JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Frederick Health Hospital

3 / 5

At a glance

Frederick Health Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 30 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.957Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3802Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.130Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.998Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5862Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.941Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.202Better than national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.697Better than national
SSI - Colon Surgery: Number of Procedures139Better than national
SSI - Colon Surgery: Predicted Cases4.301Better 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 Procedures85Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.713Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.010Better than national
MRSA Bacteremia: Upper Confidence Limit0.966Better than national
MRSA Bacteremia: Patient Days83393Better than national
MRSA Bacteremia: Predicted Cases5.105Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.196Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.133Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.499Better than national
Clostridium Difficile (C.Diff): Patient Days75607Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.110Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.272Better 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 patients4.6Same as national38
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Better than national2990
Death rate for heart attack patients13.7Same as national248
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.1Same as national343
Death rate for heart failure patients11.2Same as national752
Death rate for pneumonia patients17Same as national783
Death rate for stroke patients14.7Same as national403
Pressure ulcer rate0.64Same as national10378
Death rate among surgical inpatients with serious treatable complications172.01Same as national81
Iatrogenic pneumothorax rate0.22Same as national11599
In-hospital fall-associated fracture rate0.22Same as national11742
Postoperative hemorrhage or hematoma rate2.47Same as national1530
Postoperative acute kidney injury requiring dialysis rate1.82Same as national431
Postoperative respiratory failure rate13.21Same as national347
Perioperative pulmonary embolism or deep vein thrombosis rate3.95Same as national1656
Postoperative sepsis rate8.34Same as national408
Postoperative wound dehiscence rate1.90Same as national368
Abdominopelvic accidental puncture or laceration rate1.18Same as national1727
CMS Medicare PSI 90: Patient safety and adverse events composite1.23Same 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 patients27.6Not available182
Hospital return days for heart failure patients-4Not available829
Hospital return days for pneumonia patients-7Not available799
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national4689
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national87
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national171
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national171
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national755
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national182
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national376
Heart failure (HF) 30-Day Readmission Rate18.5Same as national829
Rate of readmission after hip/knee replacement4.9Same as national38
Pneumonia (PN) 30-Day Readmission Rate13.9Better than national799

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 rating31070
Doctor communication - star rating21070
Communication about medicines - star rating21070
Discharge information - star rating31070
Cleanliness - star rating21070
Quietness - star rating41070
Overall hospital rating - star rating21070
Recommend hospital - star rating31070
Summary star rating31070

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 Hyperglycemia715346
Hospital Harm - Severe Hypoglycemia12713
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination975039
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 better231376
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 better230361
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better37212
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 seen680721
Head CT results6831
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9416
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152390
Appropriate care for severe sepsis and septic shock84406
Septic Shock 3-Hour Bundle97169
Septic Shock 6-Hour Bundle96116
Severe Sepsis 3-Hour Bundle90406
Severe Sepsis 6-Hour Bundle96280
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis706511
Intensive Care Unit Venous Thromboembolism Prophylaxis82941

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 Frederick Health Hospital rated?
Frederick Health Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Frederick Health Hospital have emergency services?
Yes. Frederick Health Hospital operates a 24/7 emergency department.
Where is Frederick Health Hospital located?
Frederick Health Hospital is located at 400 West Seventh St, Frederick, MD 21701.
What type of hospital is Frederick Health Hospital?
Frederick Health Hospital 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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