P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalUMD Rehabilitation & Orthopaedic Institute×

Hospital record · FY2026CCN 210058

1Hospital

UMD Rehabilitation & Orthopaedic Institute

2Location

Baltimore, MD (Maryland’s hospitals on the map and in the table) 21207

Baltimore County

3Type

Minor teaching · 134 beds · Nonprofit · Urban

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
Open on Care Compare (opens in a new tab)

5Total HAC Score

1.9139

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 1.9139 for UMD Rehabilitation & Orthopaedic Institute 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: 1.9139 This hospital 1.9139 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: 1.9139 This hospital 1.9139

Higher than 98% 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 0.0749, to 1.8390. Try it in the what-if

Figure 1. This hospital has a published value for one measure, PSI 90, and it is above 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.

    added the most

    Patient safety and adverse events composite

    Worse 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 value1.0267

    Z-score0.2668

    Part of score+0.0445

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.2402

    Part of score+0.3734

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.3863

    Part of score+0.3977

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.1717

    Part of score+0.3620

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.1931

    Part of score+0.3655

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.2251

    Part of score+0.3708

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.02670.96230.2668+0.0445Worse than 70% of the other 2,808 hospitals
CLABSIno value published0.5592.2402+0.3734
CAUTIno value published0.4892.3863+0.3977
SSIno value published0.7952.1717+0.3620
CDIno value published0.3462.1931+0.3655
MRSAno value published0.6412.2251+0.3708

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.

(0.2668PSI 90+2.2402CLABSI+2.3863CAUTI+2.1717SSI+2.1931CDI+2.2251MRSA)÷6measures=1.9139Total HAC Score

Figure 2. The parts add up to 1.9139, above CMS’s line.
1% cut PSI 90: z‑score 0.2668 divided by 6 = +0.0445PSI 90+0.0445 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score 2.1931 divided by 6 = +0.3655CDI+0.3655 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 1.9139Score1.9139 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0 1% cut PSI 90: z‑score 0.2668 divided by 6 = +0.0445PSI 90+0.0445 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score 2.1931 divided by 6 = +0.3655CDI+0.3655 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 1.9139Score1.9139 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0

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 900.2668+0.04450.0445
CLABSI2.2402+0.37340.4179
CAUTI2.3863+0.39770.8156
SSI2.1717+0.36201.1776
CDI2.1931+0.36551.5431
MRSA2.2251+0.37081.9139
Total HAC Score1.9139
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 Score1.9139same
Payment reduction decisionN/A (not subject to the reduction)same

CMS reports a Total HAC Score of 1.9139 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 1.0267 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.641 · cap 1.762 · each 0.1 = 0.0348

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

Figure 3. PSI 90 added the most to this hospital’s Total HAC Score of 1.9139 among its measured results: +0.0445.
  • PSI 90 +0.0445
  • CLABSI (assigned by CMS) +0.3734
  • CAUTI (assigned by CMS) +0.3977
  • SSI (assigned by CMS) +0.3620
  • CDI (assigned by CMS) +0.3655
  • MRSA (assigned by CMS) +0.3708

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 900.2668+0.0445same
CLABSI, assigned2.2402+0.3734same
CAUTI, assigned2.3863+0.3977same
SSI, assigned2.1717+0.3620same
CDI, assigned2.1931+0.3655same
MRSA, assigned2.2251+0.3708same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/210058/

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.

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 4. Its score is above the middle in all 6 groups it belongs to; the share cut runs from 21% (Minor teaching) 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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% 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: 1.9139 This hospital 1.9139 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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% 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: 1.9139 This hospital 1.9139

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%−0.045398%
South region1,17426322%−0.105698%
Minor teaching87318121%−0.056799%
100 to 299 beds1,19327523%−0.073299%
Nonprofit1,83047826%−0.013499%
Urban2,24151023%−0.057499%
This hospital1.9139
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 5. CMS cut none of the 8 nearest hospitals; the closest is 4 miles away.
5 mi8. Mercy Medical Center Inc, Baltimore: score −0.0374, not subject, 5 miles87. MedStar Union Memorial Hospital, Baltimore: score −0.5056, not subject, 5 miles76. University of Maryland Medical Center, Baltimore: score 0.7646, not subject, 5 miles65. University of MD Medical Center Midtown Campus, Baltimore: score 1.3222, not subject, 5 miles54. Northwest Hospital Center, Randallstown: score −0.0055, not subject, 5 miles43. Sinai Hospital of Baltimore, Baltimore: score 0.6934, not subject, 4 miles32. Levindale Hebrew Geriatric Center and Hospital, Baltimore: score 0.4392, not subject, 4 miles21. Saint Agnes Hospital, Baltimore: score −0.0138, not subject, 4 miles1This hospital: UMD Rehabilitation & Orthopaedic Institute

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

Show table
HospitalMilesScoreDecision
Saint Agnes Hospital, Baltimore, MD4−0.0138not subject
Levindale Hebrew Geriatric Center and Hospital, Baltimore, MD40.4392not subject
Sinai Hospital of Baltimore, Baltimore, MD40.6934not subject
Northwest Hospital Center, Randallstown, MD5−0.0055not subject
University of MD Medical Center Midtown Campus, Baltimore, MD51.3222not subject
University of Maryland Medical Center, Baltimore, MD50.7646not subject
MedStar Union Memorial Hospital, Baltimore, MD5−0.5056not subject
Mercy Medical Center Inc, Baltimore, MD5−0.0374not subject

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Saint Agnes HospitalBaltimore, MD4−0.0138N/A$0Above the national median on 4 of 6 measures
2Levindale Hebrew Geriatric Center and HospitalBaltimore, MD40.4392N/A$0Above the national median on 2 of 3 measures
3Sinai Hospital of BaltimoreBaltimore, MD40.6934N/A$0Above the national median on 5 of 6 measures
4Northwest Hospital CenterRandallstown, MD5−0.0055N/A$0Above the national median on 2 of 6 measures
5University of MD Medical Center Midtown CampusBaltimore, MD51.3222N/A$0Above the national median on 5 of 6 measures
6University of Maryland Medical CenterBaltimore, MD50.7646N/A$0Above the national median on 6 of 6 measures
7MedStar Union Memorial HospitalBaltimore, MD5−0.5056N/A$0Above the national median on 2 of 5 measures
8Mercy Medical Center IncBaltimore, MD5−0.0374N/A$0Above the national median on 2 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.
18
This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

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. UMD Rehabilitation & Orthopaedic Institute, Baltimore, MD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/210058/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.