JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Christus St Frances Cabrini Hospital

3 / 5

At a glance

Christus St Frances Cabrini Hospital 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 18 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.930Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3822Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.221Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.672Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5156Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.460Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.562Same as national
SSI - Colon Surgery: Number of Procedures70Same as national
SSI - Colon Surgery: Predicted Cases1.918Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.047Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.627Same as national
SSI - Abdominal Hysterectomy: Number of Procedures124Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.066Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.938Same as national
MRSA Bacteremia: Lower Confidence Limit0.359Same as national
MRSA Bacteremia: Upper Confidence Limit2.175Same as national
MRSA Bacteremia: Patient Days71303Same as national
MRSA Bacteremia: Predicted Cases5.096Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.981Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.018Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.194Better than national
Clostridium Difficile (C.Diff): Patient Days66852Better than national
Clostridium Difficile (C.Diff): Predicted Cases42.102Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.071Better 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 Rate4.8Same as national1748
Death rate for heart attack patients13.4Same as national372
Death rate for CABG surgery patients4.6Same as national58
Death rate for COPD patients8.2Same as national119
Death rate for heart failure patients10.7Same as national386
Death rate for pneumonia patients16.4Same as national520
Death rate for stroke patients13.1Same as national244
Pressure ulcer rate0.33Same as national5952
Death rate among surgical inpatients with serious treatable complications182.28Same as national110
Iatrogenic pneumothorax rate0.20Same as national7211
In-hospital fall-associated fracture rate0.25Same as national7493
Postoperative hemorrhage or hematoma rate1.76Same as national1192
Postoperative acute kidney injury requiring dialysis rate2.30Same as national369
Postoperative respiratory failure rate12.28Same as national396
Perioperative pulmonary embolism or deep vein thrombosis rate3.69Same as national1304
Postoperative sepsis rate6.22Same as national364
Postoperative wound dehiscence rate1.96Same as national269
Abdominopelvic accidental puncture or laceration rate1.07Same as national1398
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patients13.5Not available407
Hospital return days for heart failure patients14.2Not available465
Hospital return days for pneumonia patients-5.2Not available566
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.4Worse than national2891
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national225
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national297
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national297
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national266
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national407
Rate of readmission for CABG11.6Same as national54
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national127
Heart failure (HF) 30-Day Readmission Rate20.3Same as national465
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national566

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 rating3493
Doctor communication - star rating3493
Communication about medicines - star rating2493
Discharge information - star rating2493
Cleanliness - star rating3493
Quietness - star rating3493
Overall hospital rating - star rating3493
Recommend hospital - star rating3493
Summary star rating3493

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 volumehigh
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 Hyperglycemia824830
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination822531
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 better218389
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 better211366
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better43617
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 seen153013
Head CT results9123
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8559
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing144289
Appropriate care for severe sepsis and septic shock90115
Septic Shock 3-Hour Bundle9436
Septic Shock 6-Hour Bundle10023
Severe Sepsis 3-Hour Bundle94116
Severe Sepsis 6-Hour Bundle9968
Discharged on Antithrombotic Therapy98148
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293137
Venous Thromboembolism Prophylaxis
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 Christus St Frances Cabrini Hospital rated?
Christus St Frances Cabrini Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Christus St Frances Cabrini Hospital have emergency services?
Yes. Christus St Frances Cabrini Hospital operates a 24/7 emergency department.
Where is Christus St Frances Cabrini Hospital located?
Christus St Frances Cabrini Hospital is located at 3330 Masonic Drive, Alexandria, LA 71301.
What type of hospital is Christus St Frances Cabrini Hospital?
Christus St Frances Cabrini 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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