★★☆☆☆2 out of 5 StarsWhy 2 stars?Grady Memorial Hospital (Acute Care)'s 2-star rating reflects below-average performance on Patient Experience and Timely Care.
CMS Overall Hospital Quality Star Rating · Grady Memorial Hospital (Acute Care)
How was Grady Memorial Hospital (Acute Care)'s 2-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Grady Memorial Hospital (Acute Care). CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed Grady Memorial Hospital (Acute Care)'s rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
6 of 7
0 better6 same0 worse
Safety of Care
22%
18 of 19
2 better14 same2 worse
Readmissions
22%
4 of 6
0 better3 same1 worse
Timely & Effective Care
12%
16 of 22
2 better9 same5 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Grady Memorial Hospital
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 3.70 95% interval: 3.00 – 4.40 Sample size: 921Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for COPD patientsNo Different Than the National RateHospital score: 7.40 95% interval: 4.70 – 11.20 Sample size: 31Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 11.00 95% interval: 8.10 – 14.60 Sample size: 30Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 11.40 95% interval: 8.20 – 15.50 Sample size: 170Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 14.90 95% interval: 11.20 – 19.40 Sample size: 106Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 13.50 95% interval: 11.60 – 15.60 Sample size: 361Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKDeath rate for CABG surgery patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABG
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Grady Memorial Hospital
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.32 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Better than the National BenchmarkHospital score: 0.29 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.15 95% interval: 0.14 – 2.16 Sample size: 670Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Central Line Associated Bloodstream Infection (ICU + select Wards)No Different than National BenchmarkHospital score: 1.32 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.37 95% interval: 0.17 – 0.58 Sample size: 5,874Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06In-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.25 95% interval: 0.06 – 0.45 Sample size: 5,441Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 1.79 95% interval: 0.27 – 3.30 Sample size: 1,062Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 5.03 95% interval: 2.96 – 7.10 Sample size: 949Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.61 95% interval: 0.00 – 3.31 Sample size: 133Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 15.37 95% interval: 6.68 – 24.06 Sample size: 159Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 4.47 95% interval: 0.46 – 8.48 Sample size: 135Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.71 95% interval: 0.17 – 1.25 Sample size: 5,344Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 1.23 95% interval: 0.89 – 1.57 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 0.53 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 165.15 95% interval: 122.51 – 207.79 Sample size: 121Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.61 95% interval: 0.15 – 3.08 Sample size: 114Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14MRSA BacteremiaWorse than the National BenchmarkHospital score: 1.52 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRSSI - Abdominal HysterectomyWorse than the National BenchmarkHospital score: 4.32 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRRate of complications for hip/knee replacement patientsNumber of Cases Too SmallHospital score: — Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEE
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Grady Memorial Hospital
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Grady's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses73%
Communication with Doctors77%
Hospital Cleanliness65%
Hospital Quietness50%
Staff ResponsivenessN/A
Discharge Information80%
Overall Hospital Rating (9 or 10)67%
Would Recommend Hospital68%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Below National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Grady Memorial Hospital
WorseUS AvgBetter
Underlying measures:Safe Use of Opioids - Concurrent PrescribingBetter than ~75% of hospitalsHospital score: 9.00 % National median: 15.00 % (lower is better)
Sample size: 10,082Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSVenous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 97.00 % National median: 90.00 % (higher is better)
Sample size: 16,593Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Discharged on Antithrombotic TherapyNear the national medianHospital score: 98.00 % National median: 98.00 % (higher is better)
Sample size: 882Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsNear the national medianHospital score: 95.00 % National median: 97.00 % (higher is better)
Sample size: 439Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 249.00 min National median: 248.00 min (lower is better)
Sample size: 33Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cHead CT resultsNear the national medianHospital score: 67.00 % National median: 74.00 % (higher is better)
Sample size: 15Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Appropriate care for severe sepsis and septic shockNear the national medianHospital score: 56.00 % National median: 64.00 % (higher is better)
Sample size: 180Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleNear the national medianHospital score: 72.00 % National median: 72.00 % (higher is better)
Sample size: 57Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSeptic Shock 6-Hour BundleNear the national medianHospital score: 93.00 % National median: 89.00 % (higher is better)
Sample size: 27Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRSevere Sepsis 3-Hour BundleNear the national medianHospital score: 79.00 % National median: 81.00 % (higher is better)
Sample size: 180Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRHealthcare workers given influenza vaccinationNear the national medianHospital score: 76.00 % National median: 79.00 % (higher is better)
Sample size: 13,480Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Average (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 betterWorse than ~75% of hospitalsHospital score: 324.00 min National median: 148.00 min (lower is better)
Sample size: 332Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterWorse than ~75% of hospitalsHospital score: 317.00 min National median: 154.00 min (lower is better)
Sample size: 365Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aLeft before being seenWorse than ~75% of hospitalsHospital score: 2.00 % National median: 1.00 % (lower is better)
Sample size: 154,827Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Hospital Harm - Severe HypoglycemiaWorse than ~75% of hospitalsHospital score: 4.00 % National median: 1.00 % (lower is better)
Sample size: 8,794Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPOSevere Sepsis 6-Hour BundleWorse than ~75% of hospitalsHospital score: 82.00 % National median: 94.00 % (higher is better)
Sample size: 125Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HR
Psychiatric Unit Quality (IPFQR)
Grady Memorial Hospital (Acute Care) operates a Medicare-certified inpatient psychiatric unit that reports under the federal IPFQR program. The measures below are specific to that unit — not the hospital as a whole. They cover restraint and seclusion use, screening for medication side effects, substance-use and tobacco treatment, transitions of care, follow-up after discharge, and readmissions.
Physical Restraint Use 0.1 hours per 1,000 patient-hours
National median: 0.1 hours Worse than national median
HBIPS-2 — hours of physical restraint use per 1,000 patient-hours. Lower is better; restraints carry physical and psychological risks.
Seclusion Use 0.2 hours per 1,000 patient-hours
National median: 0.0 hours Worse than national median
HBIPS-3 — hours of seclusion per 1,000 patient-hours. Lower is better; seclusion is used only when no other intervention works.
Metabolic Screening (SMD) 92.0 %
National median: 92.0 % Near national median
SMD — % of patients on antipsychotics screened for metabolic side effects (BMI, blood glucose, cholesterol). Antipsychotics raise metabolic-syndrome risk; screening catches it early.
Substance-Use Treatment Provided 31.0 %
National median: 74.0 % Worse than national median
SUB-2 — % of patients with alcohol/drug use referred for treatment during admission.
Substance-Use Treatment at Discharge 10.0 %
National median: 77.0 % Worse than national median
SUB-3 — % of patients with substance-use disorder offered or referred to treatment at discharge.
Tobacco-Use Treatment at Discharge 4.0 %
National median: 64.0 % Worse than national median
TOB-3 — % of patients using tobacco who received counseling and/or medication at discharge.
Transition Record Completed 80.0 %
National median: 77.0 % Near national median
TR-1 — % of discharges with a completed transition record including medications, follow-up plan, and crisis instructions.
30-Day Readmission Rate 17.5 %
National median: 19.1 % Near national median
READM-30-IPF — risk-standardized 30-day readmission rate. No Different Than the National Rate
Influenza Immunization 65.0 %
National median: 87.0 % Worse than national median
IMM-2 — % of patients given a flu vaccine during the inpatient stay.
Grady Memorial Hospital (Acute Care) has 1,092 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Nurse Practitioner155
Internal Medicine145
Diagnostic Radiology86
Physician Assistant74
Emergency Medicine71
General Surgery42
Family Practice40
Certified Registered Nurse Anesthetist (Crna)36
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
1,090(100%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
146(13%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
696 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 661
(95%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 1,092 clinicians affiliated with Grady Memorial Hospital (Acute Care).
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.