JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Chi Saint Joseph Flaget Memorial Hospital

3 / 5

At a glance

Chi Saint Joseph Flaget Memorial Hospital carries a 3-star CMS overall rating — in line with the national norm.

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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days336Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.220Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days384Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.206Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)—Not available
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures17Not available
SSI - Colon Surgery: Predicted Cases0.431Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.008Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days6806Not available
MRSA Bacteremia: Predicted Cases0.195Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit—Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.957Same as national
Clostridium Difficile (C.Diff): Patient Days6392Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.531Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same as 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national249
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients10Same as national95
Death rate for pneumonia patients17.7Same as national102
Death rate for stroke patients—Not available—
Pressure ulcer rate0.48Same as national701
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national897
In-hospital fall-associated fracture rate0.26Same as national873
Postoperative hemorrhage or hematoma rate2.32Same as national64
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.37Same as national72
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate—Not available—
Abdominopelvic accidental puncture or laceration rate1.04Same as national120
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 patients—Not available—
Hospital return days for heart failure patients24.2Not available107
Hospital return days for pneumonia patients-9.8Not available96
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national360
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national549
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national55
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national55
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national113
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate20.1Same as national107
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national96

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 rating4261
Doctor communication - star rating4261
Communication about medicines - star rating3261
Discharge information - star rating3261
Cleanliness - star rating2261
Quietness - star rating3261
Overall hospital rating - star rating4261
Recommend hospital - star rating3261
Summary star rating3261

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 Hypoglycemia2467
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination66654
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 better156407
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 better144366
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41413
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33832
Left before being seen019018
Head CT results5413
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8482
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing12656
Appropriate care for severe sepsis and septic shock7393
Septic Shock 3-Hour Bundle5917
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle8793
Severe Sepsis 6-Hour Bundle9449
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 Prophylaxis85279

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 Saint Joseph Flaget Memorial Hospital rated?
Chi Saint Joseph Flaget Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Chi Saint Joseph Flaget Memorial Hospital have emergency services?
Yes. Chi Saint Joseph Flaget Memorial Hospital operates a 24/7 emergency department.
Where is Chi Saint Joseph Flaget Memorial Hospital located?
Chi Saint Joseph Flaget Memorial Hospital is located at 4305 New Shepherdsville Road, Bardstown, KY 40004.
What type of hospital is Chi Saint Joseph Flaget Memorial Hospital?
Chi Saint Joseph Flaget Memorial 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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