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ABSTRACT Background Chronic Heart Failure (CHF) is a major cardiovascular disorder associated with frequent hospital readmissions, poor prognosis, increased healthcare expenditure, and reduced quality of life. Recurrent hospitalizations among CHF patients commonly occur due to inadequate self- management practices, poor medication adherence, delayed symptom recognition, and associated comorbidities. Understanding hospital readmission patterns and associated factors is essential for improving patient outcomes and planning effective nursing interventions. Objectives o To assess hospital readmission patterns among patients with chronic heart failure. o To identify factors associated with hospital readmissions among patients with chronic heart failure. o To determine the association between hospital readmission patterns and selected demographic and clinical variables. Methods A quantitative research approach with a descriptive cross-sectional research design was adopted for the study. A total of 150 patients diagnosed with chronic heart failure were selected using a purposive sampling technique based on eligibility criteria and willingness to participate in the study. Data were collected using a demographic and clinical variable sheet along with a structured hospital readmission assessment checklist. Hospital readmission patterns, frequency of hospital admissions, contributing factors, and associated demographic and clinical variables were assessed. Data were analyzed using descriptive and inferential statistics. Results Among 150 participants, 46% had one previous hospital readmission, 32% had two readmissions, and 22% had more than two readmissions within the previous one year. Poor medication adherence (58%), excessive fluid intake (44%), delayed symptom recognition (41%), and uncontrolled comorbidities (38%) were identified as major contributing factors for hospital readmissions. A significant association was found between hospital readmission patterns and educational status, duration of illness, smoking history, and NYHA classification (). Conclusion The study findings revealed that hospital readmissions among patients with chronic heart failure were strongly associated with poor self-management practices and disease-related factors. Early identification of high-risk patients and strengthening nurse-led patient education programmes may help reduce avoidable hospital readmissions and improve patient outcomes.