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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum, Inc. All rights reserved.

The U.S. healthcare graph AI can cite — every fact carries its source.

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Fonteum Care Compare · Acute Care Hospitals · CCN 390138

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA

Entity nameWellspan Waynesboro Hospital
CMS Complications and Deaths 2026-04-28 · 2026-05-07
CCN390138
CMS Complications and Deaths 2026-04-28 · 2026-05-07
TypeAcute Care Hospitals
CMS Complications and Deaths 2026-04-28 · 2026-05-07
LocationWaynesboro, PA
CMS Complications and Deaths 2026-04-28 · 2026-05-07
CMS star rating4 / 5
CMS Complications and Deaths 2026-04-28 · 2026-05-07
OwnershipVoluntary non-profit - Private
CMS Hospital General Info · 2026-05-07
Emergency servicesYes
CMS Hospital General Info · 2026-05-07
CCN 390138Acute Care HospitalsUpdated 2026-05-07CMS overall star rating: 4 / 5 · 2026-05-07
CMS-attested · 390138See the proof → Differ

Wellspan Waynesboro Hospital is a Medicare-certified hospital (Acute Care Hospitals) in Waynesboro, PA, identified by CMS Certification Number 390138. CMS assigns it an overall rating of 4 out of 5. Fonteum publishes 125 provenance-tracked CMS quality measures for this hospital, each signed to its primary federal dataset as of Q2 2026.

Fonteum is a US healthcare provenance registry that publishes signed, chain-of-custody-attested research and data pages on Medicare, Medicaid, and federal regulator datasets, drawing from 23 federal source families across CMS, OIG, HRSA, AHRQ, and HHS.

Data last updated: 2026-05-07 · Source: Multiple CMS Care Compare datasets · View on Medicare.gov

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer. Last reviewed: June 2026 · Next review: December 2026. This page is data-led and informational; it reports CMS measures and their provenance, not clinical guidance.

How do patients rate Wellspan Waynesboro Hospital?

CMS publishes 52 patient experience (hcahps) measures for Wellspan Waynesboro Hospital, each chained to its source row and reporting period Q2 2026.

Communication about medicines — always (%)68%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Communication about medicines — sometimes or never (%)15%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Communication about medicines — usually (%)17%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Discharge information — no (%)9%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Discharge information — yes (%)91%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — always (%)79%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — sometimes or never (%)4%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — usually (%)17%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors explained things clearly — always (%)77%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors explained things clearly — sometimes or never (%)6%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors explained things clearly — usually (%)17%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors listened carefully — always (%)79%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors listened carefully — sometimes or never (%)4%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors listened carefully — usually (%)17%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors treated patients with courtesy and respect — always (%)82%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors treated patients with courtesy and respect — sometimes or never (%)2%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors treated patients with courtesy and respect — usually (%)16%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
HCAHPS summary star rating4
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — always (%)85%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — sometimes or never (%)2%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — usually (%)13%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses explained things clearly — always (%)79%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses explained things clearly — sometimes or never (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses explained things clearly — usually (%)18%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses listened carefully — always (%)83%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses listened carefully — sometimes or never (%)2%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses listened carefully — usually (%)15%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses treated patients with courtesy and respect — always (%)92%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses treated patients with courtesy and respect — sometimes or never (%)1%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses treated patients with courtesy and respect — usually (%)7%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 0–6 (%)4%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 7–8 (%)15%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 9–10 (%)81%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — always (%)59%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — sometimes or never (%)8%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — usually (%)33%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery symptoms information at discharge — no (%)11%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery symptoms information at discharge — yes (%)89%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery-at-home information at discharge — no (%)7%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery-at-home information at discharge — yes (%)93%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — always (%)82%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — sometimes or never (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — usually (%)15%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff described medication side effects — always (%)52%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff described medication side effects — sometimes or never (%)23%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff described medication side effects — usually (%)25%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff explained new medicines — always (%)83%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff explained new medicines — sometimes or never (%)7%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff explained new medicines — usually (%)10%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — definitely no (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — definitely yes (%)75%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — probably yes (%)22%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07

What are the mortality rates at Wellspan Waynesboro Hospital?

CMS publishes 6 mortality measures for Wellspan Waynesboro Hospital, each chained to its source row and reporting period Q2 2026.

Mortality — Wellspan Waynesboro Hospital · CCN 390138 · 2026-05-07
MeasureValueCompared to nationalSource
Death rate for COPD patients10.1%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Death rate for heart attack patients11.7%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Death rate for heart failure patients11%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Death rate for pneumonia patients14.7%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Death rate for stroke patients13.3%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07

How often are patients readmitted to Wellspan Waynesboro Hospital?

CMS publishes 8 readmissions measures for Wellspan Waynesboro Hospital, each chained to its source row and reporting period Q2 2026.

Readmissions — Wellspan Waynesboro Hospital · CCN 390138 · 2026-05-07
MeasureValueCompared to nationalSource
Heart failure (HF) 30-Day Readmission Rate19%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Hospital return days for heart failure patients-17→ Average Days per 100 DischargesCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Hospital return days for pneumonia patients20.4→ More Days Than Average per 100 DischargesCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Pneumonia (PN) 30-Day Readmission Rate15.7%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07
Ratio of unplanned hospital visits after hospital outpatient surgery1%→ No Different than expectedCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07

What are the complication and safety rates at Wellspan Waynesboro Hospital?

CMS publishes 5 complications and patient safety measures for Wellspan Waynesboro Hospital, each chained to its source row and reporting period Q2 2026.

Complications and patient safety — Wellspan Waynesboro Hospital · CCN 390138 · 2026-05-07
MeasureValueCompared to nationalSource
Abdominopelvic accidental puncture or laceration rate1.05%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
CMS Medicare PSI 90: Patient safety and adverse events composite0.95%→ No Different Than the National ValueCMS Complications and Deaths 2026-04-28 · 2026-05-07
Iatrogenic pneumothorax rate0.2%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
In-hospital fall-associated fracture rate0.26%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07
Pressure ulcer rate0.46%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07

What are the infection rates at Wellspan Waynesboro Hospital?

CMS publishes 15 healthcare-associated infections measures for Wellspan Waynesboro Hospital, each chained to its source row and reporting period Q2 2026.

Healthcare-associated infections — Wellspan Waynesboro Hospital · CCN 390138 · 2026-05-07
MeasureValueCompared to nationalSource
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days490—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.274—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.407—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Central Line Associated Bloodstream Infection: Number of Device Days604—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff)0.487→ No Different than National BenchmarkCMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Lower Confidence Limit0.082—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Observed Cases2—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Patient Days10,407—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Predicted Cases4.103—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Upper Confidence Limit1.61—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Observed Cases1—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Patient Days10,407—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Predicted Cases0.448—CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07

How timely and effective is care at Wellspan Waynesboro Hospital?

CMS publishes 15 timely and effective care measures for Wellspan Waynesboro Hospital, each chained to its source row and reporting period Q2 2026.

Antithrombotic Therapy by End of Hospital Day 291%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Appropriate care for severe sepsis and septic shock69%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
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 better144
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better301
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
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 better140
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Discharged on Antithrombotic Therapy95%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Emergency department volumemedium
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Healthcare workers given influenza vaccination88%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Left before being seen1%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Safe Use of Opioids - Concurrent Prescribing16%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Septic Shock 3-Hour Bundle75%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Septic Shock 6-Hour Bundle83%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Severe Sepsis 3-Hour Bundle79%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Severe Sepsis 6-Hour Bundle100%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07

How does Fonteum cover hospital quality data?

Fonteum indexes quality data from 23 federal source families, including all six CMS Care Compare facility programs. Each CCN is keyed to its primary CMS dataset — every field traced to a source row and reporting period.

Facility typeCCNsSource
Hospitals6,019CMS Care Compare
Home Health12,392CMS hah8-mnua
Hospice6,943CMS yc9t-dgbk
Dialysis7,557CMS 23ew-n7w9
ASC5,611CMS 4jcv-atw7
IRF / LTACH1,538CMS CC (data-only)
40,060 total CCN-keyed facilities (6 program types) · CMS Care CompareCMS Care Compare →

CMS Care Compare · 6 facility types · data.cms.gov · US Government Work

How does Fonteum connect this hospital to its sources?

Wellspan Waynesboro Hospital (CCN 390138) is identified across 6 CMS Care Compare datasets published on data.cms.gov. Every field on this page is chained to its source dataset and row.

390138CMS Complicadata.cms.gov

Trace this CCN across 23 federal datasets →

How is this hospital’s data sourced and attested?

Each field on this page is sourced from 6 CMS Care Compare datasets published on data.cms.gov — US Government Works. Fonteum re-publishes each value with a provenance record identifying the federal source, release date, and redistribution basis.

  1. Source acquisition — download the CMS Care Compare files (6 datasets) from data.cms.gov.
  2. Entity resolution — key every row to the hospital’s CMS Certification Number (CCN 390138).
  3. Field projection — extract the fields shown on this page.
  4. Quality checks — drop rows CMS suppresses or marks not available.
  5. Chain attestation — sign each field into the Fonteum provenance graph.
Source: CMS Complications and Deaths 2026-04-28·Snapshot: 2026-05-07·Method: hospital-detail/v1·ID: CCN 390138

Read the full Fonteum provenance methodology or browse the 23 federal source families behind every page.

Which CMS datasets back this page?

  • CMS Complications and Deaths 2026-04-28 · archived copy
    Centers for Medicare & Medicaid Services · US Government Work
  • Medicare.gov Care Compare — Wellspan Waynesboro Hospital
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS HCAHPS Patient Survey 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Healthcare Associated Infections 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Hospital General Information 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Timely and Effective Care 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Unplanned Hospital Visits 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work

Frequently asked questions

What is the CMS overall star rating for Wellspan Waynesboro Hospital?
Wellspan Waynesboro Hospital holds a CMS overall star rating of 4 out of 5 as of Q2 2026. CMS calculates this rating quarterly from quality measures spanning mortality, safety of care, readmission, patient experience, and timely and effective care, all drawn from the CMS Care Compare program.
Who owns Wellspan Waynesboro Hospital?
Wellspan Waynesboro Hospital is classified by CMS as "Voluntary non-profit - Private". Ownership type is reported by the hospital to CMS and published in the Hospital General Information dataset; it describes the controlling entity, not the quality of care, which Fonteum reports separately and traces to each source row.
How many CMS quality measures does Fonteum track for Wellspan Waynesboro Hospital?
Fonteum publishes 125 CMS quality measures for Wellspan Waynesboro Hospital across 6 groups — patient experience (hcahps), mortality, readmissions, complications and patient safety, healthcare-associated infections, timely and effective care. Every measure is a separate provenance claim signed to the CMS dataset, reporting period, and source row it was asserted from, and is hover-traceable on this page.
Where does Wellspan Waynesboro Hospital's quality data come from?
Wellspan Waynesboro Hospital's data is drawn directly from 6 primary CMS Care Compare datasets published on data.cms.gov, including patient survey, mortality, readmission, complication, infection, and timely-care files. Fonteum re-publishes each value with a chained 14-field provenance record rather than an aggregated score.
What does CMS Certification Number 390138 identify?
The CMS Certification Number (CCN) 390138 is the federal identifier Medicare assigns to Wellspan Waynesboro Hospital. It is unique, dated, and federally issued, and it links this hospital across every CMS dataset — cost reports, Care Compare quality files, and the Provider of Services file — which is how Fonteum joins Wellspan Waynesboro Hospital's records.
Does Wellspan Waynesboro Hospital provide emergency services?
Yes. CMS records that Wellspan Waynesboro Hospital provides emergency services, per the Hospital General Information dataset as of Q2 2026. Emergency-service status indicates the hospital operates an emergency department; it is reported by the hospital to CMS and chained to its source row on this page.

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Wellspan Waynesboro Hospital is a Medicare-certified hospital identified by CMS Certification Number 390138. Data sourced from the CMS Complications and Deaths 2026-04-28 (data.cms.gov), a US Government Work. Methodology · Report an error · Medicare.gov

Compliance posture

Methodology · Corrections log · Editorial policy