JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Presence St Marys Hospital

4 / 5

At a glance

Presence St Marys 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.

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 Limit2.978Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1198Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.006Same 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 LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.665Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1357Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.124Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures31Not available
SSI - Colon Surgery: Predicted Cases0.826Not 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 Procedures5Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.060Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days15870Not available
MRSA Bacteremia: Predicted Cases0.630Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.006Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.621Better than national
Clostridium Difficile (C.Diff): Patient Days15254Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.947Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.126Better 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 patients3.3Same as national117
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national334
Death rate for heart attack patients12.2Same as national89
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.3Same as national65
Death rate for heart failure patients12.1Same as national116
Death rate for pneumonia patients16Same as national201
Death rate for stroke patients13.3Same as national60
Pressure ulcer rate0.34Same as national1766
Death rate among surgical inpatients with serious treatable complications170.50Same as national26
Iatrogenic pneumothorax rate0.25Same as national2122
In-hospital fall-associated fracture rate0.29Same as national2176
Postoperative hemorrhage or hematoma rate2.18Same as national411
Postoperative acute kidney injury requiring dialysis rate1.65Same as national149
Postoperative respiratory failure rate8.46Same as national146
Perioperative pulmonary embolism or deep vein thrombosis rate3.48Same as national405
Postoperative sepsis rate4.95Same as national142
Postoperative wound dehiscence rate1.71Same as national70
Abdominopelvic accidental puncture or laceration rate1.54Same as national299
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-7.4Not available87
Hospital return days for heart failure patients5.3Not available126
Hospital return days for pneumonia patients-33.4Not available209
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national479
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national132
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national51
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national51
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national87
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.2Same as national87
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national72
Heart failure (HF) 30-Day Readmission Rate18.8Same as national126
Rate of readmission after hip/knee replacement4.1Same as national109
Pneumonia (PN) 30-Day Readmission Rate14Same as national209

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 rating2413
Doctor communication - star rating3413
Communication about medicines - star rating3413
Discharge information - star rating2413
Cleanliness - star rating3413
Quietness - star rating3413
Overall hospital rating - star rating3413
Recommend hospital - star rating3413
Summary star rating3413

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 vaccination93813
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 better150308
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 better146294
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 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 shock6566
Septic Shock 3-Hour Bundle7524
Septic Shock 6-Hour Bundle8116
Severe Sepsis 3-Hour Bundle8366
Severe Sepsis 6-Hour Bundle9539
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 Presence St Marys Hospital rated?
Presence St Marys Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Presence St Marys Hospital have emergency services?
Yes. Presence St Marys Hospital operates a 24/7 emergency department.
Where is Presence St Marys Hospital located?
Presence St Marys Hospital is located at 500 W Court St, Kankakee, IL 60901.
What type of hospital is Presence St Marys Hospital?
Presence St Marys 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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