Hospital

CARROLL HOSPITAL CENTER

CCN: 210033 · WESTMINSTER, MD 21157 · CARROLL County

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

Overview

Address
200 MEMORIAL AVENUE, WESTMINSTER, MD 21157
Phone
(410) 848-3000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
★★★★★
CMS Overall Rating
p30
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 6 of 7 measures reported
5
1
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 8 of 11 measures reported
1
7
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 8 of 12 measures reported
8 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) 161 discharges
0.9796 p35
Heart Failure 740 discharges
1.0133 p59
Pneumonia 922 discharges
1.0468 p78
COPD 427 discharges
1.0005 p53
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
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: 1.0468
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.1795

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 — Number of Cases Too Small —
Hybrid_HWM 4.20 No Different Than the National Rate 2,100
MORT_30_AMI 11.40 No Different Than the National Rate 177
MORT_30_CABG — — —
MORT_30_COPD 9.10 No Different Than the National Rate 389
MORT_30_HF 13.10 No Different Than the National Rate 621
MORT_30_PN 18.00 No Different Than the National Rate 872
MORT_30_STK 14.60 No Different Than the National Rate 318
PSI_03 1.00 No Different Than the National Rate 6,659
PSI_04 161.69 No Different Than the National Rate 79
PSI_06 0.51 Worse Than the National Rate 8,235
PSI_08 0.32 No Different Than the National Rate 8,439
PSI_09 2.07 No Different Than the National Rate 1,095
PSI_10 1.44 No Different Than the National Rate 327
PSI_11 6.64 No Different Than the National Rate 308
PSI_12 3.57 No Different Than the National Rate 1,213
PSI_13 5.35 No Different Than the National Rate 331
PSI_14 1.92 No Different Than the National Rate 302
PSI_15 1.04 No Different Than the National Rate 1,273
PSI_90 1.08 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 75% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4% —
H_COMP_1_U_P: Nurses "usually" communicated well 21% —
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 81% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 16% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 70% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 73% —
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 21% —
H_COMP_2_A_P: Doctors "always" communicated well 72% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5% —
H_COMP_2_U_P: Doctors "usually" communicated well 23% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 80% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 17% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 70% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 24% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 67% —
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 27% —
H_COMP_5_A_P: Staff "always" explained 52% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24% —
H_COMP_5_U_P: Staff "usually" explained 24% —
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 68% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11% —
H_MED_FOR_U_P: Staff "usually" explained new medications 21% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 37% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 38% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 25% —
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 13% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 87% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 10% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 90% —
H_CLEAN_HSP_A_P: Room was "always" clean 65% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 13% —
H_CLEAN_HSP_U_P: Room was "usually" clean 22% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 2
H_QUIET_HSP_A_P: "Always" quiet at night 43% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 18% —
H_QUIET_HSP_U_P: "Usually" quiet at night 39% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 11% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 27% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 62% —
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) 6% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 58% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 36% —
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 0.791 Better than the National Benchmark
HAI_1_DOPC 4209.000 Better than the National Benchmark
HAI_1_ELIGCASES 3.787 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 0.008 Better than the National Benchmark
HAI_2_CIUPPER 0.814 Better than the National Benchmark
HAI_2_DOPC 6167.000 Better than the National Benchmark
HAI_2_ELIGCASES 6.057 Better than the National Benchmark
HAI_2_NUMERATOR 1.000 Better than the National Benchmark
HAI_2_SIR 0.165 Better than the National Benchmark
HAI_3_CILOWER 0.023 No Different than National Benchmark
HAI_3_CIUPPER 2.251 No Different than National Benchmark
HAI_3_DOPC 84.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.191 No Different than National Benchmark
HAI_3_NUMERATOR 1.000 No Different than National Benchmark
HAI_3_SIR 0.456 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 5.000 —
HAI_4_ELIGCASES 0.043 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER N/A No Different than National Benchmark
HAI_5_CIUPPER 1.324 No Different than National Benchmark
HAI_5_DOPC 45299.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.262 No Different than National Benchmark
HAI_5_NUMERATOR 0.000 No Different than National Benchmark
HAI_5_SIR 0.000 No Different than National Benchmark
HAI_6_CILOWER 0.483 No Different than National Benchmark
HAI_6_CIUPPER 1.193 No Different than National Benchmark
HAI_6_DOPC 45299.000 No Different than National Benchmark
HAI_6_ELIGCASES 24.408 No Different than National Benchmark
HAI_6_NUMERATOR 19.000 No Different than National Benchmark
HAI_6_SIR 0.778 No Different than National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV high 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 — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 96.0 Healthcare Personnel Vaccination
OP_18a 221.0 Emergency Department
OP_18b 216.0 Emergency Department
OP_18c 314.0 Emergency Department
OP_18d 524.0 Emergency Department
OP_22 0.0 Emergency Department
OP_23 83.0 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 76.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 19.0 Electronic Clinical Quality Measure
SEP_1 65.0 Sepsis Care
SEP_SH_3HR 69.0 Sepsis Care
SEP_SH_6HR 68.0 Sepsis Care
SEV_SEP_3HR 86.0 Sepsis Care
SEV_SEP_6HR 96.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 95.0 Electronic Clinical Quality Measure
VTE_1 98.0 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 8.00 Average Days per 100 Discharges
EDAC_30_HF -8.60 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 22.10 More Days Than Average per 100 Discharges
Hybrid_HWR 15.10 No Different Than the National Rate
OP_32 12.70 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI 13.30 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 18.20 No Different Than the National Rate
READM_30_HF 19.90 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 16.70 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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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.64 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 2.96 — metrics.current_ratio
Cost Report Employees per Bed 6.33 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $281,387,000 — metrics.fund_balance
Cost Report Net Income ($) $33,924,907 — metrics.net_income
Cost Report Net Patient Revenue ($) $251,967,966 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 3.4% — metrics.operating_margin
Cost Report Total Assets ($) $457,670,000 — metrics.total_assets
Cost Report Total Costs ($) $187,073,176 — metrics.total_costs
Cost Report Total Liabilities ($) $176,283,000 — metrics.total_liabilities
Cost Report Total Margin (%) 12.2% — metrics.total_margin
General Information Address 200 MEMORIAL AVENUE — Address
General Information City/Town WESTMINSTER — City/Town
General Information Count of Facility MORT Measures 6 — 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 8 — 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 8 — 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 5 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 1 — Count of MORT Measures Worse
General Information Count of READM Measures Better 1 — Count of READM Measures Better
General Information Count of READM Measures No Different 7 — 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 CARROLL — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 210033 — Facility ID
General Information Facility Name CARROLL HOSPITAL CENTER — Facility Name
General Information Hospital overall rating 3 — 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 (410) 848-3000 — Telephone Number
General Information ZIP Code 21157 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.50 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.80 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.69 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.18 — total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.98 0.9995 p35 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.7% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 161 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 19 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 12.4% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p53 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.0% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 427 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 77 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.0% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.01 0.9983 p59 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.9% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 740 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 150 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.1% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.05 0.9955 p78 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.3% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 922 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 151 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.0% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →