than the National Rate 202
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG
MORT_30_COPD 8.60 No Different Than the National Rate 42
MORT_30_HF 10.30 No Different Than the National Rate 59
MORT_30_PN 15.50 No Different Than the National Rate 58
MORT_30_STK 11.40 No Different Than the National Rate 49
PSI_03
PSI_04
PSI_06
PSI_08
PSI_09
PSI_10
PSI_11
PSI_12
PSI_13
PSI_14
PSI_15
PSI_90

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 80%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
H_COMP_1_U_P: Nurses "usually" communicated well 16%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 90%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 1%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 9%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 76%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 3%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 71%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22%
H_COMP_2_A_P: Doctors "always" communicated well 81%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 3%
H_COMP_2_U_P: Doctors "usually" communicated well 16%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 88%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 1%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 11%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 81%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 3%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 16%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 73%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21%
H_COMP_5_A_P: Staff "always" explained 55%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 20%
H_COMP_5_U_P: Staff "usually" explained 25%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating
H_MED_FOR_A_P: Staff "always" explained new medications 74%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 3%
H_MED_FOR_U_P: Staff "usually" explained new medications 23%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 37%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 37%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 26%
H_COMP_6_N_P: No, staff "did not" give patients this information 17%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 83%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 14%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 21%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 79%
H_CLEAN_HSP_A_P: Room was "always" clean 75%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 5%
H_CLEAN_HSP_U_P: Room was "usually" clean 20%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating
H_QUIET_HSP_A_P: "Always" quiet at night 41%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 15%
H_QUIET_HSP_U_P: "Usually" quiet at night 44%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 8%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 25%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 67%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 4%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 60%
H_RECMND_PY: "YES", patients would probably recommend the hospital 36%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating
H_STAR_RATING: Summary star rating

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER
HAI_1_CIUPPER
HAI_1_DOPC 51.000
HAI_1_ELIGCASES 0.014
HAI_1_NUMERATOR 0.000
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC 16.000
HAI_2_ELIGCASES 0.039
HAI_2_NUMERATOR 0.000
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC
HAI_3_ELIGCASES
HAI_3_NUMERATOR
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 4706.000
HAI_5_ELIGCASES 0.097
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER 0.038 No Different than National Benchmark
HAI_6_CIUPPER 3.728 No Different than National Benchmark
HAI_6_DOPC 4706.000 No Different than National Benchmark
HAI_6_ELIGCASES 1.323 No Different than National Benchmark
HAI_6_NUMERATOR 1.000 No Different than National Benchmark
HAI_6_SIR 0.756 No Different than National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV low Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 79.0 Healthcare Personnel Vaccination
OP_18a 142.0 Emergency Department
OP_18b 133.0 Emergency Department
OP_18c Emergency Department
OP_18d 286.0 Emergency Department
OP_22 1.0 Emergency Department
OP_23 79.0 Emergency Department
OP_29 94.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 12.0 Electronic Clinical Quality Measure
SEP_1 76.0 Sepsis Care
SEP_SH_3HR 81.0 Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 89.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 100.0 Electronic Clinical Quality Measure
VTE_1 94.0 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI Number of Cases Too Small
EDAC_30_HF -7.80 Average Days per 100 Discharges
EDAC_30_PN -1.70 Average Days per 100 Discharges
Hybrid_HWR 14.80 No Different Than the National Rate
OP_32 12.00 No Different Than the National Rate
OP_35_ADM 11.60 No Different Than the National Rate
OP_35_ED 7.10 No Different Than the National Rate
OP_36 Number of cases too small
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD 17.50 No Different Than the National Rate
READM_30_HF 19.20 No Different Than the National Rate
READM_30_HIP_KNEE
READM_30_PN 16.10 No Different Than the National Rate

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 51 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.40 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.03 metrics.current_ratio
Cost Report Employees per Bed 5.30 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $38,082,551 metrics.fund_balance
Cost Report Net Income ($) $-833,907 metrics.net_income
Cost Report Net Patient Revenue ($) $50,052,692 metrics.net_patient_revenue
Cost Report Operating Margin (%) -6.2% metrics.operating_margin
Cost Report Total Assets ($) $42,520,245 metrics.total_assets
Cost Report Total Costs ($) $49,437,222 metrics.total_costs
Cost Report Total Liabilities ($) $4,437,694 metrics.total_liabilities
Cost Report Total Margin (%) -1.6% metrics.total_margin
Cost Report Uncompensated Care (%) 2.2% metrics.uncompensated_care_pct
General Information Address 101 HARRIS ROAD Address
General Information City/Town KILMARNOCK City/Town
General Information Count of Facility MORT Measures 4 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 8 Count of Facility READM Measures
General Information Count of Facility Safety Measures 1 Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 4 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 7 Count of READM Measures No Different
General Information Count of READM Measures Worse 1 Count of READM Measures Worse
General Information Count of Safety Measures Better 0 Count of Safety Measures Better
General Information Count of Safety Measures No Different 1 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish LANCASTER County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 491308 Facility ID
General Information Facility Name RAPPAHANNOCK GENERAL HOSPITAL Facility Name
General Information Hospital overall rating 4 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private Hospital Ownership
General Information Hospital Type Critical Access Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State VA State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (804) 435-8000 Telephone Number
General Information ZIP Code 22482 ZIP Code
Methodology

Full methodology →