JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Providence St Peter Hospital

3 / 5

At a glance

Providence St Peter 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 12 and worse on 6. 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 Limit0.310Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.089Same as national
Central Line Associated Bloodstream Infection: Number of Device Days17463Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases16.362Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases10Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.611Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.381Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.338Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13270Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.319Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases10Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.751Same as national
SSI - Colon Surgery: Lower Confidence Limit1.277Worse than national
SSI - Colon Surgery: Upper Confidence Limit3.676Worse than national
SSI - Colon Surgery: Number of Procedures240Worse than national
SSI - Colon Surgery: Predicted Cases6.238Worse than national
SSI - Colon Surgery: Observed Cases14Worse than national
SSI - Colon Surgery2.244Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.465Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.978Same as national
SSI - Abdominal Hysterectomy: Number of Procedures200Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.640Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.829Same as national
MRSA Bacteremia: Lower Confidence Limit0.043Better than national
MRSA Bacteremia: Upper Confidence Limit0.852Better than national
MRSA Bacteremia: Patient Days104475Better than national
MRSA Bacteremia: Predicted Cases7.757Better than national
MRSA Bacteremia: Observed Cases2Better than national
MRSA Bacteremia0.258Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.302Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.701Better than national
Clostridium Difficile (C.Diff): Patient Days102560Better than national
Clostridium Difficile (C.Diff): Predicted Cases46.738Better than national
Clostridium Difficile (C.Diff): Observed Cases22Better than national
Clostridium Difficile (C.Diff)0.471Better 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 patients2.7Same as national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national2318
Death rate for heart attack patients12.4Same as national410
Death rate for CABG surgery patients2Same as national91
Death rate for COPD patients14.1Worse than national112
Death rate for heart failure patients12.2Same as national631
Death rate for pneumonia patients18.4Same as national337
Death rate for stroke patients13.8Same as national415
Pressure ulcer rate1.46Worse than national7345
Death rate among surgical inpatients with serious treatable complications189.32Same as national154
Iatrogenic pneumothorax rate0.16Same as national8728
In-hospital fall-associated fracture rate0.32Same as national8914
Postoperative hemorrhage or hematoma rate1.93Same as national2827
Postoperative acute kidney injury requiring dialysis rate2.39Same as national1421
Postoperative respiratory failure rate11.64Same as national1423
Perioperative pulmonary embolism or deep vein thrombosis rate2.98Same as national3000
Postoperative sepsis rate6.39Same as national1391
Postoperative wound dehiscence rate2.43Same as national578
Abdominopelvic accidental puncture or laceration rate1.47Same as national1673
CMS Medicare PSI 90: Patient safety and adverse events composite1.36Worse than 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 patients22.9Not available426
Hospital return days for heart failure patients26.8Not available654
Hospital return days for pneumonia patients10.4Not available311
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.8Better than national3542
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national266
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 surgery1.2Same as national893
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national426
Rate of readmission for CABG10.3Same as national87
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national106
Heart failure (HF) 30-Day Readmission Rate19.9Same as national654
Rate of readmission after hip/knee replacement5Same as national53
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national311

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 rating4421
Doctor communication - star rating3421
Communication about medicines - star rating3421
Discharge information - star rating4421
Cleanliness - star rating3421
Quietness - star rating3421
Overall hospital rating - star rating4421
Recommend hospital - star rating5421
Summary star rating4421

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 vaccination603558
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 better216391
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 better214365
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better53921
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 seen159517
Head CT results8222
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7747
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6040
Safe Use of Opioids - Concurrent Prescribing124841
Appropriate care for severe sepsis and septic shock72238
Septic Shock 3-Hour Bundle7060
Septic Shock 6-Hour Bundle9431
Severe Sepsis 3-Hour Bundle85239
Severe Sepsis 6-Hour Bundle93120
Discharged on Antithrombotic Therapy98323
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293301
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis941953

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 Peter Hospital rated?
Providence St Peter Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Providence St Peter Hospital have emergency services?
Yes. Providence St Peter Hospital operates a 24/7 emergency department.
Where is Providence St Peter Hospital located?
Providence St Peter Hospital is located at 413 Lilly Road Ne, Olympia, WA 98506.
What type of hospital is Providence St Peter Hospital?
Providence St Peter 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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