Acute Care Hospitals · Voluntary non-profit - Church
Intermountain Health St. Mary's Regional Hospital
- 2635 N 7th St, Grand Junction, CO 81501
- (970) 298-2260
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Intermountain Health St. Mary's Regional Hospital carries a 4-star CMS overall rating — above 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.333 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.504 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 8823 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 9.205 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 7 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.760 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.202 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.037 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 9562 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 12.031 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.499 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.588 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 3.019 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 151 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.133 | Same as national |
| SSI - Colon Surgery: Observed Cases | 6 | Same as national |
| SSI - Colon Surgery | 1.452 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 119 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.915 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.064 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.263 | Same as national |
| MRSA Bacteremia: Patient Days | 76636 | Same as national |
| MRSA Bacteremia: Predicted Cases | 5.232 | Same as national |
| MRSA Bacteremia: Observed Cases | 2 | Same as national |
| MRSA Bacteremia | 0.382 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.116 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.473 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 70959 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 32.124 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 8 | Better than national |
| Clostridium Difficile (C.Diff) | 0.249 | 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 | 3.3 | Same as national | 27 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as national | 1386 |
| Death rate for heart attack patients | 12 | Same as national | 291 |
| Death rate for CABG surgery patients | 2.1 | Same as national | 110 |
| Death rate for COPD patients | 9.7 | Same as national | 60 |
| Death rate for heart failure patients | 14.6 | Same as national | 233 |
| Death rate for pneumonia patients | 21.4 | Worse than national | 206 |
| Death rate for stroke patients | 13.9 | Same as national | 282 |
| Pressure ulcer rate | 1.08 | Same as national | 4037 |
| Death rate among surgical inpatients with serious treatable complications | 184.86 | Same as national | 122 |
| Iatrogenic pneumothorax rate | 0.25 | Same as national | 4897 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 5033 |
| Postoperative hemorrhage or hematoma rate | 3.23 | Same as national | 1781 |
| Postoperative acute kidney injury requiring dialysis rate | 1.60 | Same as national | 817 |
| Postoperative respiratory failure rate | 6.23 | Same as national | 746 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.08 | Same as national | 1953 |
| Postoperative sepsis rate | 3.86 | Same as national | 773 |
| Postoperative wound dehiscence rate | 1.85 | Same as national | 418 |
| Abdominopelvic accidental puncture or laceration rate | 0.95 | Same as national | 1161 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.99 | 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 | -25.1 | Not available | 322 |
| Hospital return days for heart failure patients | -20 | Not available | 249 |
| Hospital return days for pneumonia patients | -11.3 | Not available | 209 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.9 | Same as national | 2175 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.5 | Same as national | 201 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.7 | Same as national | 133 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.5 | Same as national | 133 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 691 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 11.2 | Same as national | 322 |
| Rate of readmission for CABG | 9.4 | Same as national | 107 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.8 | Same as national | 63 |
| Heart failure (HF) 30-Day Readmission Rate | 18.1 | Same as national | 249 |
| Rate of readmission after hip/knee replacement | 4.5 | Same as national | 28 |
| Pneumonia (PN) 30-Day Readmission Rate | 15 | Same as national | 209 |
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 | 1026 |
| Doctor communication - star rating | 3 | 1026 |
| Communication about medicines - star rating | 3 | 1026 |
| Discharge information - star rating | 4 | 1026 |
| Cleanliness - star rating | 4 | 1026 |
| Quietness - star rating | 3 | 1026 |
| Overall hospital rating - star rating | 3 | 1026 |
| Recommend hospital - star rating | 4 | 1026 |
| Summary star rating | 3 | 1026 |
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 | 6 | 15412 |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 88 | 3664 |
| 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 | 205 | 371 |
| 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 | 198 | 336 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 288 | 32 |
| 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 | 2 | 41743 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 90 | 21 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 16 | 3781 |
| Appropriate care for severe sepsis and septic shock | 64 | 332 |
| Septic Shock 3-Hour Bundle | 60 | 113 |
| Septic Shock 6-Hour Bundle | 90 | 52 |
| Severe Sepsis 3-Hour Bundle | 83 | 333 |
| Severe Sepsis 6-Hour Bundle | 95 | 196 |
| Discharged on Antithrombotic Therapy | 97 | 283 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 93 | 224 |
| 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.
| 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 Intermountain Health St. Mary's Regional Hospital rated?
- Intermountain Health St. Mary's Regional Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Intermountain Health St. Mary's Regional Hospital have emergency services?
- Yes. Intermountain Health St. Mary's Regional Hospital operates a 24/7 emergency department.
- Where is Intermountain Health St. Mary's Regional Hospital located?
- Intermountain Health St. Mary's Regional Hospital is located at 2635 N 7th St, Grand Junction, CO 81501.
- What type of hospital is Intermountain Health St. Mary's Regional Hospital?
- Intermountain Health St. Mary's Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).
Compare with nearby hospitals
- Compare side-by-side →Not rated overall
Aurora, CO
- Compare side-by-side →Not rated overall
Aspen, CO
- Compare side-by-side →Not rated overall
Arkansas Valley Regional Medical Center
Lajuna, CO
- Compare side-by-side →Not rated overall
Banner Fort Collins Medical Center
Fort Collins, CO
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.