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Acute Care Hospitals · Voluntary non-profit - Church

Ascension St Vincent Hospital

2 / 5

At a glance

Ascension St Vincent Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.309Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.829Better than national
Central Line Associated Bloodstream Infection: Number of Device Days26761Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases30.678Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases16Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.522Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.388Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.983Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days17670Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases28.391Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases18Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.634Better than national
SSI - Colon Surgery: Lower Confidence Limit0.369Same as national
SSI - Colon Surgery: Upper Confidence Limit1.893Same as national
SSI - Colon Surgery: Number of Procedures254Same as national
SSI - Colon Surgery: Predicted Cases6.593Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.910Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.344Same as national
SSI - Abdominal Hysterectomy: Number of Procedures276Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.229Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.390Same as national
MRSA Bacteremia: Upper Confidence Limit1.369Same as national
MRSA Bacteremia: Patient Days161466Same as national
MRSA Bacteremia: Predicted Cases13.017Same as national
MRSA Bacteremia: Observed Cases10Same as national
MRSA Bacteremia0.768Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.243Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.534Better than national
Clostridium Difficile (C.Diff): Patient Days143276Better than national
Clostridium Difficile (C.Diff): Predicted Cases68.047Better than national
Clostridium Difficile (C.Diff): Observed Cases25Better than national
Clostridium Difficile (C.Diff)0.367Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.6Same as national83
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1433
Death rate for heart attack patients11.3Same as national114
Death rate for CABG surgery patients2.1Same as national51
Death rate for COPD patients11.5Same as national82
Death rate for heart failure patients12.5Same as national470
Death rate for pneumonia patients17.5Same as national380
Death rate for stroke patients15.8Worse than national468
Pressure ulcer rate0.20Same as national7473
Death rate among surgical inpatients with serious treatable complications185.99Same as national156
Iatrogenic pneumothorax rate0.18Same as national8176
In-hospital fall-associated fracture rate0.22Same as national8271
Postoperative hemorrhage or hematoma rate2.22Same as national2908
Postoperative acute kidney injury requiring dialysis rate1.75Same as national1516
Postoperative respiratory failure rate12.50Same as national1412
Perioperative pulmonary embolism or deep vein thrombosis rate3.85Same as national3040
Postoperative sepsis rate4.02Same as national1490
Postoperative wound dehiscence rate1.46Same as national716
Abdominopelvic accidental puncture or laceration rate1.03Same as national2101
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients29.8Not available116
Hospital return days for heart failure patients15.3Not available562
Hospital return days for pneumonia patients4.8Not available398
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Better than national2360
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.1Same as national755
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.4Same as national37
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national37
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national203
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national116
Rate of readmission for CABG10.7Same as national50
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national86
Heart failure (HF) 30-Day Readmission Rate20.6Same as national562
Rate of readmission after hip/knee replacement5.2Same as national71
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national398

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating1297
Doctor communication - star rating2297
Communication about medicines - star rating1297
Discharge information - star rating2297
Cleanliness - star rating1297
Quietness - star rating2297
Overall hospital rating - star rating2297
Recommend hospital - star rating2297
Summary star rating2297

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volume
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination926671
Average (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 better126303
Average (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 better125294
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock60403
Septic Shock 3-Hour Bundle67107
Septic Shock 6-Hour Bundle8352
Severe Sepsis 3-Hour Bundle78403
Severe Sepsis 6-Hour Bundle91245
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Ascension St Vincent Hospital rated?
Ascension St Vincent Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension St Vincent Hospital have emergency services?
Yes. Ascension St Vincent Hospital operates a 24/7 emergency department.
Where is Ascension St Vincent Hospital located?
Ascension St Vincent Hospital is located at 2001 W 86th St, Indianapolis, IN 46260.
What type of hospital is Ascension St Vincent Hospital?
Ascension St Vincent Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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