Rappahannock General HospitalKilmarnock, VA
Rappahannock General Hospital is a non-profit critical access hospital in Kilmarnock, Virginia, with an emergency department. As of the July 2026 CMS release, patients treated and sent home spend a median of 2 hr 17 min in its emergency department, 29 min shorter than the Virginia average of 2 hr 46 min. Medicare rates it 4 out of 5 stars overall, and patients give it 3 out of 5 in the Medicare patient survey.
(804) 435-8000- CountyLANCASTER
- Emergency CapableYes
Visiting Rappahannock General Hospital
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Quality and performance
Centers for Medicare & Medicaid Services · data as of July 2026
Patients spend an average of 2 hours 17 minutes in the emergency department at Rappahannock General Hospital. That is 29 minutes shorter than the Virginia average of 2 hours 46 minutes.
Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Rappahannock General Hospital. For a medical emergency, call 911.
Compare ER waits across Virginia · How Virginia hospitals rank on star ratings · Other Critical Access hospitals in Virginia · How we source this data · Something wrong on this page? Tell us
What patients say
CMS patient survey (HCAHPS) · 103 completed surveys · patients discharged Oct 2024 – Sep 2025
Patients gave Rappahannock General Hospital a 3-star patient experience rating out of 5. 59% would definitely recommend it (U.S. average 71%). 71% rated it 9 or 10 out of 10.
The patient survey (HCAHPS) asks a random sample of adult patients about their recent hospital stay. CMS adjusts the results for the mix of patients and how the survey was done, so hospitals can be compared fairly. About the data.
Infections, complications and deaths
Centers for Medicare & Medicaid Services · compared with hospitals nationwide
Rappahannock General Hospital was no different from the national benchmark on the one hospital-acquired infection CMS could compare.
Hospital-acquired infections
Death rates within 30 days
| Patients treated for | This hospital | U.S. |
|---|---|---|
| Heart failure patients | 9.7% | 11.1% |
| Pneumonia patients | 14.2% | 15.2% |
| Stroke patients | 14.6% | 11.9% |
| COPD patients | 8.6% | 8.6% |
| Hospital-wide, all conditions | 4.2% | 3.9% |
Risk-adjusted rates. CMS has not published a statistical better/worse comparison for these death rates in the current release, so small differences from the U.S. rate may be chance.
"Better" or "worse" means CMS found the difference from the national benchmark statistically significant; most hospitals are "no different". Infection results compare the infections a hospital reported with the number predicted for a hospital of its size and type (a ratio below 1 means fewer than predicted), for Oct 2024 – Sep 2025. Death and complication rates are risk-adjusted for how sick patients were. Each death rate counts deaths within 30 days of a hospital stay, pooled over one to three years of Medicare patients depending on the measure. About the data.
Readmissions and return visits
Centers for Medicare & Medicaid Services · Medicare patients · Jul 2023 – Jun 2025
On the 3 readmission and return-visit measures CMS could compare, Rappahannock General Hospital was no different from the national rate or its expected level.
Back in the hospital within 30 days
| After a stay for | This hospital | U.S. | CMS comparison |
|---|---|---|---|
| Heart failure | 21.6% | 21.3% | Not compared |
| Pneumonia | 16.7% | 17.3% | Not compared |
| COPD (chronic lung disease) | 19.6% | 20% | Not compared |
Return trips after a stay or procedure
Readmission rates count Medicare patients who were admitted to any acute-care hospital within 30 days of leaving this one, adjusted for how sick they were. "Better" or "worse" means CMS found the difference from the national rate statistically significant; most hospitals are "no different". Return-day and outpatient-surgery measures compare the hospital with what CMS expected for its own patients. The Readmissions Reduction Program ratios are shown as CMS publishes them; whether a hospital's payments are reduced depends on how its ratios compare with similar hospitals, so a ratio above 1.00 alone doesn't mean a penalty. About the data.
Timely and effective care
Centers for Medicare & Medicaid Services · all patients unless noted · Oct 2024 – Sep 2025
Rappahannock General Hospital's emergency department is classed by CMS as low volume.
| Measure | This hospital | U.S.* |
|---|---|---|
| Sepsis: got all recommended early treatmentPatients with severe sepsis or septic shock who received every step of the recommended early care bundle. Higher is better. 52 patients. | 73% | 65% |
| Septic shock: full treatment within 3 hoursHigher is better. 15 patients. | 80% | 73% |
| Stroke: brain scan read within 45 minutes of ER arrivalPatients arriving with stroke symptoms whose head CT or MRI was interpreted within 45 minutes. Higher is better. 11 patients. | 91% | 69% |
| Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 383 patients. | 137 min | 162 min |
| Typical ER time for mental health patients sent homeMedian minutes from arrival to leaving. Lower is better. 12 patients. | 218 min | 257 min |
| Typical ER time for patients transferred to another facilityMedian minutes from arrival to leaving. Lower is better. 48 patients. | 295 min | 287 min |
| Patients who left the ER before being seenLower is better. 13,324 patients. | 1% | 2% |
| Health care workers vaccinated against fluHigher is better. 311 patients. | 79% | 78% |
| Discharged on two opioids, or an opioid and a benzodiazepinePatients sent home with prescriptions that raise the risk of overdose when combined. Lower is better. 74 patients. | 12% | 15% |
| Colonoscopy: right follow-up interval for average-risk patientsHigher is better. 49 patients. | 94% | 93% |
| Blood clot prevention givenHigher is better. 384 patients. | 94% | 90%* |
| Stroke: discharged on clot-prevention medicineHigher is better. 30 patients. | 97% | 98%* |
| Stroke: clot prevention started by day 2Higher is better. 30 patients. | 100% | 94%* |
CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. *Median of all hospitals CMS reports, where CMS publishes no national figure. About the data.
Inpatient psychiatric unit
CMS Inpatient psychiatric care Quality Reporting Program, data through March 2025 · unit CCN 491308
Rappahannock General Hospital runs an inpatient psychiatric unit that reports its own results to Medicare. Readmitted within 30 days: 18% here, against 19% nationally. Where CMS compares facilities statistically, this one is no different from the national rate.
After discharge
During the stay
Source: CMS Inpatient psychiatric care Quality Reporting Program (Provider Data Catalog). Better/worse labels appear only where CMS itself compared the facility with the national rate; other figures are shown next to the national figure for context. If you or someone you know is in crisis, call or text 988 (Suicide and Crisis Lifeline) or call 911.
Doctors at Rappahannock General Hospital
140 Medicare-enrolled doctors and specialists list this hospital as an affiliation, across 24 specialties.
Size and finances
Medicare cost report · fiscal year ending Aug 2024
As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare Virginia hospital finances.
Who owns Rappahannock General Hospital
Medicare enrollment and ownership records (PECOS)
Medicare lists the hospital's legal name as Chesapeake Hospital LLC, a non-profit organization, incorporated 1973.
241 doctors and other clinicians list Rappahannock General Hospital as a hospital affiliation in Medicare's clinician directory.
Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.
The area around Rappahannock General Hospital
HRSA shortage designations and BLS pay data
Primary care: Lancaster is a federally designated health professional shortage area. Highest shortage score 12.
Mental health: Lancaster is a federally designated health professional shortage area. Highest shortage score 18.
Dental: Lancaster is a federally designated health professional shortage area. Highest shortage score 13.
Nurse pay: registered nurses in Virginia earn a median $93,600 a year. Healthcare salaries in Virginia.
Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. Virginia shortage areas
Find doctors in Kilmarnock
Medicare-enrolled specialists with a practice in Kilmarnock, with addresses, phone numbers and the hospitals they work with.
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