More than three-fourths of 112 Department of Veterans Affairs medical centers earned four- or five-star ratings from the federal government for quality, according to new data released Monday.
For the second year , no VA hospitals received a one-star rating from the Centers for Medicare & Medicaid Services, or CMS, the agency within the Department of Health and Human Services that publishes quality assessments for U.S. hospitals based on mortality rates, patient safety, hospital readmissions and other measures.
CMS began rating VA hospitals in 2023. That year, of 114 facilities that were evaluated, nearly 30% received five stars; 37% received four stars; 15% were awarded three stars; 11%, two stars; and 8% — or nine facilities — one star.
In 2026, 45% of VA facilities received five stars, 33% earned four stars, 16% received three stars and 6% were given two stars.
Since the first assessment, the percentage of VA facilities that have earned four or five stars rose from 67% to 78%, despite dipping to 58% in 2024.
The assessments compare favorably against more than 4,600 hospitals reviewed by CMS nationwide. Roughly 12% of U.S. hospitals received five-star ratings, 30% were awarded four stars, 31% received three stars, 21% earned two stars and 6% were given one star this year.
Officials said the new ratings mean VA hospitals account for nearly 15% of the country’s five-star rated hospitals.
“The Trump Administration has a proven track record of improving Veterans’ care, and these ratings underscore that success,” VA Secretary Doug Collins said in a release. “We look forward to continuing to deliver the results veterans have earned at VA facilities across the nation.”
The list of high- and low- performing facilities at the VA has fluctuated over time, with some marked improvements in facilities that received one star in 2023.
For example, the VA Pittsburgh Health Care System, Providence VA Medical Center in Rhode Island and the Bronx VA Medical Center in New York City each received one star in 2023 but earned four stars in 2026.
Two facilities that earned one star each in 2023 continue to be among the VA’s list of facilities performing under national averages on several measures. The Overton Brooks VA Medical Center in Shreveport, Louisiana, and the San Juan Medical Center, Puerto Rico, are among the seven VA facilities that received two stars.
The VA maintained its own internal star ratings and began publishing them in 2017 following a series of news reports. In late 2019, the department dropped the effort because VA leaders said it provided little value to veterans.
Twenty Veterans Health Administration medical centers were not rated because they did not meet the criteria for inclusion. CMS does not rate facilities that have a low number of cases or incidents that are specific to its assessment criteria.
It also does not rate specialty hospitals, ambulatory surgical centers and some inpatient care facilities, such as psychiatric hospitals.
The CMS star ratings can be found on Medicare’s Care Compare website.
Patricia Kime is a senior writer covering military and veterans health care, medicine and personnel issues.
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