JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Chi Health St. Francis

4 / 5

At a glance

Chi Health St. Francis carries a 4-star CMS overall rating — above 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 Limit0.039Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.832Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1575Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.287Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.777Same 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 Limit1.532Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1926Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.956Same 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures21Not available
SSI - Colon Surgery: Predicted Cases0.471Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures10Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.100Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.037Same as national
MRSA Bacteremia: Upper Confidence Limit3.659Same as national
MRSA Bacteremia: Patient Days19963Same as national
MRSA Bacteremia: Predicted Cases1.348Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.742Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.084Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.641Better than national
Clostridium Difficile (C.Diff): Patient Days18838Better than national
Clostridium Difficile (C.Diff): Predicted Cases15.045Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.266Better 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 Rate3.8Same as national461
Death rate for heart attack patients11.6Same as national57
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.1Same as national39
Death rate for heart failure patients12.3Same as national145
Death rate for pneumonia patients15.3Same as national140
Death rate for stroke patients12.8Same as national75
Pressure ulcer rate0.29Same as national1719
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2146
In-hospital fall-associated fracture rate0.29Same as national2055
Postoperative hemorrhage or hematoma rate2.46Same as national400
Postoperative acute kidney injury requiring dialysis rate1.66Same as national121
Postoperative respiratory failure rate8.19Same as national123
Perioperative pulmonary embolism or deep vein thrombosis rate2.89Same as national404
Postoperative sepsis rate5.84Same as national111
Postoperative wound dehiscence rate1.73Same as national88
Abdominopelvic accidental puncture or laceration rate1.01Same as national241
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients2.6Not available164
Hospital return days for pneumonia patients-5.9Not available137
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national803
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national42
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 surgery1.2Same as national116
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national49
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national39
Heart failure (HF) 30-Day Readmission Rate19.7Same as national164
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national137

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 rating4412
Doctor communication - star rating3412
Communication about medicines - star rating2412
Discharge information - star rating4412
Cleanliness - star rating3412
Quietness - star rating4412
Overall hospital rating - star rating3412
Recommend hospital - star rating3412
Summary star rating3412

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 volumelow
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 Hypoglycemia01195
Hospital Harm - Opioid Related Adverse Events02340
Healthcare workers given influenza vaccination74848
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 better132391
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 better125359
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27424
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29611
Left before being seen019492
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8738
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing231040
Appropriate care for severe sepsis and septic shock77103
Septic Shock 3-Hour Bundle7124
Septic Shock 6-Hour Bundle9213
Severe Sepsis 3-Hour Bundle87104
Severe Sepsis 6-Hour Bundle9968
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 Prophylaxis99639

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 Chi Health St. Francis rated?
Chi Health St. Francis has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Chi Health St. Francis have emergency services?
Yes. Chi Health St. Francis operates a 24/7 emergency department.
Where is Chi Health St. Francis located?
Chi Health St. Francis is located at 2620 West Faidley Ave, Grand Island, NE 68803.
What type of hospital is Chi Health St. Francis?
Chi Health St. Francis 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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