JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Adventist Healthcare Shady Grove Medical Center

2 / 5

At a glance

Adventist Healthcare Shady Grove Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.008Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.742Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6704Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.650Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.150Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.161Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.719Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4596Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.751Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.631Same as national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.891Better than national
SSI - Colon Surgery: Number of Procedures130Better than national
SSI - Colon Surgery: Predicted Cases3.361Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures36Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.307Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.127Same as national
MRSA Bacteremia: Upper Confidence Limit1.361Same as national
MRSA Bacteremia: Patient Days105968Same as national
MRSA Bacteremia: Predicted Cases6.000Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.500Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.195Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.540Better than national
Clostridium Difficile (C.Diff): Patient Days92193Better than national
Clostridium Difficile (C.Diff): Predicted Cases44.794Better than national
Clostridium Difficile (C.Diff): Observed Cases15Better than national
Clostridium Difficile (C.Diff)0.335Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients5.2Same as national217
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national2198
Death rate for heart attack patients12.5Same as national282
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.6Same as national149
Death rate for heart failure patients11.9Same as national437
Death rate for pneumonia patients17.8Same as national683
Death rate for stroke patients13.5Same as national380
Pressure ulcer rate0.64Same as national7388
Death rate among surgical inpatients with serious treatable complications171.55Same as national91
Iatrogenic pneumothorax rate0.19Same as national8950
In-hospital fall-associated fracture rate0.20Same as national9018
Postoperative hemorrhage or hematoma rate1.73Same as national1636
Postoperative acute kidney injury requiring dialysis rate1.53Same as national653
Postoperative respiratory failure rate10.72Same as national628
Perioperative pulmonary embolism or deep vein thrombosis rate2.66Same as national1746
Postoperative sepsis rate5.66Same as national603
Postoperative wound dehiscence rate1.65Same as national372
Abdominopelvic accidental puncture or laceration rate0.81Same as national1410
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients26.3Not available249
Hospital return days for heart failure patients21.9Not available460
Hospital return days for pneumonia patients34.8Not available680
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national3409
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national514
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national496
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national249
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national149
Heart failure (HF) 30-Day Readmission Rate19Same as national460
Rate of readmission after hip/knee replacement6.7Same as national200
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national680

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating31732
Doctor communication - star rating31732
Communication about medicines - star rating21732
Discharge information - star rating31732
Cleanliness - star rating41732
Quietness - star rating31732
Overall hospital rating - star rating31732
Recommend hospital - star rating31732
Summary star rating31732

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumevery high
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia920528
Hospital Harm - Severe Hypoglycemia23108
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination1003966
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 better201523
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 better200496
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24723
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen174092
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99337
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7947
Safe Use of Opioids - Concurrent Prescribing122979
Appropriate care for severe sepsis and septic shock82115
Septic Shock 3-Hour Bundle8955
Septic Shock 6-Hour Bundle9739
Severe Sepsis 3-Hour Bundle92115
Severe Sepsis 6-Hour Bundle9482
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis981338

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Adventist Healthcare Shady Grove Medical Center rated?
Adventist Healthcare Shady Grove Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventist Healthcare Shady Grove Medical Center have emergency services?
Yes. Adventist Healthcare Shady Grove Medical Center operates a 24/7 emergency department.
Where is Adventist Healthcare Shady Grove Medical Center located?
Adventist Healthcare Shady Grove Medical Center is located at 9901 Medical Center Drive, Rockville, MD 20850.
What type of hospital is Adventist Healthcare Shady Grove Medical Center?
Adventist Healthcare Shady Grove Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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