Hospital

WESTERN MARYLAND REGIONAL MEDICAL CENTER

CCN: 210027 · CUMBERLAND, MD 21502 · ALLEGANY County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
12500 WILLOWBROOK ROAD, CUMBERLAND, MD 21502
Phone
(240) 964-7000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
4 /5
★★★★★
CMS Overall Rating
p63
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
1
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
11
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 11 of 12 measures reported
11 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 209 discharges
1.0427 p75
Heart Failure 518 discharges
0.9548 p21
Pneumonia 598 discharges
0.8497 p0
COPD 288 discharges
1.0343 p78
Hip/Knee Replacement
0.9019 p25
CABG Surgery
0.9424 p27
Expected (1.0) National median

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0427
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.2439

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 2.90 No Different Than the National Rate 74
Hybrid_HWM 3.50 Better Than the National Rate 1,816
MORT_30_AMI 12.00 No Different Than the National Rate 201
MORT_30_CABG 1.80 No Different Than the National Rate 75
MORT_30_COPD 7.70 No Different Than the National Rate 265
MORT_30_HF 10.60 No Different Than the National Rate 466
MORT_30_PN 16.10 No Different Than the National Rate 615
MORT_30_STK 13.80 No Different Than the National Rate 339
PSI_03 0.61 No Different Than the National Rate 6,815
PSI_04 158.95 No Different Than the National Rate 95
PSI_06 0.20 No Different Than the National Rate 8,108
PSI_08 0.31 No Different Than the National Rate 8,253
PSI_09 1.63 No Different Than the National Rate 1,274
PSI_10 2.35 No Different Than the National Rate 416
PSI_11 8.87 No Different Than the National Rate 409
PSI_12 2.14 No Different Than the National Rate 1,386
PSI_13 4.65 No Different Than the National Rate 387
PSI_14 1.64 No Different Than the National Rate 199
PSI_15 0.84 No Different Than the National Rate 1,092
PSI_90 0.91 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 79% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4% —
H_COMP_1_U_P: Nurses "usually" communicated well 17% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 87% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 2% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 11% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 75% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 74% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 6% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 20% —
H_COMP_2_A_P: Doctors "always" communicated well 76% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5% —
H_COMP_2_U_P: Doctors "usually" communicated well 19% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 84% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 2% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 14% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 74% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 20% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 71% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 23% —
H_COMP_5_A_P: Staff "always" explained 59% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 21% —
H_COMP_5_U_P: Staff "usually" explained 20% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 2
H_MED_FOR_A_P: Staff "always" explained new medications 72% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9% —
H_MED_FOR_U_P: Staff "usually" explained new medications 19% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 46% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 34% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 20% —
H_COMP_6_N_P: No, staff "did not" give patients this information 11% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 89% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 11% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 89% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 12% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 88% —
H_CLEAN_HSP_A_P: Room was "always" clean 80% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 5% —
H_CLEAN_HSP_U_P: Room was "usually" clean 15% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 4
H_QUIET_HSP_A_P: "Always" quiet at night 57% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9% —
H_QUIET_HSP_U_P: "Usually" quiet at night 34% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 10% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 26% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 64% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 9% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 57% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 34% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 2
H_STAR_RATING: Summary star rating — 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER N/A Better than the National Benchmark
HAI_1_CIUPPER 0.793 Better than the National Benchmark
HAI_1_DOPC 4172.000 Better than the National Benchmark
HAI_1_ELIGCASES 3.777 Better than the National Benchmark
HAI_1_NUMERATOR 0.000 Better than the National Benchmark
HAI_1_SIR 0.000 Better than the National Benchmark
HAI_2_CILOWER 0.093 No Different than National Benchmark
HAI_2_CIUPPER 1.829 No Different than National Benchmark
HAI_2_DOPC 3160.000 No Different than National Benchmark
HAI_2_ELIGCASES 3.613 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 0.554 No Different than National Benchmark
HAI_3_CILOWER 0.044 No Different than National Benchmark
HAI_3_CIUPPER 4.361 No Different than National Benchmark
HAI_3_DOPC 42.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.131 No Different than National Benchmark
HAI_3_NUMERATOR 1.000 No Different than National Benchmark
HAI_3_SIR 0.884 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 22.000 —
HAI_4_ELIGCASES 0.221 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.113 No Different than National Benchmark
HAI_5_CIUPPER 2.224 No Different than National Benchmark
HAI_5_DOPC 44542.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.971 No Different than National Benchmark
HAI_5_NUMERATOR 2.000 No Different than National Benchmark
HAI_5_SIR 0.673 No Different than National Benchmark
HAI_6_CILOWER 0.199 Better than the National Benchmark
HAI_6_CIUPPER 0.749 Better than the National Benchmark
HAI_6_DOPC 41643.000 Better than the National Benchmark
HAI_6_ELIGCASES 22.058 Better than the National Benchmark
HAI_6_NUMERATOR 9.000 Better than the National Benchmark
HAI_6_SIR 0.408 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV medium Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO 0.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 82.0 Healthcare Personnel Vaccination
OP_18a 239.0 Emergency Department
OP_18b 230.0 Emergency Department
OP_18c 325.0 Emergency Department
OP_18d 336.0 Emergency Department
OP_22 2.0 Emergency Department
OP_23 83.0 Emergency Department
OP_29 96.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 69.0 Sepsis Care
SEP_SH_3HR 72.0 Sepsis Care
SEP_SH_6HR 93.0 Sepsis Care
SEV_SEP_3HR 82.0 Sepsis Care
SEV_SEP_6HR 99.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 99.0 Electronic Clinical Quality Measure
VTE_2 99.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 9.10 Average Days per 100 Discharges
EDAC_30_HF 4.50 Average Days per 100 Discharges
EDAC_30_PN -11.60 Fewer Days Than Average per 100 Discharges
Hybrid_HWR 13.60 Better Than the National Rate
OP_32 12.90 No Different Than the National Rate
OP_35_ADM 11.70 No Different Than the National Rate
OP_35_ED 5.40 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 14.00 No Different Than the National Rate
READM_30_CABG 10.00 No Different Than the National Rate
READM_30_COPD 18.90 No Different Than the National Rate
READM_30_HF 19.10 No Different Than the National Rate
READM_30_HIP_KNEE 4.40 No Different Than the National Rate
READM_30_PN 14.00 No Different Than the National Rate

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 84 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.63 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.73 — metrics.current_ratio
Cost Report Employees per Bed 11.24 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $300,849,949 — metrics.fund_balance
Cost Report Net Income ($) $26,244,229 — metrics.net_income
Cost Report Net Patient Revenue ($) $323,718,646 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -15.7% — metrics.operating_margin
Cost Report Total Assets ($) $323,568,318 — metrics.total_assets
Cost Report Total Costs ($) $264,998,165 — metrics.total_costs
Cost Report Total Liabilities ($) $22,718,369 — metrics.total_liabilities
Cost Report Total Margin (%) 6.5% — metrics.total_margin
General Information Address 12500 WILLOWBROOK ROAD — Address
General Information City/Town CUMBERLAND — City/Town
General Information Count of Facility MORT Measures 7 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 11 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 11 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — Count of READM Measures Worse
General Information Count of Safety Measures Better 1 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 6 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish ALLEGANY — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 210027 — Facility ID
General Information Facility Name WESTERN MARYLAND REGIONAL MEDICAL CENTER — Facility Name
General Information Hospital overall rating 4 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation Y — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State MD — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (240) 964-7000 — Telephone Number
General Information ZIP Code 21502 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.56 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.29 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.12 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.29 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.65 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.24 — total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.04 0.9995 p75 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.7% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 209 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 32 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.3% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.94 1.0000 p27 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.8% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.2% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.03 0.9969 p78 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.0% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 288 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 59 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.6% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.95 0.9983 p21 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.5% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 518 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 98 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.6% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.90 0.9916 p25 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 7.0% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.3% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.85 0.9955 p0 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.9% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 598 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 75 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.3% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →