JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Our Lady of Fatima Hospital

3 / 5

At a glance

Our Lady of Fatima 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.547Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1701Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.176Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.032Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.198Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2269Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.542Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.649Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures24Not available
SSI - Colon Surgery: Predicted Cases0.608Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
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 Limit0.281Same as national
MRSA Bacteremia: Upper Confidence Limit5.534Same as national
MRSA Bacteremia: Patient Days16337Same as national
MRSA Bacteremia: Predicted Cases1.194Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.675Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.555Better than national
Clostridium Difficile (C.Diff): Patient Days16337Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.401Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate3.9Same as national343
Death rate for heart attack patients12.8Same as national30
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.6Same as national47
Death rate for heart failure patients10.4Same as national129
Death rate for pneumonia patients16Same as national133
Death rate for stroke patientsNot available
Pressure ulcer rate0.37Same as national1240
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1553
In-hospital fall-associated fracture rate0.26Same as national1534
Postoperative hemorrhage or hematoma rate2.51Same as national288
Postoperative acute kidney injury requiring dialysis rate1.65Same as national98
Postoperative respiratory failure rate8.78Same as national98
Perioperative pulmonary embolism or deep vein thrombosis rate3.08Same as national293
Postoperative sepsis rate5.06Same as national100
Postoperative wound dehiscence rate1.74Same as national72
Abdominopelvic accidental puncture or laceration rate1.00Same as national341
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 patientsNot available
Hospital return days for heart failure patients4.5Not available146
Hospital return days for pneumonia patients-3.8Not available140
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national566
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national461
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 national136
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national44
Heart failure (HF) 30-Day Readmission Rate19.6Same as national146
Rate of readmission after hip/knee replacement6.3Same as national25
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national140

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 rating4480
Doctor communication - star rating3480
Communication about medicines - star rating3480
Discharge information - star rating3480
Cleanliness - star rating4480
Quietness - star rating4480
Overall hospital rating - star rating3480
Recommend hospital - star rating4480
Summary star rating3480

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 vaccination631457
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 better200459
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 better192403
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41453
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 seen224851
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients92125
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161082
Appropriate care for severe sepsis and septic shock75137
Septic Shock 3-Hour Bundle8816
Septic Shock 6-Hour Bundle10011
Severe Sepsis 3-Hour Bundle80138
Severe Sepsis 6-Hour Bundle9369
Discharged on Antithrombotic Therapy9226
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Our Lady of Fatima Hospital rated?
Our Lady of Fatima Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Our Lady of Fatima Hospital have emergency services?
Yes. Our Lady of Fatima Hospital operates a 24/7 emergency department.
Where is Our Lady of Fatima Hospital located?
Our Lady of Fatima Hospital is located at 200 High Service Avenue, North Providence, RI 02904.
What type of hospital is Our Lady of Fatima Hospital?
Our Lady of Fatima Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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