Acute Care Hospitals · Voluntary non-profit - Private
Adventist Healthcare Shady Grove Medical Center
- 9901 Medical Center Drive, Rockville, MD 20850
- (240) 826-6517
- Acute Care Hospitals
- Emergency services available 24/7
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.008 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.742 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 6704 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 6.650 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.150 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.161 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.719 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 4596 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 4.751 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 3 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.631 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | — | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.891 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 130 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 3.361 | Better than national |
| SSI - Colon Surgery: Observed Cases | 0 | Better than national |
| SSI - Colon Surgery | 0.000 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 36 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.307 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.127 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.361 | Same as national |
| MRSA Bacteremia: Patient Days | 105968 | Same as national |
| MRSA Bacteremia: Predicted Cases | 6.000 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 0.500 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.195 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.540 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 92193 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 44.794 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 15 | Better than national |
| Clostridium Difficile (C.Diff) | 0.335 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 5.2 | Same as national | 217 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.4 | Same as national | 2198 |
| Death rate for heart attack patients | 12.5 | Same as national | 282 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10.6 | Same as national | 149 |
| Death rate for heart failure patients | 11.9 | Same as national | 437 |
| Death rate for pneumonia patients | 17.8 | Same as national | 683 |
| Death rate for stroke patients | 13.5 | Same as national | 380 |
| Pressure ulcer rate | 0.64 | Same as national | 7388 |
| Death rate among surgical inpatients with serious treatable complications | 171.55 | Same as national | 91 |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 8950 |
| In-hospital fall-associated fracture rate | 0.20 | Same as national | 9018 |
| Postoperative hemorrhage or hematoma rate | 1.73 | Same as national | 1636 |
| Postoperative acute kidney injury requiring dialysis rate | 1.53 | Same as national | 653 |
| Postoperative respiratory failure rate | 10.72 | Same as national | 628 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.66 | Same as national | 1746 |
| Postoperative sepsis rate | 5.66 | Same as national | 603 |
| Postoperative wound dehiscence rate | 1.65 | Same as national | 372 |
| Abdominopelvic accidental puncture or laceration rate | 0.81 | Same as national | 1410 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.97 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 26.3 | Not available | 249 |
| Hospital return days for heart failure patients | 21.9 | Not available | 460 |
| Hospital return days for pneumonia patients | 34.8 | Not available | 680 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.5 | Same as national | 3409 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13 | Same as national | 514 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 496 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.3 | Same as national | 249 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.5 | Same as national | 149 |
| Heart failure (HF) 30-Day Readmission Rate | 19 | Same as national | 460 |
| Rate of readmission after hip/knee replacement | 6.7 | Same as national | 200 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.8 | Same as national | 680 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 1732 |
| Doctor communication - star rating | 3 | 1732 |
| Communication about medicines - star rating | 2 | 1732 |
| Discharge information - star rating | 3 | 1732 |
| Cleanliness - star rating | 4 | 1732 |
| Quietness - star rating | 3 | 1732 |
| Overall hospital rating - star rating | 3 | 1732 |
| Recommend hospital - star rating | 3 | 1732 |
| Summary star rating | 3 | 1732 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 Hyperglycemia | 9 | 20528 |
| Hospital Harm - Severe Hypoglycemia | 2 | 3108 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 100 | 3966 |
| 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 better | 201 | 523 |
| 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 better | 200 | 496 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 247 | 23 |
| 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 seen | 1 | 74092 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 337 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 79 | 47 |
| Safe Use of Opioids - Concurrent Prescribing | 12 | 2979 |
| Appropriate care for severe sepsis and septic shock | 82 | 115 |
| Septic Shock 3-Hour Bundle | 89 | 55 |
| Septic Shock 6-Hour Bundle | 97 | 39 |
| Severe Sepsis 3-Hour Bundle | 92 | 115 |
| Severe Sepsis 6-Hour Bundle | 94 | 82 |
| 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 Prophylaxis | 98 | 1338 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
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).
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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.