JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Bon Secours St Marys Hospital

5 / 5

At a glance

Bon Secours St Marys Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.183Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.388Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6217Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.952Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.575Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.100Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.070Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5758Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.629Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.393Same as national
SSI - Colon Surgery: Lower Confidence Limit0.578Same as national
SSI - Colon Surgery: Upper Confidence Limit2.365Same as national
SSI - Colon Surgery: Number of Procedures257Same as national
SSI - Colon Surgery: Predicted Cases6.423Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery1.246Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.900Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.619Same as national
SSI - Abdominal Hysterectomy: Number of Procedures342Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.702Same as national
SSI - Abdominal Hysterectomy: Observed Cases6Same as national
SSI - Abdominal Hysterectomy2.221Same as national
MRSA Bacteremia: Lower Confidence Limit0.046Better than national
MRSA Bacteremia: Upper Confidence Limit0.898Better than national
MRSA Bacteremia: Patient Days101632Better than national
MRSA Bacteremia: Predicted Cases7.361Better than national
MRSA Bacteremia: Observed Cases2Better than national
MRSA Bacteremia0.272Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.072Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.271Better than national
Clostridium Difficile (C.Diff): Patient Days90655Better than national
Clostridium Difficile (C.Diff): Predicted Cases60.849Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.148Better 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 patients3Same as national254
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national2552
Death rate for heart attack patients11.3Same as national193
Death rate for CABG surgery patients2Same as national141
Death rate for COPD patients9.2Same as national158
Death rate for heart failure patients12.1Same as national640
Death rate for pneumonia patients16.1Same as national524
Death rate for stroke patients10.5Better than national540
Pressure ulcer rate0.25Same as national7627
Death rate among surgical inpatients with serious treatable complications159.68Same as national117
Iatrogenic pneumothorax rate0.21Same as national9978
In-hospital fall-associated fracture rate0.19Same as national10216
Postoperative hemorrhage or hematoma rate2.16Same as national2516
Postoperative acute kidney injury requiring dialysis rate1.69Same as national1298
Postoperative respiratory failure rate13.09Same as national1340
Perioperative pulmonary embolism or deep vein thrombosis rate3.59Same as national2669
Postoperative sepsis rate6.90Same as national1283
Postoperative wound dehiscence rate1.87Same as national631
Abdominopelvic accidental puncture or laceration rate0.70Same as national1753
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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 patients-23.9Not available227
Hospital return days for heart failure patients-4.3Not available750
Hospital return days for pneumonia patients-4.7Not available546
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national4287
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national4884
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 surgery1.1Same as national889
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national227
Rate of readmission for CABG9Same as national136
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national170
Heart failure (HF) 30-Day Readmission Rate19.4Same as national750
Rate of readmission after hip/knee replacement4.7Same as national263
Pneumonia (PN) 30-Day Readmission Rate15Same as national546

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 rating31900
Doctor communication - star rating31900
Communication about medicines - star rating21900
Discharge information - star rating31900
Cleanliness - star rating31900
Quietness - star rating31900
Overall hospital rating - star rating31900
Recommend hospital - star rating41900
Summary star rating31900

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 vaccination842836
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 better158404
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 better154390
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16411
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 seen184481
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10081
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing114536
Appropriate care for severe sepsis and septic shock65198
Septic Shock 3-Hour Bundle7076
Septic Shock 6-Hour Bundle8642
Severe Sepsis 3-Hour Bundle83199
Severe Sepsis 6-Hour Bundle94109
Discharged on Antithrombotic Therapy99535
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 299437
Venous Thromboembolism Prophylaxis898929
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 Bon Secours St Marys Hospital rated?
Bon Secours St Marys Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Bon Secours St Marys Hospital have emergency services?
Yes. Bon Secours St Marys Hospital operates a 24/7 emergency department.
Where is Bon Secours St Marys Hospital located?
Bon Secours St Marys Hospital is located at 5801 Bremo Rd, Richmond, VA 23226.
What type of hospital is Bon Secours St Marys Hospital?
Bon Secours St Marys 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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