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Acute Care Hospitals · Voluntary non-profit - Church

Providence St. Joseph Hospital

4 / 5

At a glance

Providence St. Joseph 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 12 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 Limit0.006Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.609Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10272Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.097Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.124Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.241Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.455Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8741Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.617Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.656Same as national
SSI - Colon Surgery: Lower Confidence Limit0.348Same as national
SSI - Colon Surgery: Upper Confidence Limit2.103Same as national
SSI - Colon Surgery: Number of Procedures201Same as national
SSI - Colon Surgery: Predicted Cases5.271Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.949Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.915Same as national
SSI - Abdominal Hysterectomy: Number of Procedures179Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.564Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.278Same as national
MRSA Bacteremia: Upper Confidence Limit2.114Same as national
MRSA Bacteremia: Patient Days120042Same as national
MRSA Bacteremia: Predicted Cases4.564Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.876Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.331Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.706Better than national
Clostridium Difficile (C.Diff): Patient Days112337Better than national
Clostridium Difficile (C.Diff): Predicted Cases54.908Better than national
Clostridium Difficile (C.Diff): Observed Cases27Better than national
Clostridium Difficile (C.Diff)0.492Better 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 patients4.7Same as national38
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1681
Death rate for heart attack patients12.4Same as national141
Death rate for CABG surgery patients2Same as national52
Death rate for COPD patients7.7Same as national61
Death rate for heart failure patients8.1Better than national362
Death rate for pneumonia patients13.9Same as national455
Death rate for stroke patients10.8Same as national169
Pressure ulcer rate0.56Same as national5803
Death rate among surgical inpatients with serious treatable complications153.26Same as national120
Iatrogenic pneumothorax rate0.24Same as national6824
In-hospital fall-associated fracture rate0.24Same as national7239
Postoperative hemorrhage or hematoma rate2.95Same as national2251
Postoperative acute kidney injury requiring dialysis rate2.66Same as national1091
Postoperative respiratory failure rate12.53Same as national1162
Perioperative pulmonary embolism or deep vein thrombosis rate3.93Same as national2444
Postoperative sepsis rate6.62Same as national1142
Postoperative wound dehiscence rate1.54Same as national779
Abdominopelvic accidental puncture or laceration rate0.72Same as national1757
CMS Medicare PSI 90: Patient safety and adverse events composite1.16Same 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-8.3Not available145
Hospital return days for heart failure patients2.5Not available412
Hospital return days for pneumonia patients14.3Not available465
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national2765
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national192
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national201
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national201
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national352
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national145
Rate of readmission for CABG9.9Same as national52
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national66
Heart failure (HF) 30-Day Readmission Rate18.8Same as national412
Rate of readmission after hip/knee replacement5Same as national41
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national465

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 rating2396
Doctor communication - star rating2396
Communication about medicines - star rating2396
Discharge information - star rating2396
Cleanliness - star rating3396
Quietness - star rating2396
Overall hospital rating - star rating3396
Recommend hospital - star rating4396
Summary star rating2396

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 volumevery 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
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination753969
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 better223415
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 better222380
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30932
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 seen296469
Head CT results7419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9855
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing136524
Appropriate care for severe sepsis and septic shock83344
Septic Shock 3-Hour Bundle86139
Septic Shock 6-Hour Bundle9288
Severe Sepsis 3-Hour Bundle92347
Severe Sepsis 6-Hour Bundle98205
Discharged on Antithrombotic Therapy96316
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294270
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis991656

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 Providence St. Joseph Hospital rated?
Providence St. Joseph Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Providence St. Joseph Hospital have emergency services?
Yes. Providence St. Joseph Hospital operates a 24/7 emergency department.
Where is Providence St. Joseph Hospital located?
Providence St. Joseph Hospital is located at 1100 West Stewart Dr, Orange, CA 92868.
What type of hospital is Providence St. Joseph Hospital?
Providence St. Joseph 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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