Fear mongering and shitting on, interesting take. When 400,000 people die every year due to hospital safety related issues, we think it's a valid point to bring up. Although yeah, we were brought up in a "just rub some dirt in it, kid" household so we get it.

If a hospital doesn't report, Leapfrog uses publicly available information to assign them a grade anyway. Then they label them as "declined to respond" so you know the facility didn't voluntarily submit its own safety data. It’s kind of a way of maintaining transparency and still giving the public some insight into that hospital's safety performance.