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Acute Care Hospitals · Voluntary non-profit - Private

M Health Fairview St John's Hospital

5 / 5

At a glance

M Health Fairview St John's Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.123Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.934Better than national
Central Line Associated Bloodstream Infection: Number of Device Days11595Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.326Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.387Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.073Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.778Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8916Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.495Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.286Better than national
SSI - Colon Surgery: Lower Confidence Limit0.147Same as national
SSI - Colon Surgery: Upper Confidence Limit1.577Same as national
SSI - Colon Surgery: Number of Procedures197Same as national
SSI - Colon Surgery: Predicted Cases5.176Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.580Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures64Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.576Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.690Better than national
MRSA Bacteremia: Patient Days67127Better than national
MRSA Bacteremia: Predicted Cases4.343Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.097Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.499Better than national
Clostridium Difficile (C.Diff): Patient Days58219Better than national
Clostridium Difficile (C.Diff): Predicted Cases24.996Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.240Better 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 Rate3.1Better than national997
Death rate for heart attack patients11.8Same as national105
Death rate for CABG surgery patients1.9Same as national79
Death rate for COPD patients7.7Same as national53
Death rate for heart failure patients10.2Same as national391
Death rate for pneumonia patients13Same as national269
Death rate for stroke patients12.6Same as national113
Pressure ulcer rate0.38Same as national3573
Death rate among surgical inpatients with serious treatable complications188.24Same as national66
Iatrogenic pneumothorax rate0.16Same as national4186
In-hospital fall-associated fracture rate0.31Same as national4320
Postoperative hemorrhage or hematoma rate2.35Same as national479
Postoperative acute kidney injury requiring dialysis rate1.92Same as national417
Postoperative respiratory failure rate6.31Same as national433
Perioperative pulmonary embolism or deep vein thrombosis rate4.58Same as national1113
Postoperative sepsis rate5.36Same as national399
Postoperative wound dehiscence rate1.63Same as national257
Abdominopelvic accidental puncture or laceration rate0.84Same as national897
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 patients-20.7Not available125
Hospital return days for heart failure patients-0.7Not available432
Hospital return days for pneumonia patients-8Not available283
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.3Better than national1598
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national87
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national175
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy7.3Same as national175
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national211
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.4Same as national125
Rate of readmission for CABG9.6Same as national78
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national52
Heart failure (HF) 30-Day Readmission Rate20.2Same as national432
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national283

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 rating3490
Doctor communication - star rating3490
Communication about medicines - star rating2490
Discharge information - star rating4490
Cleanliness - star rating2490
Quietness - star rating2490
Overall hospital rating - star rating2490
Recommend hospital - star rating3490
Summary star rating3490

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 Hypoglycemia13798
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination812712
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 better192402
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 better188384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen251498
Head CT results8629
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 Prescribing103049
Appropriate care for severe sepsis and septic shock50148
Septic Shock 3-Hour Bundle6058
Septic Shock 6-Hour Bundle7326
Severe Sepsis 3-Hour Bundle72148
Severe Sepsis 6-Hour Bundle9674
Discharged on Antithrombotic Therapy100263
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296226
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 M Health Fairview St John's Hospital rated?
M Health Fairview St John's Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does M Health Fairview St John's Hospital have emergency services?
Yes. M Health Fairview St John's Hospital operates a 24/7 emergency department.
Where is M Health Fairview St John's Hospital located?
M Health Fairview St John's Hospital is located at 1575 Beam Avenue, Maplewood, MN 55109.
What type of hospital is M Health Fairview St John's Hospital?
M Health Fairview St John's 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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