It was an okay episode, but I'm not sure it was worthy of the slow build up.
I never got a good grasp on the hospital, what their plans were, how many people lived there, the true nature of the social structure, how they survived, etc. And Dawn was a bit all over the place as well. At one point, I thought she might have had a crush on Beth, but I think I was just misreading her desire to have loyal "wards".
And, in a way, it seems that Dawn was proven right. No-one except Noah left with Rick's group. And more than likely, one of the truly lecherous cops will now take Dawn's place as leader and will probably instigate an even worse regime over the wards. And it's questionable whether Noah would have ever left were it not for the beating he suffered covering for Beth and due to his desire to help Beth escape. Sure, their circumstances are crappy, especially the wards who were violated and beaten, but I don't think they effectively communicated any real sense of injustice amongst the wards.
And once again, Rick's methods were proven right. I don't quite understand what they're trying to say by having everyone question Rick's more severe methods, but then showing that things go wrong even when Rick's group "plays nice". I don't see any reason to agree with Tyreese, Sasha, Gabriel, etc. They just come across foolishly naive given everything that they have experienced. They're setting up everyone, even Daryl, in opposition to Rick's plans, yet they're still suffering losses.
Beth's death seemed poorly handled. I know she's just a teenager in the middle of a zombie apocalypse, but stabbing Dawn could have started a firefight between the two groups which would have killed most of them. Sure, Dawn's methods were questionable, but I didn't understand why Beth felt the need to hurt her (or even attempt to kill her, although I'm not sure why Beth thought that Dawn would die from a single stab wound to the shoulder - unless she was aiming for Dawn's neck).
Father Gabriel's little adventure also seemed odd to me. He escaped and then led a large pack of zombies right back to where Michonne, Carl and Judith were hiding in relative safety. He then deliberately dismantled their protective spikes (so that he could get to the door and have a weapon). I was hoping that Michonne would leave him outside.
And I'm not sure what purporse giving Morgan the map to Washington will serve, especially since Rick is no longer headed that way (or at least, he now has no obvious reason to go there). I also wasn't sure how far behind Morgan is now meant to be. In the premier, I thought he was weeks or months behind Rick's group. But, it seemed he came across the church not long after Abraham and company left (although it was hard to tell).
Anyway, I'm really just glad that Carol survived. Maybe she'll remember to look both ways when crossing the street now. I still don't understand how an accomplished survivor like Carol, who would have been looking in all directions for walkers, could fail to see or hear a speeding car headed in her direction.