JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

University of MD Capital Region Medical Center

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At a glance

University of MD Capital Region Medical Center carries a 1-star CMS overall rating — below 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 Limit0.940Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.705Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8083Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.477Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases14Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.652Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.353Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.596Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6969Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.674Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.807Same as national
SSI - Colon Surgery: Lower Confidence Limit0.267Same as national
SSI - Colon Surgery: Upper Confidence Limit2.862Same as national
SSI - Colon Surgery: Number of Procedures87Same as national
SSI - Colon Surgery: Predicted Cases2.853Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.052Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures39Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.331Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.226Same as national
MRSA Bacteremia: Upper Confidence Limit1.714Same as national
MRSA Bacteremia: Patient Days73664Same as national
MRSA Bacteremia: Predicted Cases5.630Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.710Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.144Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.541Better than national
Clostridium Difficile (C.Diff): Patient Days70346Better than national
Clostridium Difficile (C.Diff): Predicted Cases30.543Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.295Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national925
Death rate for heart attack patients10.3Same as national82
Death rate for CABG surgery patients1.9Same as national58
Death rate for COPD patients9Same as national103
Death rate for heart failure patients10.2Same as national183
Death rate for pneumonia patients17.9Same as national150
Death rate for stroke patients13.4Same as national172
Pressure ulcer rate1.58Worse than national3762
Death rate among surgical inpatients with serious treatable complications178.74Same as national67
Iatrogenic pneumothorax rate0.17Same as national4190
In-hospital fall-associated fracture rate0.23Same as national4137
Postoperative hemorrhage or hematoma rate1.91Same as national823
Postoperative acute kidney injury requiring dialysis rate1.80Same as national218
Postoperative respiratory failure rate19.44Worse than national243
Perioperative pulmonary embolism or deep vein thrombosis rate4.80Same as national836
Postoperative sepsis rate5.92Same as national224
Postoperative wound dehiscence rate1.96Same as national166
Abdominopelvic accidental puncture or laceration rate1.16Same as national655
CMS Medicare PSI 90: Patient safety and adverse events composite1.60Worse 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 patients-11.6Not available91
Hospital return days for heart failure patients76.3Not available211
Hospital return days for pneumonia patients0.5Not available146
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national1548
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national82
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 national199
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national91
Rate of readmission for CABG10.1Same as national58
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national110
Heart failure (HF) 30-Day Readmission Rate22.2Same as national211
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national146

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 rating1742
Doctor communication - star rating2742
Communication about medicines - star rating1742
Discharge information - star rating1742
Cleanliness - star rating2742
Quietness - star rating3742
Overall hospital rating - star rating1742
Recommend hospital - star rating2742
Summary star rating2742

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 vaccination952586
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 better265379
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 better258359
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better48414
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 seen795449
Head CT results8222
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients56126
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)3429
Safe Use of Opioids - Concurrent Prescribing82896
Appropriate care for severe sepsis and septic shock39114
Septic Shock 3-Hour Bundle7134
Septic Shock 6-Hour Bundle7520
Severe Sepsis 3-Hour Bundle67115
Severe Sepsis 6-Hour Bundle7359
Discharged on Antithrombotic Therapy96221
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis943443
Intensive Care Unit Venous Thromboembolism Prophylaxis972157

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 University of MD Capital Region Medical Center rated?
University of MD Capital Region Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does University of MD Capital Region Medical Center have emergency services?
Yes. University of MD Capital Region Medical Center operates a 24/7 emergency department.
Where is University of MD Capital Region Medical Center located?
University of MD Capital Region Medical Center is located at 901 North Harry S Truman Drive, Upper Marlboro, MD 20774.
What type of hospital is University of MD Capital Region Medical Center?
University of MD Capital Region 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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