JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Medstar Saint Mary's Hospital

4 / 5

At a glance

Medstar Saint Mary's Hospital carries a 4-star CMS overall rating — above 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 Limit0.196Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.864Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1934Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.710Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.170Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.340Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2231Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.235Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures33Not available
SSI - Colon Surgery: Predicted Cases0.813Not 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 Procedures11Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.101Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.850Same as national
MRSA Bacteremia: Patient Days33111Same as national
MRSA Bacteremia: Predicted Cases1.619Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.099Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.510Better than national
Clostridium Difficile (C.Diff): Patient Days31066Better than national
Clostridium Difficile (C.Diff): Predicted Cases24.462Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.245Better 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 patients3.5Same as national124
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1053
Death rate for heart attack patients12.1Same as national71
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national203
Death rate for heart failure patients10.6Same as national345
Death rate for pneumonia patients16.7Same as national391
Death rate for stroke patients12.7Same as national190
Pressure ulcer rate0.52Same as national3373
Death rate among surgical inpatients with serious treatable complications160.26Same as national28
Iatrogenic pneumothorax rate0.18Same as national4517
In-hospital fall-associated fracture rate0.23Same as national4593
Postoperative hemorrhage or hematoma rate2.07Same as national594
Postoperative acute kidney injury requiring dialysis rate1.36Same as national268
Postoperative respiratory failure rate8.06Same as national275
Perioperative pulmonary embolism or deep vein thrombosis rate3.57Same as national633
Postoperative sepsis rate4.68Same as national266
Postoperative wound dehiscence rate1.67Same as national119
Abdominopelvic accidental puncture or laceration rate0.93Same as national522
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients39Not available399
Hospital return days for pneumonia patients-6.2Not available424
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.3Better than national1562
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national321
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national66
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national66
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national327
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national36
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.3Same as national214
Heart failure (HF) 30-Day Readmission Rate20.4Same as national399
Rate of readmission after hip/knee replacement4.4Same as national89
Pneumonia (PN) 30-Day Readmission Rate14Same as national424

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 rating4476
Doctor communication - star rating4476
Communication about medicines - star rating2476
Discharge information - star rating3476
Cleanliness - star rating3476
Quietness - star rating3476
Overall hospital rating - star rating3476
Recommend hospital - star rating3476
Summary star rating3476

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 volumehigh
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 vaccination961725
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 better257405
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 better254374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28719
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better69013
Left before being seen344458
Head CT results10032
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99112
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14990
Appropriate care for severe sepsis and septic shock52119
Septic Shock 3-Hour Bundle6239
Septic Shock 6-Hour Bundle8817
Severe Sepsis 3-Hour Bundle80119
Severe Sepsis 6-Hour Bundle7668
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29271
Venous Thromboembolism Prophylaxis971919
Intensive Care Unit Venous Thromboembolism Prophylaxis98533

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 Saint Mary's Hospital rated?
Medstar Saint Mary's Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Medstar Saint Mary's Hospital have emergency services?
Yes. Medstar Saint Mary's Hospital operates a 24/7 emergency department.
Where is Medstar Saint Mary's Hospital located?
Medstar Saint Mary's Hospital is located at 25500 Point Lookout Road, Leonardtown, MD 20650.
What type of hospital is Medstar Saint Mary's Hospital?
Medstar Saint Mary's 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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