★★★☆☆3 out of 5 StarsWhy 3 stars?Carroll Hospital Center's 3-star rating reflects roughly average performance across all CMS quality domains.
CMS Overall Hospital Quality Star Rating · Carroll Hospital Center
How was Carroll Hospital Center's 3-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Carroll Hospital Center. 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 Carroll Hospital Center's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
6 of 7
0 better6 same0 worse
Safety of Care
22%
17 of 19
1 better15 same1 worse
Readmissions
22%
4 of 6
0 better4 same0 worse
Timely & Effective Care
12%
18 of 22
6 better6 same6 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.
Carroll Hospital Center
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 4.20 95% interval: 3.60 – 4.90 Sample size: 2,100Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for COPD patientsNo Different Than the National RateHospital score: 9.10 95% interval: 6.90 – 11.70 Sample size: 389Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 11.40 95% interval: 8.80 – 14.90 Sample size: 177Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 13.10 95% interval: 10.90 – 15.50 Sample size: 621Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 18.00 95% interval: 15.80 – 20.30 Sample size: 872Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 14.60 95% interval: 11.70 – 18.00 Sample size: 318Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKDeath rate for CABG surgery patientsNot AvailableHospital 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.
Carroll Hospital Center
WorseUS AvgBetter
Underlying measures:Central Line Associated Bloodstream Infection (ICU + select Wards)Better than the National BenchmarkHospital score: 0.00 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.04 95% interval: 0.08 – 2.01 Sample size: 1,273Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Clostridium Difficile (C.Diff)No Different than National BenchmarkHospital score: 0.68 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)No Different than National BenchmarkHospital score: 0.35 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.32 95% interval: 0.12 – 0.51 Sample size: 8,439Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08MRSA BacteremiaNo Different than National BenchmarkHospital score: 0.00 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRPostoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.07 95% interval: 0.54 – 3.59 Sample size: 1,095Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 3.57 95% interval: 1.45 – 5.68 Sample size: 1,213Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.44 95% interval: 0.00 – 3.05 Sample size: 327Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 6.64 95% interval: 0.00 – 14.02 Sample size: 308Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.35 95% interval: 1.66 – 9.04 Sample size: 331Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 1.00 95% interval: 0.30 – 1.71 Sample size: 6,659Reporting 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: 1.08 95% interval: 0.75 – 1.42 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 0.00 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: 161.69 95% interval: 111.65 – 211.73 Sample size: 79Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.92 95% interval: 0.46 – 3.38 Sample size: 302Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Iatrogenic pneumothorax rateWorse Than the National RateHospital score: 0.51 95% interval: 0.31 – 0.71 Sample size: 8,235Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNumber of Cases Too SmallHospital score: — Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEESSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIR
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.
Carroll Hospital Center
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
Carroll'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 Nurses75%
Communication with Doctors72%
Hospital Cleanliness67%
Hospital Quietness44%
Staff ResponsivenessN/A
Discharge Information89%
Overall Hospital Rating (9 or 10)63%
Would Recommend Hospital61%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Same as National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Carroll Hospital Center
WorseUS AvgBetter
Underlying measures:Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsBetter than ~75% of hospitalsHospital score: 100.00 % National median: 97.00 % (higher is better)
Sample size: 75Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Head CT resultsBetter than ~75% of hospitalsHospital score: 86.00 % National median: 74.00 % (higher is better)
Sample size: 28Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Intensive Care Unit Venous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 99.00 % National median: 97.00 % (higher is better)
Sample size: 789Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Left before being seenBetter than ~75% of hospitalsHospital score: 0.00 % National median: 1.00 % (lower is better)
Sample size: 47,924Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Healthcare workers given influenza vaccinationBetter than ~75% of hospitalsHospital score: 96.00 % National median: 79.00 % (higher is better)
Sample size: 2,043Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Venous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 98.00 % National median: 90.00 % (higher is better)
Sample size: 4,975Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Antithrombotic Therapy by End of Hospital Day 2Near the national medianHospital score: 95.00 % National median: 94.00 % (higher is better)
Sample size: 160Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_05Average (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: 315.00 min National median: 248.00 min (lower is better)
Sample size: 179Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAppropriate care for severe sepsis and septic shockNear the national medianHospital score: 66.00 % National median: 64.00 % (higher is better)
Sample size: 220Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleNear the national medianHospital score: 74.00 % National median: 72.00 % (higher is better)
Sample size: 78Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSevere Sepsis 3-Hour BundleNear the national medianHospital score: 86.00 % National median: 81.00 % (higher is better)
Sample size: 221Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleNear the national medianHospital score: 95.00 % National median: 94.00 % (higher is better)
Sample size: 132Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRSafe Use of Opioids - Concurrent PrescribingWorse than ~75% of hospitalsHospital score: 19.00 % National median: 15.00 % (lower is better)
Sample size: 1,824Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (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: 215.00 min National median: 148.00 min (lower is better)
Sample size: 2,600Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is betterWorse than ~75% of hospitalsHospital score: 517.00 min National median: 294.00 min (lower is better)
Sample size: 52Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18dAverage (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: 220.00 min National median: 154.00 min (lower is better)
Sample size: 2,817Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aSeptic Shock 6-Hour BundleWorse than ~75% of hospitalsHospital score: 74.00 % National median: 89.00 % (higher is better)
Sample size: 42Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRST-Segment Elevation Myocardial Infarction (STEMI)Worse than ~75% of hospitalsHospital score: 76.00 min National median: 53.00 min (lower is better)
Sample size: 29Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_40
Clinical Staff
Carroll Hospital Center has 247 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
Physician Assistant34
Internal Medicine25
Nurse Practitioner24
Cardiovascular Disease (Cardiology)19
Diagnostic Radiology16
Emergency Medicine14
General Surgery11
Certified Registered Nurse Anesthetist (Crna)9
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
218(88%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
36(15%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
127 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 39
(31%) 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 247 clinicians affiliated with Carroll Hospital Center.
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.