Virginia hospital Medicare penalties
Which Virginia hospitals Medicare is penalizing for infections and patient-safety problems in fiscal year 2026, and which had more readmissions than expected.
Safety penalty (HAC)5 of 717% · U.S. 24%
Excess readmissions58 of 69Above expected on 1+ condition
In the programs71Virginia hospitals
Fiscal year2026Penalty year
Every Virginia hospital in the programs
Penalized hospitals first. Click a column to sort.
| Hospital | HAC penalty | Readmissions above expected | VBP score |
|---|---|---|---|
| Culpeper Regional HospitalCulpeper | 1% cut | 2 of 3Highest: Pneumonia 1.07 | 7 |
| Warren Memorial HospitalFront Royal | 1% cut | 2 of 4Highest: Heart failure 1.03 | 33.1 |
| Carilion Tazewell Community HospitalTazewell | 1% cut | 1 of 2Highest: Pneumonia 1.02 | – |
| Martha Jefferson HospitalCharlottesville | 1% cut | 1 of 5Highest: COPD 1.00 | 38 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 1% cut | 1 of 4Highest: COPD 1.03 | 50 |
| Henrico Doctors' HospitalRichmond | No | 6 of 6Highest: Hip or knee replacement 1.22 | 25.4 |
| Lewisgale Medical CenterSalem | No | 6 of 6Highest: Heart failure 1.14 | 16.5 |
| Mary Washington Hospital, INCFredericksburg | No | 5 of 6Highest: Pneumonia 1.24 | 27.3 |
| Bon Secours - Maryview Medical CenterPortsmouth | No | 4 of 5Highest: Heart failure 1.08 | 25.6 |
| Montgomery Regional HospitalBlacksburg | No | 4 of 5Highest: Hip or knee replacement 1.24 | 33.4 |
| Reston Hospital CenterReston | No | 4 of 5Highest: Heart attack 1.04 | 29.2 |
| Sentara Leigh HospitalNorfolk | No | 4 of 5Highest: Hip or knee replacement 1.29 | 40.9 |
| Sentara Northern Virginia Medical CenterWoodbridge | No | 4 of 4Highest: Heart failure 1.09 | 21.7 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | No | 4 of 5Highest: Hip or knee replacement 1.12 | 51.2 |
| Winchester Medical Center INCWinchester | No | 4 of 6Highest: Pneumonia 1.07 | 31.8 |
| Cjw Medical CenterRichmond | No | 3 of 6Highest: Heart attack 1.05 | 26.3 |
| Danville Regional Medical CenterDanville | No | 3 of 5Highest: Heart failure 1.10 | 14.8 |
| Mary Immaculate HospitalNewport News | No | 3 of 5Highest: Hip or knee replacement 1.18 | 32.1 |
| Russell County Medical CenterLebanon | No | 3 of 3Highest: COPD 1.08 | 48.9 |
| Sentara Bayside HospitalVirginia Beach | No | 3 of 5Highest: COPD 1.09 | 45.1 |
| Sentara Virginia Beach General HospitalVirginia Beach | No | 3 of 6Highest: Hip or knee replacement 1.16 | 37.8 |
| Stafford Hospital CenterStafford | No | 3 of 4Highest: Pneumonia 1.10 | 46.4 |
| University of Virginia Medical CenterCharlottesville | No | 3 of 6Highest: Hip or knee replacement 1.07 | 26.1 |
| Virginia Hospital Center - ArlingtonArlington | No | 3 of 6Highest: Heart bypass surgery 1.12 | 28.8 |
| Bon Secours - Memorial Regional MedicalMechanicsville | No | 2 of 6Highest: Heart failure 1.03 | 21.4 |
| Bon Secours - St Francis Medical CenterMidlothian | No | 2 of 5Highest: Hip or knee replacement 1.29 | 19.8 |
| Centra Health - Lynchburg Gen HospitalLynchburg | No | 2 of 6Highest: Hip or knee replacement 1.03 | 23.9 |
| Clinch Valley Medical CenterRichlands | No | 2 of 4Highest: COPD 1.02 | 48.5 |
| Inova Fair Oaks HospitalFairfax | No | 2 of 4Highest: Pneumonia 1.09 | 42.5 |
| Inova Fairfax HospitalFalls Church | No | 2 of 6Highest: Pneumonia 1.05 | 29.7 |
| Inova Mount Vernon HospitalAlexandria | No | 2 of 4Highest: Pneumonia 1.11 | 32.8 |
| John Randolph Medical CenterHopewell | No | 2 of 4Highest: Heart failure 1.04 | 26.8 |
| Medical College of Virginia HospitalsRichmond | No | 2 of 6Highest: Heart bypass surgery 1.06 | 25.1 |
| Prince William HospitalManassas | No | 2 of 4Highest: Pneumonia 1.09 | 16.5 |
| Pulaski Community HospitalPulaski | No | 2 of 3Highest: COPD 1.03 | 47.1 |
| Riverside Shore Memorial HospitalNassawadox | No | 2 of 3Highest: Pneumonia 1.02 | 53.5 |
| Sentara Careplex HospitalHampton | No | 2 of 4Highest: Heart failure 1.08 | 47.8 |
| Sentara Obici HospitalSuffolk | No | 2 of 5Highest: Hip or knee replacement 1.04 | 47.7 |
| Southampton Memorial HospitalFranklin | No | 2 of 2Highest: Pneumonia 1.09 | 51.3 |
| Southside Regional Medical CenterPetersburg | No | 2 of 4Highest: Pneumonia 1.13 | 22.6 |
| Spotsylvania Regional Medical CenterFredericksburg | No | 2 of 5Highest: Heart failure 1.15 | 22 |
| Stonesprings Hospital CenterDulles | No | 2 of 3Highest: Hip or knee replacement 1.08 | 35.9 |
| The Fauquier Hospital, INCWarrenton | No | 2 of 5Highest: Heart failure 1.09 | 27.5 |
| Twin County Regional HospitalGalax | No | 2 of 3Highest: Heart failure 1.04 | 20 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | No | 2 of 3Highest: Pneumonia 1.05 | 24.4 |
| Bedford Memorial HospitalBedford | No | 1 of 3Highest: Pneumonia 1.01 | 56.4 |
| Bon Secours Southern Virginia Medical CenterEmporia | No | 1 of 2Highest: Heart failure 1.01 | 30 |
| Carilion Medical CenterRoanoke | No | 1 of 6Highest: Hip or knee replacement 1.04 | 16.5 |
| Carilion New River Vly Med CtrChristiansburg | No | 1 of 4Highest: Pneumonia 1.01 | 27.1 |
| Chesapeake General HospitalChesapeake | No | 1 of 5Highest: COPD 1.02 | 33.7 |
| Community Memorial Healthcenter, INCSouth Hill | No | 1 of 3Highest: Heart failure 1.00 | 39.9 |
| Halifax Regional HospitalSouth Boston | No | 1 of 3Highest: COPD 1.01 | 62.2 |
| Johnston Memorial HospitalAbingdon | No | 1 of 4Highest: Heart attack 1.07 | 19.5 |
| Riverside Regional Medical CenterNewport News | No | 1 of 5Highest: COPD 1.05 | 21.3 |
| Riverside Tappahannock HospitalTappahannock | No | 1 of 3Highest: Heart failure 1.05 | 29.8 |
| Sentara Norfolk General HospitalNorfolk | No | 1 of 5Highest: COPD 1.02 | 35.1 |
| Sentara Rmh Medical CenterHarrisonburg | No | 1 of 6Highest: Heart failure 1.02 | 45.6 |
| UVA Health Haymarket Medical CenterHaymarket | No | 1 of 4Highest: Pneumonia 1.08 | 31.6 |
| Alleghany Regional HospitalJackson River | No | 0 of 3 | 36.8 |
| Augusta HealthFishersville | No | 0 of 5 | 29 |
| Bon Secours - Richmond Community HospitalRichmond | No | – | – |
| Bon Secours - St Marys Hospital of RichmondRichmond | No | 0 of 6 | 22.3 |
| Buchanan General HospitalGrundy | No | 0 of 2 | 56.5 |
| Carilion Franklin Memorial HospitalRocky Mount | No | 0 of 3 | 33.2 |
| Hiram W Davis Medical CenterPetersburg | No | – | – |
| Inova Alexandria HospitalAlexandria | No | 0 of 5 | 44.7 |
| Inova Loudoun HospitalLeesburg | No | 0 of 5 | 42.8 |
| Riverside Walter Reed HospitalGloucester | No | 0 of 5 | 40.3 |
| Smyth County Community HospitalMarion | No | 0 of 3 | 31.9 |
| Southside Community Hospital, INCFarmville | No | 0 of 3 | 29.6 |
| Wythe County Community HospitalWytheville | No | 0 of 3 | 37.5 |
Questions
Which Virginia hospitals does Medicare penalize for patient safety?
5 of 71 Virginia hospitals in the program (7%, vs 24% nationally) have their Medicare payments cut 1% in fiscal year 2026: Culpeper Regional Hospital, Warren Memorial Hospital, Carilion Tazewell Community Hospital, Martha Jefferson Hospital, Riverside Doctors' Hospital of Williamsburg.
What does a readmission ratio above 1.00 mean?
It means the hospital's Medicare patients were readmitted within 30 days more often than CMS expected for similar patients. In Virginia, 58 of 69 rated hospitals were above 1.00 on at least one condition.
HAC: the quarter of hospitals with the worst hospital-acquired condition scores get a 1% cut to Medicare inpatient payments. Readmissions: a ratio above 1.00 means more readmissions than expected; whether payments are cut depends on how the hospital compares with similar hospitals, so a ratio above 1.00 alone isn't a penalty. VBP: Value-Based Purchasing total performance score out of 100. How the penalties work.