JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sacred Heart Hospital

4 / 5

At a glance

Sacred Heart 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 18 and worse on 6.

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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.298Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9178Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.064Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.005Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.445Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8279Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.095Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.090Better than national
SSI - Colon Surgery: Lower Confidence Limit0.092Same as national
SSI - Colon Surgery: Upper Confidence Limit1.805Same as national
SSI - Colon Surgery: Number of Procedures134Same as national
SSI - Colon Surgery: Predicted Cases3.660Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.546Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.119Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.743Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures260Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases2.173Worse than national
SSI - Abdominal Hysterectomy: Observed Cases6Worse than national
SSI - Abdominal Hysterectomy2.761Worse than national
MRSA Bacteremia: Lower Confidence Limit0.418Same as national
MRSA Bacteremia: Upper Confidence Limit2.147Same as national
MRSA Bacteremia: Patient Days117160Same as national
MRSA Bacteremia: Predicted Cases5.813Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia1.032Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.203Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.528Better than national
Clostridium Difficile (C.Diff): Patient Days98212Better than national
Clostridium Difficile (C.Diff): Predicted Cases50.498Better than national
Clostridium Difficile (C.Diff): Observed Cases17Better than national
Clostridium Difficile (C.Diff)0.337Better 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 patients3.1Same as national89
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1329
Death rate for heart attack patients12.2Same as national182
Death rate for CABG surgery patients2.6Same as national40
Death rate for COPD patients8.3Same as national116
Death rate for heart failure patients11.1Same as national420
Death rate for pneumonia patients15.1Same as national537
Death rate for stroke patients13.5Same as national376
Pressure ulcer rate0.13Same as national6296
Death rate among surgical inpatients with serious treatable complications130.92Same as national114
Iatrogenic pneumothorax rate0.14Same as national7506
In-hospital fall-associated fracture rate0.30Same as national7771
Postoperative hemorrhage or hematoma rate2.93Same as national2061
Postoperative acute kidney injury requiring dialysis rate1.60Same as national961
Postoperative respiratory failure rate7.05Same as national960
Perioperative pulmonary embolism or deep vein thrombosis rate3.32Same as national2019
Postoperative sepsis rate5.10Same as national743
Postoperative wound dehiscence rate2.15Same as national486
Abdominopelvic accidental puncture or laceration rate0.72Same as national1760
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients22.1Not available230
Hospital return days for heart failure patients1.5Not available482
Hospital return days for pneumonia patients5.1Not available583
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national2112
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national386
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.2Same as national358
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4Same as national358
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national216
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national230
Rate of readmission for CABG10.5Same as national40
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national125
Heart failure (HF) 30-Day Readmission Rate20.9Same as national482
Rate of readmission after hip/knee replacement4.8Same as national81
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national583

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 rating2315
Doctor communication - star rating2315
Communication about medicines - star rating2315
Discharge information - star rating3315
Cleanliness - star rating1315
Quietness - star rating2315
Overall hospital rating - star rating2315
Recommend hospital - star rating3315
Summary star rating2315

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 vaccination906928
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 better147313
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 better143298
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)3931
Safe Use of Opioids - Concurrent Prescribing121767
Appropriate care for severe sepsis and septic shock61180
Septic Shock 3-Hour Bundle6159
Septic Shock 6-Hour Bundle9431
Severe Sepsis 3-Hour Bundle79180
Severe Sepsis 6-Hour Bundle93106
Discharged on Antithrombotic Therapy98127
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis963020
Intensive Care Unit Venous Thromboembolism Prophylaxis100643

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 Sacred Heart Hospital rated?
Sacred Heart Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Sacred Heart Hospital have emergency services?
Yes. Sacred Heart Hospital operates a 24/7 emergency department.
Where is Sacred Heart Hospital located?
Sacred Heart Hospital is located at 5151 N 9th Ave, Pensacola, FL 32504.
What type of hospital is Sacred Heart Hospital?
Sacred Heart 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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