JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Bon Secours-St Francis Xavier Hospital

3 / 5

At a glance

Bon Secours-St Francis Xavier Hospital 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 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.069Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2076Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.448Same 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 Limit0.756Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.736Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2336Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.682Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.378Same as national
SSI - Colon Surgery: Lower Confidence Limit0.111Same as national
SSI - Colon Surgery: Upper Confidence Limit2.188Same as national
SSI - Colon Surgery: Number of Procedures111Same as national
SSI - Colon Surgery: Predicted Cases3.020Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.662Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.034Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.308Same as national
SSI - Abdominal Hysterectomy: Number of Procedures160Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.491Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.671Same as national
MRSA Bacteremia: Lower Confidence Limit0.031Same as national
MRSA Bacteremia: Upper Confidence Limit3.088Same as national
MRSA Bacteremia: Patient Days48147Same as national
MRSA Bacteremia: Predicted Cases1.597Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.626Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.043Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.458Better than national
Clostridium Difficile (C.Diff): Patient Days41202Better than national
Clostridium Difficile (C.Diff): Predicted Cases17.835Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.168Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Same as national1049
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.3Same as national85
Death rate for heart failure patients14.4Same as national257
Death rate for pneumonia patients16Same as national267
Death rate for stroke patients11.6Same as national173
Pressure ulcer rate0.25Same as national3163
Death rate among surgical inpatients with serious treatable complications157.75Same as national28
Iatrogenic pneumothorax rate0.18Same as national4223
In-hospital fall-associated fracture rate0.23Same as national4213
Postoperative hemorrhage or hematoma rate2.59Same as national1042
Postoperative acute kidney injury requiring dialysis rate1.60Same as national417
Postoperative respiratory failure rate7.88Same as national424
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national1086
Postoperative sepsis rate4.37Same as national424
Postoperative wound dehiscence rate1.97Same as national404
Abdominopelvic accidental puncture or laceration rate0.87Same as national1073
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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 patientsNot available
Hospital return days for heart failure patients21.5Not available257
Hospital return days for pneumonia patients9Not available283
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Same as national1649
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national390
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national939
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national939
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national490
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national93
Heart failure (HF) 30-Day Readmission Rate19.8Same as national257
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national283

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 rating41487
Doctor communication - star rating41487
Communication about medicines - star rating31487
Discharge information - star rating41487
Cleanliness - star rating31487
Quietness - star rating31487
Overall hospital rating - star rating41487
Recommend hospital - star rating51487
Summary star rating41487

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 volumehigh
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 vaccination871753
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 better153441
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 better144411
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27712
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better34618
Left before being seen247573
Head CT results5317
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98116
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132872
Appropriate care for severe sepsis and septic shock7689
Septic Shock 3-Hour Bundle8323
Septic Shock 6-Hour Bundle10014
Severe Sepsis 3-Hour Bundle8389
Severe Sepsis 6-Hour Bundle9758
Discharged on Antithrombotic Therapy100149
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis933784
Intensive Care Unit Venous Thromboembolism Prophylaxis100667

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 Xavier Hospital rated?
Bon Secours-St Francis Xavier Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Bon Secours-St Francis Xavier Hospital have emergency services?
Yes. Bon Secours-St Francis Xavier Hospital operates a 24/7 emergency department.
Where is Bon Secours-St Francis Xavier Hospital located?
Bon Secours-St Francis Xavier Hospital is located at 2095 Henry Tecklenburg Drive, Charleston, SC 29414.
What type of hospital is Bon Secours-St Francis Xavier Hospital?
Bon Secours-St Francis Xavier Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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