JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Luminis Health Doctors Community Medical Ctr, Inc

3 / 5

At a glance

Luminis Health Doctors Community Medical Ctr, Inc 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 6 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 Limit0.280Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.124Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5171Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.543Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.880Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.164Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.751Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4773Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.662Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.644Same as national
SSI - Colon Surgery: Lower Confidence Limit0.026Same as national
SSI - Colon Surgery: Upper Confidence Limit2.561Same as national
SSI - Colon Surgery: Number of Procedures72Same as national
SSI - Colon Surgery: Predicted Cases1.926Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.519Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures60Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.566Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.250Same as national
MRSA Bacteremia: Upper Confidence Limit1.899Same as national
MRSA Bacteremia: Patient Days59385Same as national
MRSA Bacteremia: Predicted Cases5.080Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.787Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.335Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.726Better than national
Clostridium Difficile (C.Diff): Patient Days59385Better than national
Clostridium Difficile (C.Diff): Predicted Cases51.724Better than national
Clostridium Difficile (C.Diff): Observed Cases26Better than national
Clostridium Difficile (C.Diff)0.503Better 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 patients3.8Same as national73
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1510
Death rate for heart attack patients11Same as national36
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.8Same as national161
Death rate for heart failure patients9.2Same as national495
Death rate for pneumonia patients17.6Same as national350
Death rate for stroke patients10.1Same as national248
Pressure ulcer rate0.51Same as national5265
Death rate among surgical inpatients with serious treatable complications168.75Same as national67
Iatrogenic pneumothorax rate0.16Same as national6784
In-hospital fall-associated fracture rate0.22Same as national6843
Postoperative hemorrhage or hematoma rate2.19Same as national791
Postoperative acute kidney injury requiring dialysis rate1.61Same as national232
Postoperative respiratory failure rate11.38Same as national253
Perioperative pulmonary embolism or deep vein thrombosis rate5.00Same as national805
Postoperative sepsis rate6.25Same as national240
Postoperative wound dehiscence rate1.99Same as national248
Abdominopelvic accidental puncture or laceration rate0.86Same as national1053
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients9.9Not available608
Hospital return days for pneumonia patients43.5Not available352
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)12.8Better than national2427
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national118
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 national299
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national193
Heart failure (HF) 30-Day Readmission Rate18Same as national608
Rate of readmission after hip/knee replacement6.2Same as national63
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national352

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 rating2912
Doctor communication - star rating2912
Communication about medicines - star rating2912
Discharge information - star rating2912
Cleanliness - star rating4912
Quietness - star rating3912
Overall hospital rating - star rating2912
Recommend hospital - star rating2912
Summary star rating2912

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 volume
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 vaccination941584
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 better27837698
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 better27235289
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better4141648
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better490802
Left before being seen
Head CT results5937
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 Prescribing151531
Appropriate care for severe sepsis and septic shock84222
Septic Shock 3-Hour Bundle9252
Septic Shock 6-Hour Bundle9847
Severe Sepsis 3-Hour Bundle90222
Severe Sepsis 6-Hour Bundle94138
Discharged on Antithrombotic Therapy97211
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293229
Venous Thromboembolism Prophylaxis764037
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Luminis Health Doctors Community Medical Ctr, Inc rated?
Luminis Health Doctors Community Medical Ctr, Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Luminis Health Doctors Community Medical Ctr, Inc have emergency services?
Yes. Luminis Health Doctors Community Medical Ctr, Inc operates a 24/7 emergency department.
Where is Luminis Health Doctors Community Medical Ctr, Inc located?
Luminis Health Doctors Community Medical Ctr, Inc is located at 8118 Good Luck Road, Lanham, MD 20706.
What type of hospital is Luminis Health Doctors Community Medical Ctr, Inc?
Luminis Health Doctors Community Medical Ctr, Inc is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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