P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalGarrett Regional Medical Center×

Hospital record · FY2026CCN 210017

1Hospital

Garrett Regional Medical Center

2Location

Oakland, MD (Maryland’s hospitals on the map and in the table) 21550

Garrett County

3Type

Not a teaching hospital · 33 beds · Nonprofit · Rural · Sole community hospital

4Care Compare stars

4 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

0.9772

As CMS reports it

6Payment reduction

N/A

7Estimated cut

$0

Maryland: exempt

Not subject

$0

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.9772 for Garrett Regional Medical Center 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.

lowest −1.4728 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.9772 This hospital 0.9772 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.9772 This hospital 0.9772

Higher than 93% 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 4 of the 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 CLABSI down to the national median (0.559) would lower the score the most: by 0.5875, to 0.3897. Try it in the what-if

Figure 1. Of its 4 measures with a value, this hospital is above the national median on 3; CLABSI added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. 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.

    Patient safety and adverse events composite

    Better than 70% 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 value0.9068

    Z-score−0.5701

    Part of score−0.1425

  2. 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.

    added the most

    Central line–associated bloodstream infections

    Worse than 97% of the other 2,181 hospitals

    CMS value1.867

    Z-score2.2402

    Part of score+0.5601

  3. 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

    Worse than 57% of the other 2,354 hospitals

    CMS value0.566

    Z-score0.0457

    Part of score+0.0114

  4. 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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  5. 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 97% 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 value1.180

    Z-score2.1931

    Part of score+0.5483

  6. 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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.90680.9623−0.5701−0.1425Better than 70% of the other 2,808 hospitals
CLABSI1.8670.5592.2402+0.5601Worse than 97% of the other 2,181 hospitals
CAUTI0.5660.4890.0457+0.0114Worse than 57% of the other 2,354 hospitals
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI1.1800.3462.1931+0.5483Worse than 97% of the other 2,766 hospitals
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

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 4; a bar right of zero raised the score and one left of zero lowered it.

(−0.5701PSI 90+2.2402CLABSI+0.0457CAUTI+2.1931CDI)÷4measures=0.9772Total HAC Score

Figure 2. The parts add up to 0.9772, above CMS’s line.
1% cut PSI 90: z‑score −0.5701 divided by 4 = −0.1425PSI 90−0.1425 CLABSI: z‑score 2.2402 divided by 4 = +0.5601CLABSI+0.5601 CAUTI: z‑score 0.0457 divided by 4 = +0.0114CAUTI+0.0114 CDI: z‑score 2.1931 divided by 4 = +0.5483CDI+0.5483 Total HAC Score: 0.9772Score0.9772 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.60.81.0 1% cut PSI 90: z‑score −0.5701 divided by 4 = −0.1425PSI 90−0.1425 CLABSI: z‑score 2.2402 divided by 4 = +0.5601CLABSI+0.5601 CAUTI: z‑score 0.0457 divided by 4 = +0.0114CAUTI+0.0114 CDI: z‑score 2.1931 divided by 4 = +0.5483CDI+0.5483 Total HAC Score: 0.9772Score0.9772 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.60.81.0

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 90−0.5701−0.1425−0.1425
CLABSI2.2402+0.56010.4176
CAUTI0.0457+0.01140.4290
CDI2.1931+0.54830.9773
Total HAC Score0.9772
CMS’s line0.37920.3799

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 reportsHypothetical
Total HAC Score0.9772same
Payment reduction decisionN/A (not subject to the reduction)same

CMS reports a Total HAC Score of 0.9772 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 ÷ 4 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.

CMS 0.9068 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1745

CMS 1.867 · median 0.559 · cap 1.572 · each 0.1 = 0.0580

CMS 0.566 · median 0.489 · cap 1.537 · each 0.1 = 0.0603

CMS 1.180 · median 0.346 · cap 0.944 · each 0.1 = 0.0968

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Figure 3. CLABSI added the most to this hospital’s Total HAC Score of 0.9772 among its measured results: +0.5601.
  • PSI 90 −0.1425
  • CLABSI +0.5601
  • CAUTI +0.0114
  • CDI +0.5483

A measure adds its z‑score divided by 4, 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
MeasureZ-scorePart of the scoreHypothetical
PSI 90−0.5701−0.1425same
CLABSI2.2402+0.5601same
CAUTI0.0457+0.0114same
CDI2.1931+0.5483same

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. 0 of its 1 infection measures ended lower than they started.
C. diff 1.08 → 1.74 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 1.077C. diff, 2018: 1.020C. diff, 2019: 0.235C. diff, 2021: 0.466C. diff, 2022: 0.504C. diff, 2023: 0.827C. diff, 2024: 1.738 C. diff 1.08 → 1.74 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 1.077C. diff, 2018: 1.020C. diff, 2019: 0.235C. diff, 2021: 0.466C. diff, 2022: 0.504C. diff, 2023: 0.827C. diff, 2024: 1.738

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 yearC. diff
20171.077
20181.020
20190.235
20210.466
20220.504
20230.827
20241.738

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 all 6 groups it belongs to; the share cut runs from 22% (South region) to 32% (Rural).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.9772 This hospital 0.9772 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.9772 This hospital 0.9772

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

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045393%
South region1,17426322%−0.105692%
Not teaching1,56338925%−0.105391%
Fewer than 100 beds80522528%−0.115485%
Nonprofit1,83047826%−0.013494%
Rural61919632%0.022987%
This hospital0.9772
CMS’s line0.37920.3799

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 2 of the 8 nearest hospitals; the closest is 34 miles away.
5 mi10 mi25 mi8. United Hospital Center, Inc, Bridgeport: score −0.2463, not cut, 45 miles87. UPMC Somerset, Somerset: score 0.1919, not cut, 44 miles76. Penn Highlands Connellsville, Connellsville: score −1.4622, not cut, 43 miles65. Davis Medical Center, Elkins: score 0.1777, not cut, 41 miles54. Western Maryland Regional Medical Center, Cumberland: score −0.2439, not subject, 39 miles43. Uniontown Hospital, Uniontown: score 0.9655, cut, 38 miles32. West Virginia University Hospitals, Inc, Morgantown: score 0.6866, cut, 34 miles21. Mon Health Medical Center, Morgantown: score −0.6549, not cut, 34 miles1This hospital: Garrett Regional Medical Center

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

Show table
HospitalMilesScoreDecision
Mon Health Medical Center, Morgantown, WV34−0.6549not cut
West Virginia University Hospitals, Inc, Morgantown, WV340.6866cut
Uniontown Hospital, Uniontown, PA380.9655cut
Western Maryland Regional Medical Center, Cumberland, MD39−0.2439not subject
Davis Medical Center, Elkins, WV410.1777not cut
Penn Highlands Connellsville, Connellsville, PA43−1.4622not cut
UPMC Somerset, Somerset, PA440.1919not cut
United Hospital Center, Inc, Bridgeport, WV45−0.2463not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Mon Health Medical CenterMorgantown, WV34−0.6549No cut$0Above the national median on 1 of 6 measures
2West Virginia University Hospitals, IncMorgantown, WV340.68661% cut$1.7MAbove the national median on 6 of 6 measures
3Uniontown HospitalUniontown, PA380.96551% cut$168KAbove the national median on 4 of 6 measures
4Western Maryland Regional Medical CenterCumberland, MD39−0.2439N/A$0Above the national median on 2 of 6 measures
5Davis Medical CenterElkins, WV410.1777No cut$0Above the national median on 3 of 5 measures
6Penn Highlands ConnellsvilleConnellsville, PA43−1.4622No cut$0Above the national median on 0 of 1 measures
7UPMC SomersetSomerset, PA440.1919No cut$0Above the national median on 2 of 4 measures
8United Hospital Center, IncBridgeport, WV45−0.2463No cut$0Above the national median on 3 of 6 measures

CMS’s footnotes on this page

a
Maryland hospitals are waived from receiving payment adjustments under the Program.
13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.

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. Garrett Regional Medical Center, Oakland, MD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/210017/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.