JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Penn State Health St. Joseph

3 / 5

At a glance

Penn State Health St. Joseph carries a 3-star CMS overall rating — in line with the national norm.

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 Limit0.244Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.851Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6588Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.212Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.767Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.012Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.149Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5571Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.294Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.233Same as national
SSI - Colon Surgery: Lower Confidence Limit0.026Same as national
SSI - Colon Surgery: Upper Confidence Limit2.574Same as national
SSI - Colon Surgery: Number of Procedures73Same as national
SSI - Colon Surgery: Predicted Cases1.916Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.522Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures50Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.437Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.031Same as national
MRSA Bacteremia: Upper Confidence Limit3.071Same as national
MRSA Bacteremia: Patient Days39245Same as national
MRSA Bacteremia: Predicted Cases1.606Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.623Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.806Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.948Same as national
Clostridium Difficile (C.Diff): Patient Days37276Same as national
Clostridium Difficile (C.Diff): Predicted Cases15.573Same as national
Clostridium Difficile (C.Diff): Observed Cases20Same as national
Clostridium Difficile (C.Diff)1.284Same as 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 national1053
Death rate for heart attack patients12.2Same as national110
Death rate for CABG surgery patients2.5Same as national61
Death rate for COPD patients11Same as national113
Death rate for heart failure patients10.9Same as national402
Death rate for pneumonia patients15.5Same as national215
Death rate for stroke patients12.7Same as national102
Pressure ulcer rate0.29Same as national2476
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.17Same as national3705
In-hospital fall-associated fracture rate0.24Same as national3920
Postoperative hemorrhage or hematoma rate1.96Same as national628
Postoperative acute kidney injury requiring dialysis rate1.48Same as national264
Postoperative respiratory failure rate10.16Same as national273
Perioperative pulmonary embolism or deep vein thrombosis rate2.81Same as national687
Postoperative sepsis rate4.47Same as national270
Postoperative wound dehiscence rate1.70Same as national112
Abdominopelvic accidental puncture or laceration rate0.96Same as national548
CMS Medicare PSI 90: Patient safety and adverse events composite0.83Same 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-19.8Not available124
Hospital return days for heart failure patients-4.2Not available501
Hospital return days for pneumonia patients-0.9Not available230
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1669
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national204
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.3Same as national130
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national130
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national329
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.5Same as national124
Rate of readmission for CABG11.2Same as national59
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national116
Heart failure (HF) 30-Day Readmission Rate20.2Same as national501
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national230

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 rating31586
Doctor communication - star rating31586
Communication about medicines - star rating21586
Discharge information - star rating41586
Cleanliness - star rating31586
Quietness - star rating21586
Overall hospital rating - star rating41586
Recommend hospital - star rating41586
Summary star rating31586

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 vaccination461815
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 better220401
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 better216381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22817
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 seen245619
Head CT results5714
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10031
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing121308
Appropriate care for severe sepsis and septic shock57502
Septic Shock 3-Hour Bundle56140
Septic Shock 6-Hour Bundle8963
Severe Sepsis 3-Hour Bundle73503
Severe Sepsis 6-Hour Bundle97202
Discharged on Antithrombotic Therapy100118
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296116
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 Penn State Health St. Joseph rated?
Penn State Health St. Joseph has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Penn State Health St. Joseph have emergency services?
Yes. Penn State Health St. Joseph operates a 24/7 emergency department.
Where is Penn State Health St. Joseph located?
Penn State Health St. Joseph is located at 2500 Bernville Road, Reading, PA 19605.
What type of hospital is Penn State Health St. Joseph?
Penn State Health St. Joseph 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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