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Acute Care Hospitals · Voluntary non-profit - Church

Bon Secours St Francis Medical Center

3 / 5

At a glance

Bon Secours St Francis Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.

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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.354Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2543Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.212Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.386Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2146Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.161Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit1.195Worse than national
SSI - Colon Surgery: Upper Confidence Limit4.886Worse than national
SSI - Colon Surgery: Number of Procedures131Worse than national
SSI - Colon Surgery: Predicted Cases3.109Worse than national
SSI - Colon Surgery: Observed Cases8Worse than national
SSI - Colon Surgery2.573Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures50Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.432Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.127Same as national
MRSA Bacteremia: Upper Confidence Limit2.503Same as national
MRSA Bacteremia: Patient Days61082Same as national
MRSA Bacteremia: Predicted Cases2.640Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.758Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.094Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.425Better than national
Clostridium Difficile (C.Diff): Patient Days52539Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.592Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.215Better 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 patients4.3Same as national77
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1743
Death rate for heart attack patients13.4Same as national140
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.2Same as national140
Death rate for heart failure patients12.7Same as national397
Death rate for pneumonia patients17.7Same as national365
Death rate for stroke patients12.3Same as national173
Pressure ulcer rate0.18Same as national4369
Death rate among surgical inpatients with serious treatable complications152.35Same as national52
Iatrogenic pneumothorax rate0.16Same as national6248
In-hospital fall-associated fracture rate0.22Same as national6152
Postoperative hemorrhage or hematoma rate2.62Same as national1147
Postoperative acute kidney injury requiring dialysis rate1.96Same as national368
Postoperative respiratory failure rate8.81Same as national372
Perioperative pulmonary embolism or deep vein thrombosis rate3.92Same as national1197
Postoperative sepsis rate7.28Same as national348
Postoperative wound dehiscence rate1.90Same as national314
Abdominopelvic accidental puncture or laceration rate1.08Same as national931
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients22.2Not available137
Hospital return days for heart failure patients-18.2Not available458
Hospital return days for pneumonia patients-2.5Not available378
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national2709
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.2Same as national3051
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national610
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national137
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national156
Heart failure (HF) 30-Day Readmission Rate18.8Same as national458
Rate of readmission after hip/knee replacement6.2Same as national82
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national378

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 rating3665
Doctor communication - star rating3665
Communication about medicines - star rating2665
Discharge information - star rating2665
Cleanliness - star rating2665
Quietness - star rating3665
Overall hospital rating - star rating3665
Recommend hospital - star rating4665
Summary star rating3665

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 volumevery high
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 vaccination781755
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 better134407
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 better132392
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 seen184463
Head CT results8222
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10082
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing113470
Appropriate care for severe sepsis and septic shock81126
Septic Shock 3-Hour Bundle8841
Septic Shock 6-Hour Bundle9225
Severe Sepsis 3-Hour Bundle88126
Severe Sepsis 6-Hour Bundle9973
Discharged on Antithrombotic Therapy99226
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298177
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis941306

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 Bon Secours St Francis Medical Center rated?
Bon Secours St Francis Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Bon Secours St Francis Medical Center have emergency services?
Yes. Bon Secours St Francis Medical Center operates a 24/7 emergency department.
Where is Bon Secours St Francis Medical Center located?
Bon Secours St Francis Medical Center is located at 13710 St Francis Boulevard, Midlothian, VA 23114.
What type of hospital is Bon Secours St Francis Medical Center?
Bon Secours St Francis Medical Center 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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