Acute Care Hospitals · Voluntary non-profit - Private
Centura Health-Penrose St Francis Health Services
- 2222 N Nevada Ave, Colorado Springs, CO 80907
- (719) 776-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Centura Health-Penrose St Francis Health Services 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 24 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.061 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.647 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 12009 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 12.613 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 3 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.238 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.071 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.539 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 14137 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 17.911 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 4 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.223 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.005 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.512 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 354 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 9.636 | Better than national |
| SSI - Colon Surgery: Observed Cases | 1 | Better than national |
| SSI - Colon Surgery | 0.104 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.021 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.035 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 285 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.424 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Same as national |
| SSI - Abdominal Hysterectomy | 0.413 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.100 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.071 | Same as national |
| MRSA Bacteremia: Patient Days | 119380 | Same as national |
| MRSA Bacteremia: Predicted Cases | 7.620 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 0.394 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.039 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.239 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 107844 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 46.458 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 5 | Better than national |
| Clostridium Difficile (C.Diff) | 0.108 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 5.2 | Same as national | 275 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.9 | Same as national | 2618 |
| Death rate for heart attack patients | 10.5 | Same as national | 258 |
| Death rate for CABG surgery patients | 2.3 | Same as national | 93 |
| Death rate for COPD patients | 8.6 | Same as national | 126 |
| Death rate for heart failure patients | 10.5 | Same as national | 571 |
| Death rate for pneumonia patients | 14.8 | Same as national | 532 |
| Death rate for stroke patients | 16.7 | Worse than national | 361 |
| Pressure ulcer rate | 1.41 | Worse than national | 7497 |
| Death rate among surgical inpatients with serious treatable complications | 153.14 | Same as national | 128 |
| Iatrogenic pneumothorax rate | 0.21 | Same as national | 9843 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 9855 |
| Postoperative hemorrhage or hematoma rate | 1.74 | Same as national | 2877 |
| Postoperative acute kidney injury requiring dialysis rate | 1.96 | Same as national | 1632 |
| Postoperative respiratory failure rate | 12.11 | Same as national | 1539 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.01 | Same as national | 3130 |
| Postoperative sepsis rate | 5.50 | Same as national | 1589 |
| Postoperative wound dehiscence rate | 1.74 | Same as national | 797 |
| Abdominopelvic accidental puncture or laceration rate | 0.64 | Same as national | 2119 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.27 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -11 | Not available | 282 |
| Hospital return days for heart failure patients | -33.6 | Not available | 620 |
| Hospital return days for pneumonia patients | -34.9 | Not available | 548 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.8 | Better than national | 4016 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.2 | Same as national | 812 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.6 | Same as national | 36 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.6 | Same as national | 36 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as national | 1372 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.1 | Same as national | 282 |
| Rate of readmission for CABG | 11.2 | Same as national | 91 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.5 | Same as national | 133 |
| Heart failure (HF) 30-Day Readmission Rate | 16.6 | Better than national | 620 |
| Rate of readmission after hip/knee replacement | 6.4 | Same as national | 250 |
| Pneumonia (PN) 30-Day Readmission Rate | 13.7 | Same as national | 548 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 2 | 1694 |
| Doctor communication - star rating | 3 | 1694 |
| Communication about medicines - star rating | 2 | 1694 |
| Discharge information - star rating | 3 | 1694 |
| Cleanliness - star rating | 3 | 1694 |
| Quietness - star rating | 3 | 1694 |
| Overall hospital rating - star rating | 3 | 1694 |
| Recommend hospital - star rating | 3 | 1694 |
| Summary star rating | 3 | 1694 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 | 0 | 14298 |
| Healthcare workers given influenza vaccination | 90 | 5312 |
| 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 better | 218 | 401 |
| 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 better | 216 | 372 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 305 | 28 |
| 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 | 2 | 80361 |
| Head CT results | 68 | 19 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 95 | 66 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 17 | 7542 |
| Appropriate care for severe sepsis and septic shock | 79 | 130 |
| Septic Shock 3-Hour Bundle | 90 | 29 |
| Septic Shock 6-Hour Bundle | 95 | 22 |
| Severe Sepsis 3-Hour Bundle | 88 | 130 |
| Severe Sepsis 6-Hour Bundle | 91 | 78 |
| Discharged on Antithrombotic Therapy | 98 | 427 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 2810 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Centura Health-Penrose St Francis Health Services rated?
- Centura Health-Penrose St Francis Health Services has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Centura Health-Penrose St Francis Health Services have emergency services?
- Yes. Centura Health-Penrose St Francis Health Services operates a 24/7 emergency department.
- Where is Centura Health-Penrose St Francis Health Services located?
- Centura Health-Penrose St Francis Health Services is located at 2222 N Nevada Ave, Colorado Springs, CO 80907.
- What type of hospital is Centura Health-Penrose St Francis Health Services?
- Centura Health-Penrose St Francis Health Services is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
- Compare side-by-side →Not rated overall
Children's Hospital Colorado - Colorado Springs
Colorado Springs, CO
- Compare side-by-side →Not rated overall
St Francis Hospital - Interquest
Colorado Springs, CO
- Compare side-by-side →
Colorado Springs, CO
- Compare side-by-side →Not rated overall
Colorado Springs, CO
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.