JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Holy Cross Germantown Hospital

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At a glance

Holy Cross Germantown Hospital carries a 1-star CMS overall rating — below the national norm.

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 Limit0.131Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.589Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3241Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.552Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.784Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.411Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.484Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4504Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.462Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.121Same as national
SSI - Colon Surgery: Lower Confidence Limit0.033Same as national
SSI - Colon Surgery: Upper Confidence Limit3.284Same as national
SSI - Colon Surgery: Number of Procedures59Same as national
SSI - Colon Surgery: Predicted Cases1.502Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.666Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures12Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.091Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.491Same as national
MRSA Bacteremia: Upper Confidence Limit5.254Same as national
MRSA Bacteremia: Patient Days32983Same as national
MRSA Bacteremia: Predicted Cases1.554Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.931Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.332Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.357Same as national
Clostridium Difficile (C.Diff): Patient Days30265Same as national
Clostridium Difficile (C.Diff): Predicted Cases11.198Same as national
Clostridium Difficile (C.Diff): Observed Cases8Same as national
Clostridium Difficile (C.Diff)0.714Same as 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 patients3.6Same as national26
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national860
Death rate for heart attack patients11.4Same as national32
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.3Same as national90
Death rate for heart failure patients10.7Same as national167
Death rate for pneumonia patients17.7Same as national216
Death rate for stroke patients14.2Same as national90
Pressure ulcer rate0.60Same as national2880
Death rate among surgical inpatients with serious treatable complications174.16Same as national29
Iatrogenic pneumothorax rate0.19Same as national3229
In-hospital fall-associated fracture rate0.24Same as national3287
Postoperative hemorrhage or hematoma rate2.11Same as national519
Postoperative acute kidney injury requiring dialysis rate1.62Same as national227
Postoperative respiratory failure rate7.53Same as national214
Perioperative pulmonary embolism or deep vein thrombosis rate3.55Same as national554
Postoperative sepsis rate5.58Same as national217
Postoperative wound dehiscence rate1.71Same as national144
Abdominopelvic accidental puncture or laceration rate0.95Same as national516
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patientsNot available
Hospital return days for heart failure patients54.8Not available171
Hospital return days for pneumonia patients51.5Not available211
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national1296
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national90
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 surgery1Same as national172
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national25
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national109
Heart failure (HF) 30-Day Readmission Rate21Same as national171
Rate of readmission after hip/knee replacement5.1Same as national27
Pneumonia (PN) 30-Day Readmission Rate17.9Same as national211

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 rating21066
Doctor communication - star rating21066
Communication about medicines - star rating21066
Discharge information - star rating21066
Cleanliness - star rating21066
Quietness - star rating31066
Overall hospital rating - star rating31066
Recommend hospital - star rating31066
Summary star rating21066

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 volumemedium
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
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination381949
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 better248418
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 better244384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better52433
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 seen233337
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161152
Appropriate care for severe sepsis and septic shock8455
Septic Shock 3-Hour Bundle10017
Septic Shock 6-Hour Bundle9314
Severe Sepsis 3-Hour Bundle9156
Severe Sepsis 6-Hour Bundle9346
Discharged on Antithrombotic Therapy9885
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29779
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Holy Cross Germantown Hospital rated?
Holy Cross Germantown Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Holy Cross Germantown Hospital have emergency services?
Yes. Holy Cross Germantown Hospital operates a 24/7 emergency department.
Where is Holy Cross Germantown Hospital located?
Holy Cross Germantown Hospital is located at 19801 Observation Drive, Germantown, MD 20876.
What type of hospital is Holy Cross Germantown Hospital?
Holy Cross Germantown 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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