P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalUniversity of MD Shore Medical Ctr at Chestertown×

Hospital record · FY2026CCN 210030

1Hospital

University of MD Shore Medical Ctr at Chestertown

2Location

Chestertown, MD (Maryland’s hospitals on the map and in the table) 21620

Kent County

3Type

Not a teaching hospital · 64 beds · Nonprofit · Rural

4Care Compare stars

5 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

−1.4622

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 −1.4622 for University of MD Shore Medical Ctr at Chestertown 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.

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: −1.4622 This hospital −1.4622 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: −1.4622 This hospital −1.4622

Higher than 0% 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.

CMS scored this hospital on a single measure, so that measure alone set its Total HAC Score.

Where the score came from

CMS scored this hospital on 1 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.

None of the measures CMS scored it on is above the national median, so no single measure at the median would lower its score.

Figure 1. This hospital has a published value for one measure, CDI, and it is at or below the national median.
  • 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

    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

  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

    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

  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

    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

  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

    Better than 91% 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 value0.000

    Z-score−1.4622

    Part of score−1.4622

  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 90no value published0.9623no value publishedno value publishedNot scored on this measure
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI0.0000.346−1.4622−1.4622Better than 91% 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 1; a bar right of zero raised the score and one left of zero lowered it.

(−1.4622CDI)÷1measures=−1.4622Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −1.4622; CMS reports −1.4622. The small difference is rounding.

Figure 2. The parts add up to −1.4622, below CMS’s line.
1% cut CDI: z‑score −1.4622 divided by 1 = −1.4622CDI−1.4622 Total HAC Score: −1.4622Score−1.4622 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5 1% cut CDI: z‑score −1.4622 divided by 1 = −1.4622CDI−1.4622 Total HAC Score: −1.4622Score−1.4622 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5

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

Show table
MeasureZ-scorePart of the scoreRunning total
CDI−1.4622−1.4622−1.4622
Total HAC Score−1.4622
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−1.4622same
Payment reduction decisionN/A (not subject to the reduction)same

CMS reports a Total HAC Score of −1.4622 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 ÷ 1 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 0.000 · median 0.346 · cap 0.944 · each 0.1 = 0.3872

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

Stays in your browser; never sent.

Figure 3. Each bar is one measure’s part of this hospital’s Total HAC Score of −1.4622: its z‑score divided by 1, the number of measures scored.
  • CDI −1.4622

A measure adds its z‑score divided by 1, 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
CDI−1.4622−1.4622same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/210030/

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. 1 of its 1 infection measures ended lower than they started.
C. diff 1.71 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 1.705C. diff, 2018: 1.627C. diff, 2019: 0.000C. diff, 2021: 0.000 C. diff 1.71 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 1.705C. diff, 2018: 1.627C. diff, 2019: 0.000C. diff, 2021: 0.000

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
20171.705
20181.627
20190.000
20210.000
2022
2023
2024

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 below 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: −1.4622 This hospital −1.4622 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: −1.4622 This hospital −1.4622

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%−0.04530%
South region1,17426322%−0.10560%
Not teaching1,56338925%−0.10530%
Fewer than 100 beds80522528%−0.11540%
Nonprofit1,83047826%−0.01340%
Rural61919632%0.02290%
This hospital−1.4622
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 24 miles away.
5 mi10 mi25 mi8. MedStar Good Samaritan Hospital, Baltimore: score −0.2260, not subject, 30 miles87. Luminis Health Anne Arundel Medical Center, Inc, Annapolis: score −0.0053, not subject, 30 miles76. MedStar Harbor Hospital, Baltimore: score −0.3128, not subject, 30 miles65. Bayhealth Medical Center, Kent Campus, Dover: score −0.2065, not cut, 29 miles54. Johns Hopkins Hospital, The, Baltimore: score 0.6608, not subject, 29 miles43. Johns Hopkins Bayview Medical Center, Baltimore: score 0.7914, not subject, 27 miles32. UMD Upper Chesapeake Medical Center, Bel Air: score 0.6239, not subject, 26 miles21. MedStar Franklin Square Medical Center, Rosedale: score −0.0235, not subject, 24 miles1This hospital: University of MD Shore Medical Ctr at Chestertown

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

Show table
HospitalMilesScoreDecision
MedStar Franklin Square Medical Center, Rosedale, MD24−0.0235not subject
UMD Upper Chesapeake Medical Center, Bel Air, MD260.6239not subject
Johns Hopkins Bayview Medical Center, Baltimore, MD270.7914not subject
Johns Hopkins Hospital, The, Baltimore, MD290.6608not subject
Bayhealth Medical Center, Kent Campus, Dover, DE29−0.2065not cut
MedStar Harbor Hospital, Baltimore, MD30−0.3128not subject
Luminis Health Anne Arundel Medical Center, Inc, Annapolis, MD30−0.0053not subject
MedStar Good Samaritan Hospital, Baltimore, MD30−0.2260not subject

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1MedStar Franklin Square Medical CenterRosedale, MD24−0.0235N/A$0Above the national median on 1 of 6 measures
2UMD Upper Chesapeake Medical CenterBel Air, MD260.6239N/A$0Above the national median on 4 of 6 measures
3Johns Hopkins Bayview Medical CenterBaltimore, MD270.7914N/A$0Above the national median on 6 of 6 measures
4Johns Hopkins Hospital, TheBaltimore, MD290.6608N/A$0Above the national median on 5 of 6 measures
5Bayhealth Medical Center, Kent CampusDover, DE29−0.2065No cut$0Above the national median on 2 of 6 measures
6MedStar Harbor HospitalBaltimore, MD30−0.3128N/A$0Above the national median on 2 of 6 measures
7Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD30−0.0053N/A$0Above the national median on 4 of 6 measures
8MedStar Good Samaritan HospitalBaltimore, MD30−0.2260N/A$0Above 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.
13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.

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. University of MD Shore Medical Ctr at Chestertown, Chestertown, MD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/210030/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.