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Acute Care Hospitals · Voluntary non-profit - Church

Henry Ford Health St John Hospital

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At a glance

Henry Ford Health St John Hospital carries a 1-star CMS overall rating — below 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 Limit0.592Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.076Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7573Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.587Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases10Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.165Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.071Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.542Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12127Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases17.789Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.225Better than national
SSI - Colon Surgery: Lower Confidence Limit0.338Same as national
SSI - Colon Surgery: Upper Confidence Limit2.044Same as national
SSI - Colon Surgery: Number of Procedures187Same as national
SSI - Colon Surgery: Predicted Cases5.421Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.922Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.639Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.849Same as national
SSI - Abdominal Hysterectomy: Number of Procedures242Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.990Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy2.010Same as national
MRSA Bacteremia: Lower Confidence Limit0.339Same as national
MRSA Bacteremia: Upper Confidence Limit1.533Same as national
MRSA Bacteremia: Patient Days99647Same as national
MRSA Bacteremia: Predicted Cases9.030Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia0.775Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.084Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.342Better than national
Clostridium Difficile (C.Diff): Patient Days87540Better than national
Clostridium Difficile (C.Diff): Predicted Cases44.477Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.180Better 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 Rate4Same as national873
Death rate for heart attack patients12.6Same as national103
Death rate for CABG surgery patients4.8Same as national78
Death rate for COPD patients11.7Same as national118
Death rate for heart failure patients9.9Same as national436
Death rate for pneumonia patients17Same as national257
Death rate for stroke patients14.5Same as national255
Pressure ulcer rate0.38Same as national5349
Death rate among surgical inpatients with serious treatable complications186.89Same as national107
Iatrogenic pneumothorax rate0.25Same as national6079
In-hospital fall-associated fracture rate0.20Same as national6390
Postoperative hemorrhage or hematoma rate2.01Same as national1354
Postoperative acute kidney injury requiring dialysis rate1.53Same as national595
Postoperative respiratory failure rate8.72Same as national594
Perioperative pulmonary embolism or deep vein thrombosis rate2.72Same as national1507
Postoperative sepsis rate5.62Same as national626
Postoperative wound dehiscence rate1.60Same as national315
Abdominopelvic accidental puncture or laceration rate1.44Same as national1152
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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-8.9Not available120
Hospital return days for heart failure patients12.1Not available512
Hospital return days for pneumonia patients-13.3Not available238
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1398
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national429
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national287
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national287
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national131
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national120
Rate of readmission for CABG9.9Same as national71
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.6Same as national138
Heart failure (HF) 30-Day Readmission Rate22Same as national512
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national238

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 rating2502
Doctor communication - star rating2502
Communication about medicines - star rating1502
Discharge information - star rating2502
Cleanliness - star rating1502
Quietness - star rating2502
Overall hospital rating - star rating2502
Recommend hospital - star rating2502
Summary star rating2502

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 volume
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 vaccination925516
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 better180292
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 better170275
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better106013
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 seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock2760
Septic Shock 3-Hour Bundle3113
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle5860
Severe Sepsis 6-Hour Bundle6929
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 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 Henry Ford Health St John Hospital rated?
Henry Ford Health St John Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Henry Ford Health St John Hospital have emergency services?
Yes. Henry Ford Health St John Hospital operates a 24/7 emergency department.
Where is Henry Ford Health St John Hospital located?
Henry Ford Health St John Hospital is located at 22101 Moross Rd, Detroit, MI 48236.
What type of hospital is Henry Ford Health St John Hospital?
Henry Ford Health St John Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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