Bon Secours Maryview Medical Center
An acute care hospital in Portsmouth, Virginia 23707
3636 High Street, Portsmouth, Virginia 23707. (757) 398-2200.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 5 deficiencies cited in the last three years (needs attention)
- 346 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Jul 28, 2026: a complaint inspection.
5 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
5 deficiencies in 2 months of the last 36. Last cited Jan 2026. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jan 9, 2026: complaint inspection1 deficiency
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Patient Rights: Access To Medical Record
The inspectors’ words, 461 words
“PATIENT RIGHTS: ACCESS TO MEDICAL RECORD CFR(s): 482.13(d)(2) The patient has the right to access their medical records, including current medical records, upon an oral or written request, in the form or format requested by the individual. If it is readily producible in such form and format (including in an electronic form or format when such medical records are maintained electronically); or if not, in a readable hard copy form or such other form or format as agreed by the facility and the individual, and within a reasonable timeframe. The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical records and must actively seek to meet these requests as quickly as its record keeping system permits. This Standard is not met as evidenced by: 41450 Based on clinical record review, staff interview, and facility documentation review, hospital staff failed to implement the hospital’s policy regarding patient’s rights for one patient, Patient (P) #1, out of a survey sample of 22 patients reviewed for patient’s rights. The findings include: For P #1, hospital staff failed to complete a request to provide medical records. On 1/6/26 at approximately 1:00 PM, the facility’s grievance and complaint logs for the past 6 months were reviewed and revealed a concern on 12/17/25 by P #1 with regard to a lack of response by the facility to provide requested medical records. The facility’s grievance and complaint policy and patient’s rights policy was requested and reviewed. On 1/7/26 at approximately 11:15 AM, a group interview was conducted with Staff Member (SM) #5, the facility’s Patient Advocate Officer and SM #6, the facility Medical Records Director. SM #5 stated, “We immediately processed and provided [P #1’s] medical records on the same day [12/17/25] that we were notified of her concern”. SM #5 stated in the course of the facility’s investigation into P #1’s complaint made on 12/17/25, it was found that an electronic request for P #1’s medical records was received on 8/19/25 by their contracted medical records processing vendor, and on 8/20/25, the requested records, consisting of 56 pages, were faxed to the authorized requestor, however it revealed three fax attempts that were made to provide the medical records that were unsuccessful in transmission. The facility’s medical records policy was requested and reviewed. On 1/8/26 at approximately 10:45 AM, a review of the hospital’s policy titled, “Individual’s Rights and Responsibilities”, effective date 7/14/2025, subheading, “Privacy”, page 4, item d, read, “Individuals have the right to...Obtain a copy of their medical record, in the form requested by the patient (including in electronic form when available), within a reasonable period of time...” and hospital’s policy titled, “Release of Information”, page 2, item 8, read, “Response Time...within 30 days of receipt of a request...”.”
Jul 25, 2025: complaint inspection4 deficiencies
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Patient Rights
“PATIENT RIGHTS CFR(s): 482.13 A hospital must protect and promote each patient’s rights. This Condition is not met as evidenced by: 40084 Based on document review and interview, it was determined that the facility failed to protect patient rights for one (1) of five (5) Patients (P) included in the survey sample. P # 2”
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Patient Rights: Timely Referral Of Grievances
The inspectors’ words, 288 words
“PATIENT RIGHTS: TIMELY REFERRAL OF GRIEVANCES CFR(s): 482.13(a)(2) [The hospital must establish a process for prompt resolution of patient grievances and must inform each patient whom to contact to file a grievance. The hospital’s governing body must approve and be responsible for the effective operation of the grievance process, and must review and resolve grievances, unless it delegates the responsibility in writing to a grievance committee.] The grievance process must include a mechanism for timely referral of patient concerns regarding quality of care or premature discharge to the appropriate Utilization and Quality Control Quality Improvement Organization. At a minimum: This Standard is not met as evidenced by: 34452 Based on document review and interview, it was determined that the facility failed to provide resolution for a patient complaint/grievance according to the facility policy for one (1) of five (5) Patients (P). P # 2 The findings include: On July 23, 2025 at 1:30 PM, the complaint/grievance log review revealed the following: On July 1, 2025 at 1:06 AM, the complaint/grievance filed by P # 2 was received by the facility. On July 14, 2025, the case was assigned to Staff Member (SM) # 14. On July 14, 2025, P # 2 received an email letting [P # 2] know that SM # 14 had been assigned to the case and would be looking into the matter. On July 23, 2025 at 2:00 PM, a review of the facility’s policy titled “Patient Complaint and Grievance” revealed in part “Grievant must receive a written response which shall promptly be made within the average time frame of seven (7) days”. On July 25, 2025 at 10:45 AM, SM # 12 indicated there had been no follow up with P # 2.”
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Patient Rights: Privacy And Safety
The inspectors’ words, 253 words
“PATIENT RIGHTS: PRIVACY AND SAFETY CFR(s): 482.13(c) Patient Rights: Privacy and Safety This Standard is not met as evidenced by: 34452 Based on document review and interview, it was determined that the facility failed to keep patient’s PHI (personal health information) confidential and protected by documenting PHI in the wrong patient medical record for one (1) of five (5) Patients (P). P # 2 The findings include: On July 23, 2025 at 1:45 PM, P #2’s clinical record review revealed the following: The Social Work Behavioral Health Crisis Assessment dated July 10, 2025 and included in P # 2’s medical record documented a different patient name, date of birth and ethnicity than P # 2. The after visit summary (AVS) dated July 10, 2025 documented a need to schedule an appointment for follow up as soon as possible for a physician in a different state than P # 2 lives. At 10:50 AM, SM confirmed the documentation contained in P # 2’s clinical record was not P # 2’s. At 1:00 PM, information provided by the facility indicated that on July 15, 2025 “they had discovered an error”. The document indicated the facility discovered the [Systems Medical Information Reporting portal for Patients] had the incorrect information as well as the insurance billing information. On July 23, 2025 at 2:00 PM, a review of the facility’s policy titled “Individual’s Rights and Responsibilities” revealed in part “confidentiality of records consistent with federal and state law, as well as [Name of Facility] policy regarding patient privacy”.”
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Patient Rights: Free From Abuse/Harassment
The inspectors’ words, 363 words
“PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT CFR(s): 482.13(c)(3) The patient has the right to be free from all forms of abuse or harassment. This Standard is not met as evidenced by: 34452 Based on document review and interview, it was determined that the facility failed to protect a patient from harassment by NOT listing the patient’s statement of “incorrect identity” in their medical record for one (1) of five (5) Patients (P) included in the survey sample. P# 2 The findings include: On July 23, 2025 at 1:45 PM, P # 2’s clinical record review revealed the following: The Social Work Behavioral Health Crisis Assessment dated July 10, 2025 in P # 2’s medical record documented a different patient name, date of birth and ethnicity than P # 2. The after visit summary (AVS) dated July 10, 2025 documented a need to schedule an appointment for follow up as soon as possible for a physician in a different state than P # 2 lives. At 10:50 AM, SM # 12 indicated the documentation contained in P # 2’s clinical record was not P # 2. On July 23, 2025 at 2:00 PM, a review of the facility’s policy titled “Individual’s Rights and Responsibilities” revealed in part “individuals have the right to receive care in a safe and secure setting free from all forms of abuse, neglect, exploitation, or harassment”. On July 24, 2025 at 10:50 AM, an interview with P # 2 revealed the following: the [SM # 15] on the tele-Psych monitor was notified by P # 2 that the patient information was not P #2’s but SM # 15 failed to listen to [P # 2]. P # 2 stated on more than one occasion [SM # 15] that the patient information was incorrect. SM # 15 failed to correct the information. P # 2 had agreed to an in patient stay but refused after [P # 2] lost confidence in the facility’s ability to safely care for and protect [P # 2]. P # 2 indicated that the whole situation caused [P # 2] more anxiety as [SM # 15] continued to document with the incorrect identity of [P # 2].”
All 6 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 28, 2026 | Complaint inspection | No deficiencies cited |
| Jun 15, 2026 | Complaint inspection | No deficiencies cited |
| Jan 9, 2026 | Complaint inspection | 1 deficiency cited |
| Jan 8, 2026 | Complaint inspection | No deficiencies cited |
| Jul 25, 2025 | Complaint inspection | 4 deficiencies cited |
| May 7, 2025 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 1 worse of 8; safety of care, 3 better and 0 worse of 7; readmission, 0 better and 1 worse of 10.
- Patients rate it 3 of 5 in CMS’s patient survey (635 surveys completed, Oct 1, 2024 to Sep 30, 2025): 65% rated it 9 or 10 out of 10, and 57% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.7%, heart failure 13.1%, pneumonia 14.4%, COPD 10.2%, stroke 9%, heart bypass surgery 2.1%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.8%, heart failure 22.1%, pneumonia 18.9%, COPD 20.8%, heart bypass surgery 11.7%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 164 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 60% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.01 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- It has an inpatient rehabilitation unit of 25 beds, which CMS lists apart as a rehabilitation facility.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 5 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 88% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Bon Secours Hampton Roads Health System Inc. owns 100% directly since Jan 24, 1985.
- 18 owners or officers are people: Ann M Kirk (corporate director); Kevin Clark (corporate director); Angela Reddix (corporate director); Patricia Davis-Hagens (corporate director); David A Cannady (corporate director); Brian Yanofchick (corporate director); John Starcher (runs it (operational or managerial control)); Dawn Glynn (corporate director); Corey Mccray (corporate director); Raymond L Mccue (corporate director); Teresa Beale (corporate director); Jonathan L Haynes (corporate officer); Jonathan L Haynes (corporate director); Jonathan L Haynes (managing employee (on the payroll)); John E Snellings (corporate director); Cynthia C Romero (corporate director); Kimberly M Ralston (managing employee (on the payroll)); Joy L Jefferson (corporate director).
- CMS’s Provider of Services file records 1 change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Bon Secours Mercy Health Inc. | Owns 5% or more through other companies | 100% | Sep 1, 2018 |
| Bon Secours Hampton Roads Health System Inc. | Owns 5% or more directly | 100% | Jan 24, 1985 |
How does it compare nearby?
- Of the 2 hospitals CMS lists in Portsmouth City, 1 has an overall star rating from CMS: 1 rated 3 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Nmc Portsmouth | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.