Acute Care Hospitals · Voluntary non-profit - Private
Chi St Joseph Health Regional Hospital
- 2801 Franciscan Dr, Bryan, TX 77802
- (979) 776-3912
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Chi St Joseph Health Regional Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.
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 | 0.787 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 3.220 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 5080 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 4.718 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 8 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 1.696 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.174 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.324 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 7053 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 7.285 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 4 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.549 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 1.232 | Worse than national |
| SSI - Colon Surgery: Upper Confidence Limit | 5.570 | Worse than national |
| SSI - Colon Surgery: Number of Procedures | 94 | Worse than national |
| SSI - Colon Surgery: Predicted Cases | 2.486 | Worse than national |
| SSI - Colon Surgery: Observed Cases | 7 | Worse than national |
| SSI - Colon Surgery | 2.816 | Worse than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 41 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.323 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.777 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 3.177 | Same as national |
| MRSA Bacteremia: Patient Days | 65980 | Same as national |
| MRSA Bacteremia: Predicted Cases | 4.782 | Same as national |
| MRSA Bacteremia: Observed Cases | 8 | Same as national |
| MRSA Bacteremia | 1.673 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.210 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.660 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 59749 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 30.911 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 12 | Better than national |
| Clostridium Difficile (C.Diff) | 0.388 | 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 | 4.2 | Same as national | 157 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.9 | Same as national | 1767 |
| Death rate for heart attack patients | 14.6 | Same as national | 155 |
| Death rate for CABG surgery patients | 3.8 | Same as national | 111 |
| Death rate for COPD patients | 11.2 | Same as national | 121 |
| Death rate for heart failure patients | 10.8 | Same as national | 531 |
| Death rate for pneumonia patients | 17.7 | Same as national | 501 |
| Death rate for stroke patients | 13.3 | Same as national | 263 |
| Pressure ulcer rate | 0.32 | Same as national | 5179 |
| Death rate among surgical inpatients with serious treatable complications | 181.84 | Same as national | 83 |
| Iatrogenic pneumothorax rate | 0.14 | Same as national | 7455 |
| In-hospital fall-associated fracture rate | 0.28 | Same as national | 7471 |
| Postoperative hemorrhage or hematoma rate | 3.70 | Same as national | 1556 |
| Postoperative acute kidney injury requiring dialysis rate | 1.50 | Same as national | 549 |
| Postoperative respiratory failure rate | 9.66 | Same as national | 558 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.52 | Same as national | 1590 |
| Postoperative sepsis rate | 4.74 | Same as national | 521 |
| Postoperative wound dehiscence rate | 1.60 | Same as national | 330 |
| Abdominopelvic accidental puncture or laceration rate | 1.06 | Same as national | 1150 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.90 | 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 | -13.4 | Not available | 148 |
| Hospital return days for heart failure patients | 0.3 | Not available | 657 |
| Hospital return days for pneumonia patients | -12.2 | Not available | 540 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.9 | Same as national | 2792 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.1 | Same as national | 328 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 552 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.7 | Same as national | 148 |
| Rate of readmission for CABG | 11.1 | Same as national | 107 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.8 | Same as national | 134 |
| Heart failure (HF) 30-Day Readmission Rate | 20.3 | Same as national | 657 |
| Rate of readmission after hip/knee replacement | 4.1 | Same as national | 147 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.1 | Same as national | 540 |
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 | 3 | 1177 |
| Doctor communication - star rating | 3 | 1177 |
| Communication about medicines - star rating | 3 | 1177 |
| Discharge information - star rating | 2 | 1177 |
| Cleanliness - star rating | 2 | 1177 |
| Quietness - star rating | 3 | 1177 |
| Overall hospital rating - star rating | 2 | 1177 |
| Recommend hospital - star rating | 3 | 1177 |
| Summary star rating | 3 | 1177 |
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 | 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 vaccination | 81 | 3400 |
| 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 | 163 | 421 |
| 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 | 158 | 393 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 210 | 11 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 342 | 17 |
| Left before being seen | 2 | 45848 |
| Head CT results | 75 | 16 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 93 | 69 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 12 | 2967 |
| Appropriate care for severe sepsis and septic shock | 73 | 143 |
| Septic Shock 3-Hour Bundle | 68 | 50 |
| Septic Shock 6-Hour Bundle | 90 | 29 |
| Severe Sepsis 3-Hour Bundle | 88 | 143 |
| Severe Sepsis 6-Hour Bundle | 99 | 99 |
| Discharged on Antithrombotic Therapy | 89 | 668 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 83 | 561 |
| Venous Thromboembolism Prophylaxis | 93 | 7181 |
| 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.
| 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 Chi St Joseph Health Regional Hospital rated?
- Chi St Joseph Health Regional Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Chi St Joseph Health Regional Hospital have emergency services?
- Yes. Chi St Joseph Health Regional Hospital operates a 24/7 emergency department.
- Where is Chi St Joseph Health Regional Hospital located?
- Chi St Joseph Health Regional Hospital is located at 2801 Franciscan Dr, Bryan, TX 77802.
- What type of hospital is Chi St Joseph Health Regional Hospital?
- Chi St Joseph Health Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.