P&P, Paid & Penalized

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HospitalLuminis Health Anne Arundel Medical Center, Inc×

Hospital record · FY2026CCN 210023

1Hospital

Luminis Health Anne Arundel Medical Center, Inc

2Location

Annapolis, MD (Maryland’s hospitals on the map and in the table) 21401

Anne Arundel County

3Type

Not a teaching hospital · 370 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

−0.0053

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 −0.0053 for Luminis Health Anne Arundel Medical Center, Inc 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 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: −0.0053 This hospital −0.0053 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: −0.0053 This hospital −0.0053

Higher than 52% 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 SSI down to the national median (0.795) would lower the score the most: by 0.1647, to −0.1700. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; SSI 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 90% 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 value0.8212

    Z-score−1.1679

    Part of score−0.1947

  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.

    Central line–associated bloodstream infections

    Worse than 55% of the other 2,181 hospitals

    CMS value0.615

    Z-score0.0202

    Part of score+0.0034

  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 63% of the other 2,354 hospitals

    CMS value0.623

    Z-score0.1831

    Part of score+0.0305

  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.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 81% of the other 2,269 hospitals

    CMS value1.372

    Z-score0.8938

    Part of score+0.1490

  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 80% 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 value0.593

    Z-score0.8340

    Part of score+0.1390

  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

    Better than 78% of the other 2,067 hospitals

    CMS value0.317

    Z-score−0.7948

    Part of score−0.1325

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.82120.9623−1.1679−0.1947Better than 90% of the other 2,808 hospitals
CLABSI0.6150.5590.0202+0.0034Worse than 55% of the other 2,181 hospitals
CAUTI0.6230.4890.1831+0.0305Worse than 63% of the other 2,354 hospitals
SSI1.3720.7950.8938+0.1490Worse than 81% of the other 2,269 hospitals
CDI0.5930.3460.8340+0.1390Worse than 80% of the other 2,766 hospitals
MRSA0.3170.641−0.7948−0.1325Better than 78% 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.

(−1.1679PSI 90+0.0202CLABSI+0.1831CAUTI+0.8938SSI+0.8340CDI−0.7948MRSA)÷6measures=−0.0053Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.0053; CMS reports −0.0053. The small difference is rounding.

Figure 2. The parts add up to −0.0053, below CMS’s line.
1% cut PSI 90: z‑score −1.1679 divided by 6 = −0.1947PSI 90−0.1947 CLABSI: z‑score 0.0202 divided by 6 = +0.0034CLABSI+0.0034 CAUTI: z‑score 0.1831 divided by 6 = +0.0305CAUTI+0.0305 SSI: z‑score 0.8938 divided by 6 = +0.1490SSI+0.1490 CDI: z‑score 0.8340 divided by 6 = +0.1390CDI+0.1390 MRSA: z‑score −0.7948 divided by 6 = −0.1325MRSA−0.1325 Total HAC Score: −0.0053Score−0.0053 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.2−0.10.00.10.20.30.4 1% cut PSI 90: z‑score −1.1679 divided by 6 = −0.1947PSI 90−0.1947 CLABSI: z‑score 0.0202 divided by 6 = +0.0034CLABSI+0.0034 CAUTI: z‑score 0.1831 divided by 6 = +0.0305CAUTI+0.0305 SSI: z‑score 0.8938 divided by 6 = +0.1490SSI+0.1490 CDI: z‑score 0.8340 divided by 6 = +0.1390CDI+0.1390 MRSA: z‑score −0.7948 divided by 6 = −0.1325MRSA−0.1325 Total HAC Score: −0.0053Score−0.0053 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.2−0.10.00.10.20.30.4

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 90−1.1679−0.1947−0.1947
CLABSI0.0202+0.0034−0.1913
CAUTI0.1831+0.0305−0.1608
SSI0.8938+0.1490−0.0118
CDI0.8340+0.13900.1272
MRSA−0.7948−0.1325−0.0053
Total HAC Score−0.0053
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 Score−0.0053same
Payment reduction decisionN/A (not subject to the reduction)same

CMS reports a Total HAC Score of −0.0053 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.

CMS 0.8212 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.615 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.623 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.372 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.593 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.317 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 3. SSI added the most to this hospital’s Total HAC Score of −0.0053 among its measured results: +0.1490.
  • PSI 90 −0.1947
  • CLABSI +0.0034
  • CAUTI +0.0305
  • SSI +0.1490
  • CDI +0.1390
  • MRSA −0.1325

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
MeasureZ-scorePart of the scoreHypothetical
PSI 90−1.1679−0.1947same
CLABSI0.0202+0.0034same
CAUTI0.1831+0.0305same
SSI0.8938+0.1490same
CDI0.8340+0.1390same
MRSA−0.7948−0.1325same

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. 4 of its 6 infection measures ended lower than they started.
CLABSI 0.88 → 0.32 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.882CLABSI, 2018: 0.204CLABSI, 2019: 0.377CLABSI, 2021: 1.243CLABSI, 2022: 0.839CLABSI, 2023: 0.949CLABSI, 2024: 0.317 CAUTI 1.43 → 0.37 1 0 ’18’21’24 CAUTI, 2017: 1.433CAUTI, 2018: 0.999CAUTI, 2019: 0.703CAUTI, 2021: 1.205CAUTI, 2022: 1.366CAUTI, 2023: 0.906CAUTI, 2024: 0.366 SSI, colon 0.87 → 1.95 1 0 ’18’21’24 SSI, colon, 2017: 0.871SSI, colon, 2018: 1.427SSI, colon, 2019: 1.004SSI, colon, 2021: 0.951SSI, colon, 2022: 1.240SSI, colon, 2023: 0.925SSI, colon, 2024: 1.951 SSI, hysterectomy 0.59 → 0.54 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.593SSI, hysterectomy, 2018: 1.008SSI, hysterectomy, 2019: 0.309SSI, hysterectomy, 2021: 0.567SSI, hysterectomy, 2022: 0.584SSI, hysterectomy, 2023: 1.818SSI, hysterectomy, 2024: 0.537 MRSA 0.42 → 0.42 1 0 ’18’21’24 MRSA, 2017: 0.417MRSA, 2018: 0.400MRSA, 2019: 0.822MRSA, 2021: 0.339MRSA, 2022: 1.367MRSA, 2023: 0.211MRSA, 2024: 0.425 C. diff 1.08 → 0.65 1 0 ’18’21’24 C. diff, 2017: 1.077C. diff, 2018: 1.160C. diff, 2019: 0.945C. diff, 2021: 0.652C. diff, 2022: 0.764C. diff, 2023: 0.533C. diff, 2024: 0.645 CLABSI 0.88 → 0.32 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.882CLABSI, 2018: 0.204CLABSI, 2019: 0.377CLABSI, 2021: 1.243CLABSI, 2022: 0.839CLABSI, 2023: 0.949CLABSI, 2024: 0.317 CAUTI 1.43 → 0.37 1 0 ’18’20’22’24 CAUTI, 2017: 1.433CAUTI, 2018: 0.999CAUTI, 2019: 0.703CAUTI, 2021: 1.205CAUTI, 2022: 1.366CAUTI, 2023: 0.906CAUTI, 2024: 0.366 SSI, colon 0.87 → 1.95 1 0 ’18’20’22’24 SSI, colon, 2017: 0.871SSI, colon, 2018: 1.427SSI, colon, 2019: 1.004SSI, colon, 2021: 0.951SSI, colon, 2022: 1.240SSI, colon, 2023: 0.925SSI, colon, 2024: 1.951 SSI, hysterectomy 0.59 → 0.54 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.593SSI, hysterectomy, 2018: 1.008SSI, hysterectomy, 2019: 0.309SSI, hysterectomy, 2021: 0.567SSI, hysterectomy, 2022: 0.584SSI, hysterectomy, 2023: 1.818SSI, hysterectomy, 2024: 0.537 MRSA 0.42 → 0.42 1 0 ’18’20’22’24 MRSA, 2017: 0.417MRSA, 2018: 0.400MRSA, 2019: 0.822MRSA, 2021: 0.339MRSA, 2022: 1.367MRSA, 2023: 0.211MRSA, 2024: 0.425 C. diff 1.08 → 0.65 1 0 ’18’20’22’24 C. diff, 2017: 1.077C. diff, 2018: 1.160C. diff, 2019: 0.945C. diff, 2021: 0.652C. diff, 2022: 0.764C. diff, 2023: 0.533C. diff, 2024: 0.645

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 yearCLABSICAUTISSI, colonSSI, hysterectomyMRSAC. diff
20170.8821.4330.8710.5930.4171.077
20180.2040.9991.4271.0080.4001.160
20190.3770.7031.0040.3090.8220.945
20211.2431.2050.9510.5670.3390.652
20220.8391.3661.2400.5841.3670.764
20230.9490.9060.9251.8180.2110.533
20240.3170.3661.9510.5370.4250.645

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% (300 to 499 beds) to 26% (Nonprofit).
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 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.0053 This hospital −0.0053 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 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% 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: −0.0053 This hospital −0.0053

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%−0.045352%
South region1,17426322%−0.105656%
Not teaching1,56338925%−0.105356%
300 to 499 beds52311322%−0.038452%
Nonprofit1,83047826%−0.013450%
Urban2,24151023%−0.057453%
This hospital−0.0053
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 none of the 8 nearest hospitals; the closest is 11 miles away.
5 mi10 mi8. Mercy Medical Center Inc, Baltimore: score −0.0374, not subject, 21 miles87. University of Maryland Medical Center, Baltimore: score 0.7646, not subject, 21 miles76. Saint Agnes Hospital, Baltimore: score −0.0138, not subject, 21 miles65. Johns Hopkins Bayview Medical Center, Baltimore: score 0.7914, not subject, 21 miles54. MedStar Harbor Hospital, Baltimore: score −0.3128, not subject, 19 miles43. Luminis Health Doctors Community Medical Ctr, Inc, Lanham: score 0.7066, not subject, 18 miles32. University of MD Capital Region Medical Center, Upper Marlboro: score 0.5800, not subject, 18 miles21. University of MD Baltimore Washington Medical Center, Glen Burnie: score 0.1583, not subject, 11 miles1This hospital: Luminis Health Anne Arundel Medical Center, Inc

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

Show table
HospitalMilesScoreDecision
University of MD Baltimore Washington Medical Center, Glen Burnie, MD110.1583not subject
University of MD Capital Region Medical Center, Upper Marlboro, MD180.5800not subject
Luminis Health Doctors Community Medical Ctr, Inc, Lanham, MD180.7066not subject
MedStar Harbor Hospital, Baltimore, MD19−0.3128not subject
Johns Hopkins Bayview Medical Center, Baltimore, MD210.7914not subject
Saint Agnes Hospital, Baltimore, MD21−0.0138not subject
University of Maryland Medical Center, Baltimore, MD210.7646not subject
Mercy Medical Center Inc, Baltimore, MD21−0.0374not subject

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1University of MD Baltimore Washington Medical CenterGlen Burnie, MD110.1583N/A$0Above the national median on 4 of 6 measures
2University of MD Capital Region Medical CenterUpper Marlboro, MD180.5800N/A$0Above the national median on 3 of 6 measures
3Luminis Health Doctors Community Medical Ctr, IncLanham, MD180.7066N/A$0Above the national median on 5 of 6 measures
4MedStar Harbor HospitalBaltimore, MD19−0.3128N/A$0Above the national median on 2 of 6 measures
5Johns Hopkins Bayview Medical CenterBaltimore, MD210.7914N/A$0Above the national median on 6 of 6 measures
6Saint Agnes HospitalBaltimore, MD21−0.0138N/A$0Above the national median on 4 of 6 measures
7University of Maryland Medical CenterBaltimore, MD210.7646N/A$0Above the national median on 6 of 6 measures
8Mercy Medical Center IncBaltimore, MD21−0.0374N/A$0Above the national median on 2 of 6 measures

CMS’s footnotes on this page

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

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. Luminis Health Anne Arundel Medical Center, Inc, Annapolis, MD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/210023/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.