Hospital record · FY2026CCN 210005

1Hospital

Frederick Health Hospital

2Location

Frederick, MD (Maryland’s hospitals on the map and in the table) 21701

Frederick County

3Type

Not a teaching hospital · 248 beds · Nonprofit · Urban

4Care Compare stars

3 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

−0.0794

As CMS reports it

6Payment reduction

N/A

7Estimated cut

Maryland: exempt

Not subject

Maryland’s hospitals are exempt from this program’s cut.

For fiscal year 2026, CMS reports a Total HAC Score of −0.0794 for Frederick Health Hospital and a payment reduction decision of N/A.

Maryland’s hospitals are scored but not subject to the reduction. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

Higher than 47% of the other 2,928 scores CMS published (higher is worse).

CMS’s note on the payment reduction: Maryland hospitals are waived from receiving payment adjustments under the Program.

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.3178, to −0.3972. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 2; PSI 90 added the most to its score.

This hospital
National median
Scores the same as CMS’s floor or cap

PSI 90 (what it counts)
Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.
added the most
Patient safety and adverse events composite
Worse than 91% of the other 2,808 hospitals
estimate

This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

CMS value1.2354

Z-score1.7240

Part of score+0.2873
CLABSI (what it counts)
Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.
Central line–associated bloodstream infections
Better than 70% of the other 2,181 hospitals

CMS value0.350

Z-score−0.5946

Part of score−0.0991
CAUTI (what it counts)
Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.
Catheter-associated urinary tract infections
Better than 54% of the other 2,354 hospitals

CMS value0.454

Z-score−0.2242

Part of score−0.0374
SSI (what it counts)
Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.
Surgical site infections after colon surgery or abdominal hysterectomy
Better than 79% of the other 2,269 hospitals

CMS value0.346

Z-score−0.8638

Part of score−0.1440
CDI (what it counts)
C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.
Clostridioides difficile (C. diff) infections
Worse than 63% of the other 2,766 hospitals
estimate

This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

CMS value0.434

Z-score0.2183

Part of score+0.0364
MRSA (what it counts)
Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.
MRSA bloodstream infections
Better than 76% of the other 2,067 hospitals

CMS value0.345

Z-score−0.7362

Part of score−0.1227

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Measure	CMS value	National median	Z-score	Part of the score	Among hospitals
PSI 90	1.2354	0.9623	1.7240	+0.2873	Worse than 91% of the other 2,808 hospitals
CLABSI	0.350	0.559	−0.5946	−0.0991	Better than 70% of the other 2,181 hospitals
CAUTI	0.454	0.489	−0.2242	−0.0374	Better than 54% of the other 2,354 hospitals
SSI	0.346	0.795	−0.8638	−0.1440	Better than 79% of the other 2,269 hospitals
CDI	0.434	0.346	0.2183	+0.0364	Worse than 63% of the other 2,766 hospitals
MRSA	0.345	0.641	−0.7362	−0.1227	Better than 76% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(1.7240PSI 90−0.5946CLABSI−0.2242CAUTI−0.8638SSI+0.2183CDI−0.7362MRSA)÷6measures=−0.0794Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.0794; CMS reports −0.0794. The small difference is rounding.

Figure 2. The parts add up to −0.0794, below CMS’s line.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Measure	Z-score	Part of the score	Running total
PSI 90	1.7240	+0.2873	0.2873
CLABSI	−0.5946	−0.0991	0.1882
CAUTI	−0.2242	−0.0374	0.1508
SSI	−0.8638	−0.1440	0.0068
CDI	0.2183	+0.0364	0.0432
MRSA	−0.7362	−0.1227	−0.0795
Total HAC Score			−0.0794
CMS’s line		0.3792	0.3799

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score and the payment reduction decision, starting from CMS’s values.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table

	CMS reports	Hypothetical
Total HAC Score	−0.0794	same
Payment reduction decision	N/A (not subject to the reduction)	same

CMS reports a Total HAC Score of −0.0794 and a payment reduction decision of N/A (not subject to the reduction).

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

Patient safety and adverse events composite PSI 90

PSI 90 value

CMS 1.2354 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

Central line–associated bloodstream infections CLABSI

CLABSI value

CMS 0.350 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

Catheter-associated urinary tract infections CAUTI

CAUTI value

CMS 0.454 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

Surgical site infections after colon surgery or abdominal hysterectomy SSI

SSI value

CMS 0.346 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

Clostridioides difficile (C. diff) infections CDI

CDI value

CMS 0.434 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

MRSA bloodstream infections MRSA

MRSA value

CMS 0.345 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

Have your NHSN predicted counts? (optional, stays in your browser)

Stays in your browser; never sent.

Optional: your NHSN predicted infections for CLABSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CAUTI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for SSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CDI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for MRSA, January 1, 2023 to December 31, 2024

Figure 3. PSI 90 added the most to this hospital’s Total HAC Score of −0.0794 among its measured results: +0.2873.

PSI 90 +0.2873
CLABSI −0.0991
CAUTI −0.0374
SSI −0.1440
CDI +0.0364
MRSA −0.1227

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Measure	Z-score	Part of the score	Hypothetical
PSI 90	1.7240	+0.2873	same
CLABSI	−0.5946	−0.0991	same
CAUTI	−0.2242	−0.0374	same
SSI	−0.8638	−0.1440	same
CDI	0.2183	+0.0364	same
MRSA	−0.7362	−0.1227	same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/210005/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 4. 5 of its 5 infection measures ended lower than they started.

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table

Calendar year	CLABSI	CAUTI	SSI, colon	MRSA	C. diff
2017	1.146	0.648	1.869	0.503	0.549
2018	0.709	1.057	0.000	0.522	0.664
2019	0.333	0.813	0.000	0.277	0.460
2021	2.837	2.350	1.459	1.772	0.354
2022	0.989	1.173	1.077	0.468	0.490
2023	0.692	0.720		0.478	0.578
2024	0.000	0.215	0.273	0.222	0.284

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

Figure 5. Its score is above the middle in 2 of the 6 groups it belongs to; the share cut runs from 22% (South region) to 26% (Nonprofit).

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Group	With a decision	Hospitals cut	Share cut	Middle score	Hospital higher than
All hospitals	2,886	718	25%	−0.0453	47%
South region	1,174	263	22%	−0.1056	51%
Not teaching	1,563	389	25%	−0.1053	51%
100 to 299 beds	1,193	275	23%	−0.0732	49%
Nonprofit	1,830	478	26%	−0.0134	45%
Urban	2,241	510	23%	−0.0574	48%
This hospital				−0.0794
CMS’s line				0.3792	0.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 6. CMS cut 1 of the 8 nearest hospitals; the closest is 19 miles away.

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Hospital	Miles	Score	Decision
Holy Cross Germantown Hospital, Germantown, MD	19	0.3579	not subject
Meritus Medical Center, Hagerstown, MD	20	−0.2234	not subject
WellSpan Waynesboro Hospital, Waynesboro, PA	24	−0.1004	not cut
Inova Loudoun Hospital, Leesburg, VA	24	−0.3338	not cut
Carroll Hospital Center, Westminster, MD	24	−0.1795	not subject
Adventist Healthcare Shady Grove Medical Center, Rockville, MD	25	−0.4582	not subject
MedStar Montgomery Medical Center, Olney, MD	27	−0.6614	not subject
Gettysburg Hospital, Gettysburg, PA	29	0.7488	cut

#	Hospital	Miles	Score	Decision	Est. cut ($, modeled)	Measures
1	Holy Cross Germantown HospitalGermantown, MD	19	0.3579	N/A	$0	Above the national median on 4 of 6 measures
2	Meritus Medical CenterHagerstown, MD	20	−0.2234	N/A	$0	Above the national median on 2 of 6 measures
3	WellSpan Waynesboro HospitalWaynesboro, PA	24	−0.1004	No cut	$0	Above the national median on 1 of 2 measures
4	Inova Loudoun HospitalLeesburg, VA	24	−0.3338	No cut	$0	Above the national median on 3 of 6 measures
5	Carroll Hospital CenterWestminster, MD	24	−0.1795	N/A	$0	Above the national median on 3 of 6 measures
6	Adventist Healthcare Shady Grove Medical CenterRockville, MD	25	−0.4582	N/A	$0	Above the national median on 2 of 6 measures
7	MedStar Montgomery Medical CenterOlney, MD	27	−0.6614	N/A	$0	Above the national median on 2 of 6 measures
8	Gettysburg HospitalGettysburg, PA	29	0.7488	1% cut	$211K	Above the national median on 4 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

CMS’s footnotes on this page

a: Maryland hospitals are waived from receiving payment adjustments under the Program.

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Frederick Health Hospital, Frederick, MD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/210005/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.