Maryland hospitals recently got their report cards, and some didn't make the mark.
Hospital safety grades are released twice a year from the Leapfrog Group, and this is the first time Maryland has been on the list.
Previously, Maryland was the only state that was unable to be graded because of an exemption from reporting key safety metrics at the national level.
Now that the state made the list, they were ranked fourth from the bottom.
Of the 44 hospitals that were graded, only one hospital received an 'A', Howard County General Hospital.
Five received a 'B', including Johns Hopkins, 17 with a grade of a 'C', five with a 'D', and one 'F', which was Bon Secours in West Baltimore.
The grades are based on several factors including problems during surgery.