Medstar Saint Mary'S Hospital

Hospital in Leonardtown, MD, Medicare certification number 210028. CMS publishes 60 quality measures for it.

Medicare certification

Provider of Services

CCN: 210028The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Jan 7, 1993
Beds: 107
Overall star rating: 4 of 5Care Compare
Address: 25500 Point Lookout Road
Leonardtown, MD 20650
(301) 475-6001

NPI records for this facility 1

St Marys Hospital of St Marys County Inc
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.14 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.24 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.17 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.69 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 2.74 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 2.81 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.95 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.19 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 2.81 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.93
- State average 1.01 (computed here)
- National average 1.06
- No different than the national rate
- 522 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.88
- State average 1.04 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected160.26
- State average 171.3 (computed here)
- National average 173.3
- No different than the national rate
- 28 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.9
- State average 8.25 (computed here)
- National average 8.6
- No different than the national rate
- 178 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.8
- State average 11.84 (computed here)
- National average 11.9
- No different than the national rate
- 56 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected13.1
- State average 10.89 (computed here)
- National average 11.1
- No different than the national rate
- 311 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.1
- State average 14.91 (computed here)
- National average 15.2
- No different than the national rate
- 355 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.2
- State average 10.86 (computed here)
- National average 11.9
- No different than the national rate
- 100 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.8
- State average 3.34 (computed here)
- National average 3.9
- No different than the national rate
- 962 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.23 (computed here)
- National average 0.21
- No different than the national rate
- 4,517 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.23
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 4,593 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.57
- State average 3.46 (computed here)
- National average 3.52
- No different than the national rate
- 633 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.36
- State average 1.55 (computed here)
- National average 1.67
- No different than the national rate
- 268 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.07
- State average 2.24 (computed here)
- National average 2.34
- No different than the national rate
- 594 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.06
- State average 8.91 (computed here)
- National average 9.42
- No different than the national rate
- 275 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.68
- State average 5.09 (computed here)
- National average 5.27
- No different than the national rate
- 266 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.67
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 119 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.52
- State average 0.88 (computed here)
- National average 0.63
- No different than the national rate
- 3,373 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.1
- State average 4.2 (computed here)
- National average 4.1
- No different than the national rate
- 27 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 4

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.19
- State average 0.67
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.15
- State average 0.35
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (2)

SSI - Abdominal Hysterectomy — 13
SSI - Colon Surgery — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 3
- State average 1.59 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.5
- State average 8.45 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 0

Medicare Care Compare

Measures CMS does not publish for this facility (1)

Medicare hospital spending per patient (Medicare Spending per Beneficiary) — 5

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 92
- State average 93.36 (computed here)
- National average 92.79 (computed here)
- 71 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 55
- State average 65
- National average 65
- 127 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 257
- State average 251
- National average 168
- 406 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 586
- State average 501
- National average 287
- 15 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 256
- State average 246
- National average 162
- 372 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 251
- State average 415
- National average 257
- 19 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 94
- National average 93
- 112 patients
- Period from 01/01/2024
Head CT results 100
- State average 69
- National average 69
- 29 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 96
- State average 93
- National average 78
- 1,725 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 98
- State average 97.57 (computed here)
- National average 93.49 (computed here)
- 533 patients
- Period from 01/01/2024
Left before being seen 3
- State average 3
- National average 2
- 44,458 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 14
- State average 15
- National average 15
- 990 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 64
- State average 78
- National average 73
- 47 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 92
- State average 86
- National average 87
- 24 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 80
- State average 82
- National average 81
- 127 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 83
- State average 91
- National average 93
- 78 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 97
- State average 93.79 (computed here)
- National average 82.23 (computed here)
- 1,919 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 9

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected19.5
- State average 20.45 (computed here)
- National average 21.3
- No different than the national rate
- 220 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 18.1
- State average 5.39 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 350 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -16.5
- State average 10.45 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 388 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.5
- State average 16.9 (computed here)
- National average 17.3
- No different than the national rate
- 216 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.4
- State average 5.41 (computed here)
- National average 5.4
- No different than the national rate
- 66 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.6
- State average 11.22 (computed here)
- National average 10.7
- No different than the national rate
- 66 patients
- Period from 01/01/2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.3
- State average 19.49 (computed here)
- National average 20
- No different than the national rate
- 114 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.1
- State average 12.94 (computed here)
- National average 13
- No different than the national rate
- 321 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 327 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (5)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1
Rate of readmission for CABG — 5

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.