Mary Washington Hospital Inc

Doing business as Mary Washington Hospital

Hospital in Fredericksburg, VA, Medicare certification number 490022. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 490022The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Oct 2, 2007
Beds: 451
Overall star rating: 3 of 5Care Compare
Address: 1001 Sam Perry Boulevard
Fredericksburg, VA 22401
(540) 741-1100

NPI records for this facility (CCN to NPI Mapping) 3

Mary Washington Hospital Inc.
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
Medicare enrollment
Mary Washington Hospital, Inc.

dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Medicare enrollment
Mary Washington Hospital, Inc.

dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.72 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.85 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.37 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.52 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 3.82 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 3.54 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 3.41 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.8 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 3.48 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,050

Page 1 of 42Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Raushan Abdula, M.D.
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1720206212
Shaad Essa Abedin, MD FACP
- Hematology & Oncology Physician
- Fredericksburg, VA
- NPI 1669676250
Kenneth Accousti, M.D.
- Orthopaedic Surgery Physician
- Fredericksburg, VA
- NPI 1316998586
Mintesinot Achamyelehe, MD
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1700588944
Candace Adams, NP
- Family Nurse Practitioner
- Nashville, TN
- NPI 1801105986
Debra Lynne Adams, NP
- Family Nurse Practitioner
- Fredericksburg, VA
- NPI 1932330339
Lindsey Adams, NP
- Primary Care Nurse Practitioner
- Fredericksburg, VA
- NPI 1124805361
Yetunde Adenle
- Obstetrics & Gynecology Physician
- Stafford, VA
- NPI 1225261035
Adeshina Adeyemo, MD
- Orthopaedic Surgery Physician
- Fredericksburg, VA
- NPI 1386135341
Ananya Adhikari, MD
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1649839051
Sagun Adhikari, MD
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1619664968
Munib Aftab, M.D
- Rheumatology Physician
- Morgantown, WV
- NPI 1962835074
Zalmai Afzali, M.D.
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1407177397
Kaitlynn Anne Agee
- Family Nurse Practitioner
- Fredericksburg, VA
- NPI 1881471555
Abhimanyu Aggarwal, MD
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1447605704
Sadaf Sadie Ahanchi, M.D.
- Vascular Surgery Physician
- Fredericksburg, VA
- NPI 1689835514
Imran Ahmad, MD
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1689889511
Arslan Ahmed, MD
- Nephrology Physician
- Fredericksburg, VA
- NPI 1295295301
Imran Ahmed, D.O
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1003202664
Sagah Ahmed, MD
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1083110837
April Sunjoo Ahn, NP
- Nurse Practitioner
- Fredericksburg, VA
- NPI 1205448925
Avnit Ahuja, MD
- Rheumatology Physician
- Richmond, VA
- NPI 1962616474
Mary Ailis Aiken, D.O
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1982709960
Matthew F Aiken, DO
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1063488450
Makini Shani Garrett Ainsworth, M.D.
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1215997325

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate Worse2.05
- State average 1.11 (computed here)
- National average 1.06
- Worse than the national rate
- 2,168 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.4
- State average 0.97 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected185.35
- State average 167.55 (computed here)
- National average 173.3
- No different than the national rate
- 169 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.6
- State average 2.24 (computed here)
- National average 2.4
- No different than the national rate
- 133 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.6
- State average 8.63 (computed here)
- National average 8.6
- No different than the national rate
- 315 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13
- State average 11.72 (computed here)
- National average 11.9
- No different than the national rate
- 343 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.6
- State average 10.98 (computed here)
- National average 11.1
- No different than the national rate
- 921 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.8
- State average 15.17 (computed here)
- National average 15.2
- No different than the national rate
- 1,271 patients
- Period from 07/01/2022
Death rate for stroke patients Better8.3
- State average 11.65 (computed here)
- National average 11.9
- Better than the national rate
- 430 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.2
- State average 3.7 (computed here)
- National average 3.9
- No different than the national rate
- 5,417 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.15
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 13,321 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.33
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 13,861 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.8
- State average 3.36 (computed here)
- National average 3.52
- No different than the national rate
- 2,542 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate Worse3.27
- State average 1.78 (computed here)
- National average 1.67
- Worse than the national rate
- 904 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.17
- State average 2.34 (computed here)
- National average 2.34
- No different than the national rate
- 2,576 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Worse15.53
- State average 9.5 (computed here)
- National average 9.42
- Worse than the national rate
- 826 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected8.63
- State average 5.55 (computed here)
- National average 5.27
- No different than the national rate
- 722 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.91
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 528 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.63
- State average 0.51 (computed here)
- National average 0.63
- No different than the national rate
- 11,416 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.9
- State average 4.22 (computed here)
- National average 4.1
- No different than the national rate
- 32 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.21
- State average 0.5
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.14
- State average 0.27
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.15
- State average 0.58
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.67
- State average 0.75
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 0.6
- State average 4.51 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.96
- State average 0.97
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 58
- State average 67
- National average 65
- 175 patients
- Period from 10/01/2024
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 better 179
- State average 166
- National average 168
- 400 patients
- Period from 10/01/2024
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 better 176
- State average 161
- National average 162
- 379 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 244
- State average 242
- National average 257
- 18 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 98.2 (computed here)
- National average 96.1 (computed here)
- 371 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 87
- State average 91
- National average 93
- 134 patients
- Period from 01/01/2024
Head CT results 78
- State average 69
- National average 69
- 23 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 94
- State average 87
- National average 78
- 4,663 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 75
- State average 92.69 (computed here)
- National average 93.49 (computed here)
- 2,132 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 106,055 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 13
- National average 15
- 5,330 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 75
- State average 73
- National average 73
- 55 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 80
- State average 87
- National average 87
- 30 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 75
- State average 83
- National average 81
- 175 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 93
- National average 93
- 87 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 63
- State average 25.6 (computed here)
- National average 46.51 (computed here)
- 30 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 75
- State average 89.73 (computed here)
- National average 82.23 (computed here)
- 11,553 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.7
- State average 14.25 (computed here)
- National average 14.4
- No different than the national rate
- 393 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.2
- State average 21.23 (computed here)
- National average 21.3
- No different than the national rate
- 1,193 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 23.2
- State average 0.82 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 345 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 19.8
- State average -3.12 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,087 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 32.2
- State average 4.9 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 1,309 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected19.2
- State average 17.36 (computed here)
- National average 17.3
- No different than the national rate
- 1,434 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.3
- State average 5.31 (computed here)
- National average 5.4
- No different than the national rate
- 477 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.2
- State average 10.87 (computed here)
- National average 10.7
- No different than the national rate
- 477 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.7
- State average 5.92 (computed here)
- National average 5.8
- No different than the national rate
- 38 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected9.9
- State average 11.07 (computed here)
- National average 11
- No different than the national rate
- 140 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.9
- State average 19.7 (computed here)
- National average 20
- No different than the national rate
- 434 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.8
- State average 12.88 (computed here)
- National average 13
- No different than the national rate
- 844 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 941 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in Fredericksburg, VA

Spotsylvania Regional Medical Center 4600 Spotsylvania Parkway
Spotsylvania Regional Medical Center 4600 Spotsylvania Pkwy

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.