Hospital Details

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Cape Fear Valley Medical Center

1638 Owen Drive
Fayetteville, NC 28304
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This Hospital's Grade
Grade b
Spring 2026

Outcomes measures include errors, accidents, and injuries that this hospital has publicly reported.

Measure The Hospital's Score Worst Performing Hospital Avg. Performing Hospital Best Performing Hospital Data Source Time Period Covered
Dangerous object left in patient’s body What's This? 0.000 0.261 0.011 0.000 CMS 07/01/2022 - 06/30/2024
Air or gas bubble in the blood What's This? 0.000 0.050 0.001 0.000 CMS 07/01/2022 - 06/30/2024
Patient falls and injuries What's This? 0.089 1.748 0.339 0.000 CMS 07/01/2022 - 06/30/2024
Infection in the blood What's This? 1.089 2.335 0.550 0.000 2025 Leapfrog Hospital Survey 07/01/2024 - 06/30/2025
Infection in the urinary tract What's This? 0.742 2.281 0.497 0.000 2025 Leapfrog Hospital Survey 07/01/2024 - 06/30/2025
Surgical site infection after colon surgery What's This? 1.448 2.959 0.819 0.000 2025 Leapfrog Hospital Survey 07/01/2024 - 06/30/2025
MRSA Infection What's This? 0.492 2.502 0.657 0.000 2025 Leapfrog Hospital Survey 07/01/2024 - 06/30/2025
C. diff. Infection What's This? 0.612 1.469 0.347 0.000 2025 Leapfrog Hospital Survey 07/01/2024 - 06/30/2025
Death from treatable serious complications What's This? 201.86 231.33 173.37 82.98 CMS 07/01/2022 - 06/30/2024
Harmful Events What's This? 1.06 3.16 1.00 0.40 CMS 07/01/2022 - 06/30/2024
      Dangerous bed sores What's This? 1.09 8.31 0.60 0.05 CMS 07/01/2022 - 06/30/2024
      Collapsed lung What's This? 0.18 0.64 0.21 0.08 CMS 07/01/2022 - 06/30/2024
      Falls causing broken hips What's This? 0.22 0.58 0.27 0.14 CMS 07/01/2022 - 06/30/2024
      Blood Leakage What's This? 1.94 5.52 2.32 0.94 CMS 07/01/2022 - 06/30/2024
      Kidney injury after surgery What's This? 1.37 3.98 1.68 0.48 CMS 07/01/2022 - 06/30/2024
      Serious breathing problem What's This? 7.48 59.92 9.66 1.71 CMS 07/01/2022 - 06/30/2024
      Dangerous blood clot What's This? 3.40 8.14 3.52 1.31 CMS 07/01/2022 - 06/30/2024
      Sepsis infection after surgery What's This? 5.28 12.27 5.33 1.15 CMS 07/01/2022 - 06/30/2024
      Surgical wound splits open What's This? 1.82 3.54 1.77 0.84 CMS 07/01/2022 - 06/30/2024
      Accidental cuts and tears What's This? 1.52 3.26 1.05 0.35 CMS 07/01/2022 - 06/30/2024
This measure is a part of the Harmful Events Composite and is not used for scoring.

Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.

Measure The Hospital's Score Worst Performing Hospital Avg. Performing Hospital Best Performing Hospital Data Source Time Period Covered
Doctors order medications through a computer What's This? 100 15 83.55 100 2025 Leapfrog Hospital Survey 2025
Safe medication administration What's This? 100 25 86.14 100 2025 Leapfrog Hospital Survey 2025
Specially trained doctors care for ICU patients What's This? 100 5 68.99 100 2025 Leapfrog Hospital Survey 2025
Effective leadership to prevent errors What's This? 120.00 46.15 117.78 120.00 2025 Leapfrog Hospital Survey 2025
Staff work together to prevent errors What's This? 120.00 0.00 117.68 120.00 2025 Leapfrog Hospital Survey 2025
Nursing and Bedside Care for Patients What's This? 100 15 79.73 100 2025 Leapfrog Hospital Survey 01/01/2024 - 12/31/2024
Handwashing What's This? 100 15 78.21 100 2025 Leapfrog Hospital Survey 2025
Communication with nurses What's This? 90 78 90.55 98 CMS 01/01/2024 - 12/31/2024
Communication with doctors What's This? 90 76 90.11 97 CMS 01/01/2024 - 12/31/2024
Responsiveness of hospital staff What's This? 82 62 82.06 96 CMS 01/01/2024 - 12/31/2024
Communication about medicines What's This? 77 59 74.83 92 CMS 01/01/2024 - 12/31/2024
Communication about discharge What's This? 86 66 85.65 96 CMS 01/01/2024 - 12/31/2024