HospitalSafetyGrade.org assigns letter grades to acute care hospitals based on how well they protect patients from injuries, infections and harm.
The Leapfrog Group, a nonprofit organization formed by a group of large employers that offer health benefits, publishes the website. A panel of named experts develops the website’s scoring methodology. Reports are based mainly on information that the Centers for Medicare and Medicaid Services collect and report to the public. At a different website, LeapfrogGroup.org, the group publishes ratings based on surveys that hospitals submit voluntarily.
Tips for use:
– Using the search box on the home page find a hospital and its overall grade (the search box has a drop down menu of options to search by). In Fall 2024, the distribution of grades was A: 32%; B: 24%; C: 36%; D: 7%; F: <1%. In Spring 2025, the distribution of grades was A: 32%; B: 24%; C: 35%; D: 7%; F: <1%.
– Grades are not available for military, Veterans Administration, children’s, specialty hospitals, or critical access (small rural) hospitals.
– A hospital may have a high overall grade but perform poorly on certain measures. For performance details, on the page for a hospital click View the Full Score to see whether the hospital scores below average, average or above average on specific measures (Infections; Problems with Surgery; Safety Problems; Practices to Prevent Errors; and Doctors, Nurses & Hospital Staff). Click Detailed table view for more precise performance statistics.
– The Association of Health Care Journalists (AHCJ) notes that the fees hospitals pay rating organizations to use rankings and awards for marketing may affect the way the organizations design their programs.
Reviewed October 2025