P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalCarilion New River Valley Medical Center Estimated FY2026 net: −$46K×

Hospital record · FY2026CCN 490042

1Hospital

Carilion New River Valley Medical Center

2Location

Christiansburg, VA (Virginia’s hospitals on the map and in the table) 24073

Montgomery County

3Type

Not a teaching hospital · 146 beds · Nonprofit · Urban · Medicare-dependent hospital · Rural referral center

4Care Compare stars

4 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.2760

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $266K, likely $190⁠–⁠298K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.2760 for Carilion New River Valley Medical Center and a payment reduction decision of No.

A cut would have taken about $266K estimate 1% of about $26.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.1039 under 0.3799, the lowest score CMS cut.

Likely range $190–298K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.2760 This hospital 0.2760 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.2760 This hospital 0.2760

Higher than 68% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 1 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25Cut
  12. 26No

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.4490, to −0.1730. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; PSI 90 added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    added the most

    Patient safety and adverse events composite

    Worse than 99% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value1.7213

    Z-score2.5111

    Part of score+0.4185

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Better than 51% of the other 2,181 hospitals

    CMS value0.548

    Z-score−0.1352

    Part of score−0.0225

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Worse than 77% of the other 2,354 hospitals

    CMS value0.822

    Z-score0.6628

    Part of score+0.1105

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Better than 50% of the other 2,269 hospitals

    CMS value0.782

    Z-score−0.1169

    Part of score−0.0195

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Worse than 62% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.427

    Z-score0.1912

    Part of score+0.0319

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Better than 87% of the other 2,067 hospitals

    CMS value0.000

    Z-score−1.4573

    Part of score−0.2429

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.72130.96232.5111+0.4185Worse than 99% of the other 2,808 hospitals
CLABSI0.5480.559−0.1352−0.0225Better than 51% of the other 2,181 hospitals
CAUTI0.8220.4890.6628+0.1105Worse than 77% of the other 2,354 hospitals
SSI0.7820.795−0.1169−0.0195Better than 50% of the other 2,269 hospitals
CDI0.4270.3460.1912+0.0319Worse than 62% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.2429Better than 87% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(2.5111PSI 90−0.1352CLABSI+0.6628CAUTI−0.1169SSI+0.1912CDI−1.4573MRSA)÷6measures=0.2760Total HAC Score

This hospital’s score is 0.1039 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.2760, below CMS’s line.
1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score −0.1352 divided by 6 = −0.0225CLABSI−0.0225 CAUTI: z‑score 0.6628 divided by 6 = +0.1105CAUTI+0.1105 SSI: z‑score −0.1169 divided by 6 = −0.0195SSI−0.0195 CDI: z‑score 0.1912 divided by 6 = +0.0319CDI+0.0319 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: 0.2760Score0.2760 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6 1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score −0.1352 divided by 6 = −0.0225CLABSI−0.0225 CAUTI: z‑score 0.6628 divided by 6 = +0.1105CAUTI+0.1105 SSI: z‑score −0.1169 divided by 6 = −0.0195SSI−0.0195 CDI: z‑score 0.1912 divided by 6 = +0.0319CDI+0.0319 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: 0.2760Score0.2760 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 902.5111+0.41850.4185
CLABSI−0.1352−0.02250.3960
CAUTI0.6628+0.11050.5065
SSI−0.1169−0.01950.4870
CDI0.1912+0.03190.5189
MRSA−1.4573−0.24290.2760
Total HAC Score0.2760
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.1039 under the lowest score CMS cut, costs it nothing; 0.1039 higher, the cut would have been about $266K by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $266K at any score from 0.3799 $0at any score up to 0.3792 $266K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.2760 This hospital 0.2760 CMS’s line $0 at any score up to 0.3792 $266K at any score from 0.3799 $0at any score up to 0.3792 $266Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.2760 This hospital 0.2760

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$265,633
This hospital0.2760$0
CMS’s highest score2.3133−$265,633

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($26,609,721payment−$16,278readmissions−$30,104value-based)×1%the cut=$265,633at stake

$265,633at stake÷1,920traditional Medicare stays=$138per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $266K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$16K and −$30K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates $19,199,490
Medicare-dependent hospital add-on $4,054,263
Base payment the base $23,253,753
Many low-income patients (disproportionate share) $353,847
Outliers: unusually costly stays $212,538
Capital: buildings and equipment $1,486,064
Uncompensated care $1,303,519
Total, before the three programs $26,609,721
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9993 − 1) −$16,278
Value-based purchasing (HVBP) base × (0.9987 − 1) −$30,104
After these two $26,563,339
HAC Reduction Program no cut; 1% would have been $265,633 $0
Net of the three programs likely −$49K to −$32K −$46,382

Not paid to this hospital: teaching payments, a sole community hospital rate difference, and a low-volume adjustment.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates$19,199,490
Medicare-dependent hospital add-on$4,054,263
Base payment (the base)$23,253,753
Many low-income patients (disproportionate share)$353,847
Outliers: unusually costly stays$212,538
Capital: buildings and equipment$1,486,064
Uncompensated care$1,303,519
Total, before the three programs$26,609,721
Readmissions (HRRP) (base × (0.9993 − 1))−$16,278
Value-based purchasing (HVBP) (base × (0.9987 − 1))−$30,104
After these two$26,563,339
HAC Reduction Program (no cut; 1% would have been $265,633)$0
Net of the three programs (likely −$49K to −$32K)−$46,382

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score0.2760same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of 0.2760 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

Staying at or under CMS’s line keeps about $266K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIup to 0.814
CAUTIup to 1.078
SSIup to 1.143
CDIup to 0.586
MRSAup to 0.296

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 1.7213 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.548 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.822 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.782 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.427 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.000 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

Have your NHSN predicted counts? (optional, stays in your browser)

Stays in your browser; never sent.

Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 0.2760 among its measured results: +0.4185.
  • PSI 90 +0.4185
  • CLABSI −0.0225
  • CAUTI +0.1105
  • SSI −0.0195
  • CDI +0.0319
  • MRSA −0.2429

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 902.5111+0.4185same
CLABSI−0.1352−0.0225same
CAUTI0.6628+0.1105same
SSI−0.1169−0.0195same
CDI0.1912+0.0319same
MRSA−1.4573−0.2429same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/490042/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Figure 6. CMS cut this hospital in 1 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.6000, higher than 34% of scores; not cutFY2016: score 2.0000, higher than 4% of scores; not cutFY2017: score 4.1300, higher than 27% of scores; not cutFY2018: score −0.4049, higher than 25% of scores; not cutFY2019: score −0.5508, higher than 19% of scores; not cutFY2020: score −0.5654, higher than 17% of scores; not cutFY2021: score −0.1995, higher than 37% of scores; not cutFY2022: score −0.0114, higher than 51% of scores; not cutFY2024: score 0.1277, higher than 61% of scores; not cutFY2025: score 0.5818, higher than 84% of scores; cutFY2026: score 0.2760, higher than 68% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.6000, higher than 34% of scores; not cutFY2016: score 2.0000, higher than 4% of scores; not cutFY2017: score 4.1300, higher than 27% of scores; not cutFY2018: score −0.4049, higher than 25% of scores; not cutFY2019: score −0.5508, higher than 19% of scores; not cutFY2020: score −0.5654, higher than 17% of scores; not cutFY2021: score −0.1995, higher than 37% of scores; not cutFY2022: score −0.0114, higher than 51% of scores; not cutFY2024: score 0.1277, higher than 61% of scores; not cutFY2025: score 0.5818, higher than 84% of scores; cutFY2026: score 0.2760, higher than 68% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20154.600034.7%not cut
FY20162.00004.1%not cut
FY20174.130027.9%not cut
FY2018−0.404925.2%not cut
FY2019−0.550819.4%not cut
FY2020−0.565417.0%not cut
FY2021−0.199537.4%not cut
FY2022−0.011451.5%not cut
FY2023no decision
FY20240.127761.5%not cut
FY20250.581884.6%cut
FY20260.276068.8%not cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 0 of its 5 infection measures ended lower than they started.
CLABSI 0.27 → 0.39 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.274CLABSI, 2018: 0.296CLABSI, 2019: 0.929CLABSI, 2021: 0.253CLABSI, 2022: 0.294CLABSI, 2023: 0.682CLABSI, 2024: 0.393 CAUTI 0.18 → 0.23 1 0 ’18’21’24 CAUTI, 2017: 0.177CAUTI, 2018: 0.605CAUTI, 2019: 0.000CAUTI, 2021: 1.074CAUTI, 2022: 1.056CAUTI, 2023: 1.412CAUTI, 2024: 0.235 SSI, colon 0.00 → 1.03 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.647SSI, colon, 2019: 0.000SSI, colon, 2021: 1.235SSI, colon, 2022: 0.000SSI, colon, 2023: 0.542SSI, colon, 2024: 1.027 MRSA 0.00 → 0.00 1 0 ’18’21’24 MRSA, 2017: 0.000MRSA, 2018: 0.641MRSA, 2019: 1.883MRSA, 2021: 1.803MRSA, 2022: 2.767MRSA, 2023: 0.000MRSA, 2024: 0.000 C. diff 0.54 → 0.56 1 0 ’18’21’24 C. diff, 2017: 0.540C. diff, 2018: 0.800C. diff, 2019: 0.935C. diff, 2021: 0.939C. diff, 2022: 0.946C. diff, 2023: 0.292C. diff, 2024: 0.555 CLABSI 0.27 → 0.39 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.274CLABSI, 2018: 0.296CLABSI, 2019: 0.929CLABSI, 2021: 0.253CLABSI, 2022: 0.294CLABSI, 2023: 0.682CLABSI, 2024: 0.393 CAUTI 0.18 → 0.23 1 0 ’18’20’22’24 CAUTI, 2017: 0.177CAUTI, 2018: 0.605CAUTI, 2019: 0.000CAUTI, 2021: 1.074CAUTI, 2022: 1.056CAUTI, 2023: 1.412CAUTI, 2024: 0.235 SSI, colon 0.00 → 1.03 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.647SSI, colon, 2019: 0.000SSI, colon, 2021: 1.235SSI, colon, 2022: 0.000SSI, colon, 2023: 0.542SSI, colon, 2024: 1.027 MRSA 0.00 → 0.00 1 0 ’18’20’22’24 MRSA, 2017: 0.000MRSA, 2018: 0.641MRSA, 2019: 1.883MRSA, 2021: 1.803MRSA, 2022: 2.767MRSA, 2023: 0.000MRSA, 2024: 0.000 C. diff 0.54 → 0.56 1 0 ’18’20’22’24 C. diff, 2017: 0.540C. diff, 2018: 0.800C. diff, 2019: 0.935C. diff, 2021: 0.939C. diff, 2022: 0.946C. diff, 2023: 0.292C. diff, 2024: 0.555

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonMRSAC. diff
20170.2740.1770.0000.0000.540
20180.2960.6050.6470.6410.800
20190.9290.0000.0001.8830.935
20210.2531.0741.2351.8030.939
20220.2941.0560.0002.7670.946
20230.6821.4120.5420.0000.292
20240.3930.2351.0270.0000.555

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Virginia, its score is higher than 88% of the other 69 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 7% (Virginia) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Virginia: CMS cut 5 of 70 (7%); middle score −0.2572Virginia 70 hospitals7% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.2760 This hospital 0.2760 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Virginia: CMS cut 5 of 70 (7%); middle score −0.2572Virginia70 hospitals7% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.2760 This hospital 0.2760

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045368%
South region1,17426322%−0.105671%
Virginia7057%−0.257288%
Not teaching1,56338925%−0.105370%
100 to 299 beds1,19327523%−0.073270%
Nonprofit1,83047826%−0.013468%
Urban2,24151023%−0.057470%
This hospital0.2760
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 9. CMS cut 1 of the 8 nearest hospitals; the closest is 9 miles away.
5 mi10 mi25 mi8. Princeton Community Hospital Assn Inc, Princeton: score 1.5692, cut, 38 miles87. Twin County Regional Hospital, Galax: score −0.3919, not cut, 37 miles76. Carilion Franklin Memorial Hospital, Rocky Mount: score −0.7492, not cut, 35 miles65. Wythe County Community Hospital, Wytheville: score −0.9932, not cut, 34 miles54. Carilion Medical Center, Roanoke: score 0.0999, not cut, 33 miles43. Lewisgale Medical Center, Salem: score −0.3194, not cut, 29 miles32. Lewisgale Hospital Pulaski, Pulaski: score 0.0574, not cut, 14 miles21. Lewisgale Hospital Montgomery, Blacksburg: score −0.1083, not cut, 9 miles1This hospital: Carilion New River Valley Medical Center

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
Lewisgale Hospital Montgomery, Blacksburg, VA9−0.1083not cut
Lewisgale Hospital Pulaski, Pulaski, VA140.0574not cut
Lewisgale Medical Center, Salem, VA29−0.3194not cut
Carilion Medical Center, Roanoke, VA330.0999not cut
Wythe County Community Hospital, Wytheville, VA34−0.9932not cut
Carilion Franklin Memorial Hospital, Rocky Mount, VA35−0.7492not cut
Twin County Regional Hospital, Galax, VA37−0.3919not cut
Princeton Community Hospital Assn Inc, Princeton, WV381.5692cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Lewisgale Hospital MontgomeryBlacksburg, VA9−0.1083No cut$0Above the national median on 4 of 6 measures
2Lewisgale Hospital PulaskiPulaski, VA140.0574No cut$0Above the national median on 1 of 2 measures
3Lewisgale Medical CenterSalem, VA29−0.3194No cut$0Above the national median on 3 of 6 measures
4Carilion Medical CenterRoanoke, VA330.0999No cut$0Above the national median on 5 of 6 measures
5Wythe County Community HospitalWytheville, VA34−0.9932No cut$0Above the national median on 0 of 3 measures
6Carilion Franklin Memorial HospitalRocky Mount, VA35−0.7492No cut$0Above the national median on 0 of 3 measures
7Twin County Regional HospitalGalax, VA37−0.3919No cut$0Above the national median on 1 of 4 measures
8Princeton Community Hospital Assn IncPrinceton, WV381.56921% cut$252KAbove the national median on 6 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Carilion New River Valley Medical Center, Christiansburg, VA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/490042/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.