Only three of Nicaragua's 32 public hospitals are located in what is known as the Caribbean coast. The 'Caribbean coast' portion of the country is divided into two autonomous regions that, combined, make up fifty-five percent of the country's total territory.
Hospital Ernesto Sequeira is in Bluefields. Small and not showy by many standards, it's got everything hospitals are supposed to have. I have friends who've been successfully and professionally treated there for things ranging from minor injuries to life threatening illnesses. And as a hospital should, it has an emergency room that's open 24-hours a day.
The UVA information is a curious sidenote to those of us who have spent most of our lives in Virginia, although we weren't aware of the collaboration between Bluefields and a Virginia university until long after we selected the area for a place to live part time.
Interestingly, one of Bluefields' two universities - BICU - is the first site of the University of Virginia School of Nursing's reimagined global initiatives program which includes conducting "research with the UVA faculty and Nicaraguan clinicians."
The BICU site may or may not translate easily from Spanish to English but it's doable...and anything is better than wikipedia: https://www.bicu.edu.ni/