JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sinai Hospital of Baltimore

3 / 5

At a glance

Sinai Hospital of Baltimore 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 18 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails on 1.

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 Limit0.035Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.680Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9151Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.718Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.206Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.146Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.882Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9983Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.566Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.398Better than national
SSI - Colon Surgery: Lower Confidence Limit0.156Same as national
SSI - Colon Surgery: Upper Confidence Limit1.670Same as national
SSI - Colon Surgery: Number of Procedures184Same as national
SSI - Colon Surgery: Predicted Cases4.889Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.614Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.894Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.790Same as national
SSI - Abdominal Hysterectomy: Number of Procedures172Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.421Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy2.815Same as national
MRSA Bacteremia: Lower Confidence Limit0.153Same as national
MRSA Bacteremia: Upper Confidence Limit1.158Same as national
MRSA Bacteremia: Patient Days126664Same as national
MRSA Bacteremia: Predicted Cases8.334Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.480Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.198Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.478Better than national
Clostridium Difficile (C.Diff): Patient Days119490Better than national
Clostridium Difficile (C.Diff): Predicted Cases63.469Better than national
Clostridium Difficile (C.Diff): Observed Cases20Better than national
Clostridium Difficile (C.Diff)0.315Better 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 patients3.2Same as national98
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1819
Death rate for heart attack patients12Same as national210
Death rate for CABG surgery patients1.8Same as national161
Death rate for COPD patients9.3Same as national151
Death rate for heart failure patients10.4Same as national403
Death rate for pneumonia patients14.5Same as national393
Death rate for stroke patients13.9Same as national430
Pressure ulcer rate2.29Worse than national8705
Death rate among surgical inpatients with serious treatable complications156.17Same as national148
Iatrogenic pneumothorax rate0.31Same as national9345
In-hospital fall-associated fracture rate0.25Same as national9571
Postoperative hemorrhage or hematoma rate1.96Same as national2170
Postoperative acute kidney injury requiring dialysis rate1.91Same as national1061
Postoperative respiratory failure rate7.41Same as national1054
Perioperative pulmonary embolism or deep vein thrombosis rate5.98Worse than national2282
Postoperative sepsis rate3.01Same as national953
Postoperative wound dehiscence rate1.86Same as national377
Abdominopelvic accidental puncture or laceration rate1.80Same as national1357
CMS Medicare PSI 90: Patient safety and adverse events composite1.49Worse than 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 patients21.6Not available247
Hospital return days for heart failure patients49.1Not available461
Hospital return days for pneumonia patients21.7Not available391
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Better than national3027
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national606
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.2Same as national330
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national330
Ratio of unplanned hospital visits after hospital outpatient surgery1.4Worse than national526
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national247
Rate of readmission for CABG9.6Same as national161
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national168
Heart failure (HF) 30-Day Readmission Rate20.5Same as national461
Rate of readmission after hip/knee replacement3.8Same as national100
Pneumonia (PN) 30-Day Readmission Rate14.4Same as national391

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 rating2661
Doctor communication - star rating3661
Communication about medicines - star rating1661
Discharge information - star rating3661
Cleanliness - star rating3661
Quietness - star rating2661
Overall hospital rating - star rating2661
Recommend hospital - star rating2661
Summary star rating2661

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 vaccination955212
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 better2672014
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 better2541811
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better514157
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better92355
Left before being seen265366
Head CT results2512
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97129
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing163070
Appropriate care for severe sepsis and septic shock57467
Septic Shock 3-Hour Bundle69172
Septic Shock 6-Hour Bundle6586
Severe Sepsis 3-Hour Bundle79468
Severe Sepsis 6-Hour Bundle96284
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 280261
Venous Thromboembolism Prophylaxis976968
Intensive Care Unit Venous Thromboembolism Prophylaxis1001425

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 Sinai Hospital of Baltimore rated?
Sinai Hospital of Baltimore has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Sinai Hospital of Baltimore have emergency services?
Yes. Sinai Hospital of Baltimore operates a 24/7 emergency department.
Where is Sinai Hospital of Baltimore located?
Sinai Hospital of Baltimore is located at 2401 West Belvedere Avenue, Baltimore, MD 21215.
What type of hospital is Sinai Hospital of Baltimore?
Sinai Hospital of Baltimore 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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