JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Chsli St Joseph Hospital

3 / 5

At a glance

Chsli St Joseph 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 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 Limit0.036Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.561Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1463Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.385Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.722Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.013Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.283Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3830Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.843Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.260Same as national
SSI - Colon Surgery: Lower Confidence Limit0.043Same as national
SSI - Colon Surgery: Upper Confidence Limit4.212Same as national
SSI - Colon Surgery: Number of Procedures55Same as national
SSI - Colon Surgery: Predicted Cases1.171Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.854Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.033Same as national
MRSA Bacteremia: Upper Confidence Limit3.226Same as national
MRSA Bacteremia: Patient Days34004Same as national
MRSA Bacteremia: Predicted Cases1.529Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.654Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.004Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.353Better than national
Clostridium Difficile (C.Diff): Patient Days34004Better than national
Clostridium Difficile (C.Diff): Predicted Cases13.957Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.072Better 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 patients3.6Same as national25
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.1Worse than national1394
Death rate for heart attack patients13.1Same as national138
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.2Same as national204
Death rate for heart failure patients8.4Better than national392
Death rate for pneumonia patients18.3Same as national466
Death rate for stroke patients12.2Same as national180
Pressure ulcer rate1.04Same as national4831
Death rate among surgical inpatients with serious treatable complications181.17Same as national29
Iatrogenic pneumothorax rate0.23Same as national5558
In-hospital fall-associated fracture rate0.34Same as national5411
Postoperative hemorrhage or hematoma rate3.21Same as national638
Postoperative acute kidney injury requiring dialysis rate1.66Same as national39
Postoperative respiratory failure rate8.87Same as national39
Perioperative pulmonary embolism or deep vein thrombosis rate3.48Same as national670
Postoperative sepsis rate5.16Same as national35
Postoperative wound dehiscence rate1.71Same as national135
Abdominopelvic accidental puncture or laceration rate0.91Same as national774
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same 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 patients3.3Not available73
Hospital return days for heart failure patients16.1Not available419
Hospital return days for pneumonia patients33.6Not available444
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national2126
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national260
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 surgery0.9Same as national287
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.5Same as national73
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national226
Heart failure (HF) 30-Day Readmission Rate19Same as national419
Rate of readmission after hip/knee replacement5.1Same as national27
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national444

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 rating4836
Doctor communication - star rating4836
Communication about medicines - star rating3836
Discharge information - star rating4836
Cleanliness - star rating3836
Quietness - star rating2836
Overall hospital rating - star rating3836
Recommend hospital - star rating3836
Summary star rating3836

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 volumemedium
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 vaccination691785
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 better212413
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 better209384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33716
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better27613
Left before being seen135814
Head CT results10021
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10086
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161355
Appropriate care for severe sepsis and septic shock83216
Septic Shock 3-Hour Bundle8964
Septic Shock 6-Hour Bundle10055
Severe Sepsis 3-Hour Bundle91217
Severe Sepsis 6-Hour Bundle93120
Discharged on Antithrombotic Therapy97105
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296105
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis100807

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Chsli St Joseph Hospital rated?
Chsli St Joseph Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Chsli St Joseph Hospital have emergency services?
Yes. Chsli St Joseph Hospital operates a 24/7 emergency department.
Where is Chsli St Joseph Hospital located?
Chsli St Joseph Hospital is located at 4295 Hempstead Turnpike, Bethpage, NY 11714.
What type of hospital is Chsli St Joseph Hospital?
Chsli St Joseph 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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