JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Holy Cross Hospital

2 / 5

At a glance

Holy Cross Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.

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 Limit0.511Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.471Same as national
Central Line Associated Bloodstream Infection: Number of Device Days14321Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases15.590Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases14Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.898Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.699Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.688Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13038Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases17.979Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases20Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.112Same as national
SSI - Colon Surgery: Lower Confidence Limit0.461Same as national
SSI - Colon Surgery: Upper Confidence Limit1.885Same as national
SSI - Colon Surgery: Number of Procedures309Same as national
SSI - Colon Surgery: Predicted Cases8.060Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery0.993Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.587Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.756Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures559Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases4.557Worse than national
SSI - Abdominal Hysterectomy: Observed Cases13Worse than national
SSI - Abdominal Hysterectomy2.853Worse than national
MRSA Bacteremia: Lower Confidence Limit0.255Same as national
MRSA Bacteremia: Upper Confidence Limit1.543Same as national
MRSA Bacteremia: Patient Days123654Same as national
MRSA Bacteremia: Predicted Cases7.181Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.696Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.298Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.679Better than national
Clostridium Difficile (C.Diff): Patient Days107160Better than national
Clostridium Difficile (C.Diff): Predicted Cases50.056Better than national
Clostridium Difficile (C.Diff): Observed Cases23Better than national
Clostridium Difficile (C.Diff)0.459Better 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 patients3Same as national44
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1543
Death rate for heart attack patients12.4Same as national121
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.2Same as national122
Death rate for heart failure patients12.5Same as national327
Death rate for pneumonia patients15.6Same as national458
Death rate for stroke patients10.7Same as national180
Pressure ulcer rate0.86Same as national5788
Death rate among surgical inpatients with serious treatable complications168.64Same as national111
Iatrogenic pneumothorax rate0.20Same as national6462
In-hospital fall-associated fracture rate0.27Same as national6733
Postoperative hemorrhage or hematoma rate1.66Same as national1381
Postoperative acute kidney injury requiring dialysis rate1.82Same as national635
Postoperative respiratory failure rate9.63Same as national628
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national1399
Postoperative sepsis rate4.09Same as national601
Postoperative wound dehiscence rate1.88Same as national448
Abdominopelvic accidental puncture or laceration rate0.74Same as national1281
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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 patients37.8Not available83
Hospital return days for heart failure patients14.6Not available329
Hospital return days for pneumonia patients32.9Not available434
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2447
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national32
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 national405
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national83
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national128
Heart failure (HF) 30-Day Readmission Rate19.1Same as national329
Rate of readmission after hip/knee replacement4.5Same as national48
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national434

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 rating23887
Doctor communication - star rating33887
Communication about medicines - star rating23887
Discharge information - star rating23887
Cleanliness - star rating33887
Quietness - star rating33887
Overall hospital rating - star rating33887
Recommend hospital - star rating33887
Summary star rating33887

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination344461
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 better316418
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 better314394
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40624
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 seen566853
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9239
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing75121
Appropriate care for severe sepsis and septic shock7891
Septic Shock 3-Hour Bundle10029
Septic Shock 6-Hour Bundle10022
Severe Sepsis 3-Hour Bundle8492
Severe Sepsis 6-Hour Bundle9262
Discharged on Antithrombotic Therapy98256
Anticoagulation Therapy for Atrial Fibrillation/Flutter7548
Antithrombotic Therapy by End of Hospital Day 295232
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 Hospital rated?
Holy Cross Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Holy Cross Hospital have emergency services?
According to CMS records, Holy Cross Hospital does not report a 24/7 emergency department.
Where is Holy Cross Hospital located?
Holy Cross Hospital is located at 1500 Forest Glen Road, Silver Spring, MD 20910.
What type of hospital is Holy Cross Hospital?
Holy Cross Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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