JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Essentia Health St Mary's Medical Center

4 / 5

At a glance

Essentia Health St Mary's Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.063Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.678Better than national
Central Line Associated Bloodstream Infection: Number of Device Days13555Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.038Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.249Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.329Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.489Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10173Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.300Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.753Same as national
SSI - Colon Surgery: Lower Confidence Limit0.436Same as national
SSI - Colon Surgery: Upper Confidence Limit1.970Same as national
SSI - Colon Surgery: Number of Procedures269Same as national
SSI - Colon Surgery: Predicted Cases7.027Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery0.996Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.943Same as national
SSI - Abdominal Hysterectomy: Number of Procedures120Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.018Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.058Same as national
MRSA Bacteremia: Upper Confidence Limit1.134Same as national
MRSA Bacteremia: Patient Days108840Same as national
MRSA Bacteremia: Predicted Cases5.826Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.343Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.089Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.295Better than national
Clostridium Difficile (C.Diff): Patient Days101812Better than national
Clostridium Difficile (C.Diff): Predicted Cases64.826Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.170Better 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 national1208
Death rate for heart attack patients11.2Same as national193
Death rate for CABG surgery patients2.2Same as national82
Death rate for COPD patients8.7Same as national57
Death rate for heart failure patients9.6Same as national315
Death rate for pneumonia patients14.1Same as national79
Death rate for stroke patients12.8Same as national313
Pressure ulcer rate0.69Same as national4802
Death rate among surgical inpatients with serious treatable complications178.07Same as national126
Iatrogenic pneumothorax rate0.19Same as national5708
In-hospital fall-associated fracture rate0.40Same as national5766
Postoperative hemorrhage or hematoma rate2.29Same as national1840
Postoperative acute kidney injury requiring dialysis rate1.46Same as national725
Postoperative respiratory failure rate4.39Same as national722
Perioperative pulmonary embolism or deep vein thrombosis rate2.74Same as national1972
Postoperative sepsis rate6.04Same as national706
Postoperative wound dehiscence rate1.51Same as national389
Abdominopelvic accidental puncture or laceration rate1.37Same as national1277
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients3.6Not available222
Hospital return days for heart failure patients0.9Not available372
Hospital return days for pneumonia patients17.5Not available79
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national825
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 surgery1.1Same as national268
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national222
Rate of readmission for CABG11.3Same as national79
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17Same as national67
Heart failure (HF) 30-Day Readmission Rate19.6Same as national372
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national79

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 rating4635
Doctor communication - star rating3635
Communication about medicines - star rating3635
Discharge information - star rating3635
Cleanliness - star rating1635
Quietness - star rating4635
Overall hospital rating - star rating4635
Recommend hospital - star rating4635
Summary star rating3635

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination604280
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 better210381
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 better196316
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better57345
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better46235
Left before being seen341279
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94107
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing144381
Appropriate care for severe sepsis and septic shock66195
Septic Shock 3-Hour Bundle7555
Septic Shock 6-Hour Bundle9226
Severe Sepsis 3-Hour Bundle80195
Severe Sepsis 6-Hour Bundle8575
Discharged on Antithrombotic Therapy99481
Anticoagulation Therapy for Atrial Fibrillation/Flutter85134
Antithrombotic Therapy by End of Hospital Day 295417
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 Essentia Health St Mary's Medical Center rated?
Essentia Health St Mary's Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Essentia Health St Mary's Medical Center have emergency services?
Yes. Essentia Health St Mary's Medical Center operates a 24/7 emergency department.
Where is Essentia Health St Mary's Medical Center located?
Essentia Health St Mary's Medical Center is located at 402 East Second Street, Duluth, MN 55805.
What type of hospital is Essentia Health St Mary's Medical Center?
Essentia Health St Mary's Medical Center 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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