JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Meritus Medical Center

3 / 5

At a glance

Meritus 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 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 3.

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 Limit0.112Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.194Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6802Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.836Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.439Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.070Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.750Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8565Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.880Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.276Better than national
SSI - Colon Surgery: Lower Confidence Limit0.364Same as national
SSI - Colon Surgery: Upper Confidence Limit2.200Same as national
SSI - Colon Surgery: Number of Procedures178Same as national
SSI - Colon Surgery: Predicted Cases5.037Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.993Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.231Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.548Same as national
SSI - Abdominal Hysterectomy: Number of Procedures166Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.453Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.376Same as national
MRSA Bacteremia: Lower Confidence Limit0.062Same as national
MRSA Bacteremia: Upper Confidence Limit1.226Same as national
MRSA Bacteremia: Patient Days95185Same as national
MRSA Bacteremia: Predicted Cases5.391Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.371Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.106Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.333Better than national
Clostridium Difficile (C.Diff): Patient Days89669Better than national
Clostridium Difficile (C.Diff): Predicted Cases61.218Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.196Better 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 national30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national2603
Death rate for heart attack patients12Same as national333
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.6Same as national540
Death rate for heart failure patients12.2Same as national578
Death rate for pneumonia patients18.1Same as national873
Death rate for stroke patients14.7Same as national338
Pressure ulcer rate0.13Same as national9894
Death rate among surgical inpatients with serious treatable complications171.33Same as national89
Iatrogenic pneumothorax rate0.24Same as national11141
In-hospital fall-associated fracture rate0.26Same as national11362
Postoperative hemorrhage or hematoma rate3.04Same as national1665
Postoperative acute kidney injury requiring dialysis rate1.45Same as national511
Postoperative respiratory failure rate8.54Same as national483
Perioperative pulmonary embolism or deep vein thrombosis rate3.38Same as national1735
Postoperative sepsis rate5.04Same as national461
Postoperative wound dehiscence rate1.76Same as national469
Abdominopelvic accidental puncture or laceration rate0.92Same as national1532
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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 patients19.5Not available284
Hospital return days for heart failure patients14.5Not available657
Hospital return days for pneumonia patients50.5Not available896
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national4480
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national421
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.2Worse than national314
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national314
Ratio of unplanned hospital visits after hospital outpatient surgery1.9Worse than national630
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national284
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national606
Heart failure (HF) 30-Day Readmission Rate19Same as national657
Rate of readmission after hip/knee replacement4.3Same as national31
Pneumonia (PN) 30-Day Readmission Rate19.8Worse than national896

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 rating3541
Doctor communication - star rating3541
Communication about medicines - star rating3541
Discharge information - star rating4541
Cleanliness - star rating3541
Quietness - star rating3541
Overall hospital rating - star rating3541
Recommend hospital - star rating4541
Summary star rating3541

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 Hyperglycemia1021198
Hospital Harm - Severe Hypoglycemia13864
Hospital Harm - Opioid Related Adverse Events07692
Healthcare workers given influenza vaccination974351
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 better25436693
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 better25034376
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better3291894
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better496438
Left before being seen275830
Head CT results7322
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9050
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5974
Safe Use of Opioids - Concurrent Prescribing163583
Appropriate care for severe sepsis and septic shock79525
Septic Shock 3-Hour Bundle91186
Septic Shock 6-Hour Bundle91114
Severe Sepsis 3-Hour Bundle84527
Severe Sepsis 6-Hour Bundle100294
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis977416
Intensive Care Unit Venous Thromboembolism Prophylaxis991348

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 Meritus Medical Center rated?
Meritus Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Meritus Medical Center have emergency services?
Yes. Meritus Medical Center operates a 24/7 emergency department.
Where is Meritus Medical Center located?
Meritus Medical Center is located at 11116 Medical Campus Road, Hagerstown, MD 21742.
What type of hospital is Meritus Medical Center?
Meritus 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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