JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Medstar Montgomery Medical Center

3 / 5

At a glance

Medstar Montgomery Medical Center 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.

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 Limit0.119Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.339Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3252Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.825Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.708Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.011Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.050Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4704Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.697Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.213Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures25Not available
SSI - Colon Surgery: Predicted Cases0.615Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures28Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.235Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.040Same as national
MRSA Bacteremia: Upper Confidence Limit3.933Same as national
MRSA Bacteremia: Patient Days26421Same as national
MRSA Bacteremia: Predicted Cases1.254Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.797Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.112Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.676Better than national
Clostridium Difficile (C.Diff): Patient Days24846Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.386Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.305Better 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 national31
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1434
Death rate for heart attack patients11.8Same as national51
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.5Same as national100
Death rate for heart failure patients11.3Same as national234
Death rate for pneumonia patients15.9Same as national514
Death rate for stroke patients12.5Same as national145
Pressure ulcer rate0.86Same as national4270
Death rate among surgical inpatients with serious treatable complications162.63Same as national47
Iatrogenic pneumothorax rate0.17Same as national5336
In-hospital fall-associated fracture rate0.26Same as national5282
Postoperative hemorrhage or hematoma rate2.64Same as national669
Postoperative acute kidney injury requiring dialysis rate1.60Same as national227
Postoperative respiratory failure rate6.77Same as national227
Perioperative pulmonary embolism or deep vein thrombosis rate3.28Same as national718
Postoperative sepsis rate5.56Same as national215
Postoperative wound dehiscence rate1.71Same as national182
Abdominopelvic accidental puncture or laceration rate0.93Same as national740
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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 patients-8.7Not available266
Hospital return days for pneumonia patients19.4Not available547
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national2252
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national664
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.8Same as national84
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1Same as national84
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national399
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national40
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national106
Heart failure (HF) 30-Day Readmission Rate18.5Same as national266
Rate of readmission after hip/knee replacement4.8Same as national35
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national547

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 rating2543
Doctor communication - star rating3543
Communication about medicines - star rating2543
Discharge information - star rating3543
Cleanliness - star rating3543
Quietness - star rating3543
Overall hospital rating - star rating2543
Recommend hospital - star rating3543
Summary star rating3543

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 vaccination961737
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 better258399
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 better254370
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better37524
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 seen136271
Head CT results4511
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95187
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131073
Appropriate care for severe sepsis and septic shock47130
Septic Shock 3-Hour Bundle6330
Septic Shock 6-Hour Bundle7117
Severe Sepsis 3-Hour Bundle71131
Severe Sepsis 6-Hour Bundle8076
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29182
Venous Thromboembolism Prophylaxis982510
Intensive Care Unit Venous Thromboembolism Prophylaxis99372

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 Medstar Montgomery Medical Center rated?
Medstar Montgomery Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Medstar Montgomery Medical Center have emergency services?
Yes. Medstar Montgomery Medical Center operates a 24/7 emergency department.
Where is Medstar Montgomery Medical Center located?
Medstar Montgomery Medical Center is located at 18101 Prince Philip Drive, Olney, MD 20832.
What type of hospital is Medstar Montgomery Medical Center?
Medstar Montgomery Medical Center 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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