JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Saint Agnes Hospital

3 / 5

At a glance

Saint Agnes 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 6 and worse on 0. 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 Limit0.279Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.120Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4326Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.552Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.879Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.152Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.625Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4048Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.023Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.597Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.119Same as national
SSI - Colon Surgery: Number of Procedures91Same as national
SSI - Colon Surgery: Predicted Cases2.678Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
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 Cases0.031Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.311Same as national
MRSA Bacteremia: Upper Confidence Limit2.364Same as national
MRSA Bacteremia: Patient Days58883Same as national
MRSA Bacteremia: Predicted Cases4.082Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.980Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.175Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.659Better than national
Clostridium Difficile (C.Diff): Patient Days56725Better than national
Clostridium Difficile (C.Diff): Predicted Cases25.067Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.359Better 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 patients3.9Same as national74
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national807
Death rate for heart attack patients11.6Same as national95
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.8Same as national220
Death rate for heart failure patients8.5Better than national332
Death rate for pneumonia patients17.9Same as national295
Death rate for stroke patients13.2Same as national201
Pressure ulcer rate0.76Same as national4412
Death rate among surgical inpatients with serious treatable complications158.08Same as national58
Iatrogenic pneumothorax rate0.22Same as national4917
In-hospital fall-associated fracture rate0.22Same as national5151
Postoperative hemorrhage or hematoma rate2.57Same as national1010
Postoperative acute kidney injury requiring dialysis rate1.96Same as national402
Postoperative respiratory failure rate7.15Same as national382
Perioperative pulmonary embolism or deep vein thrombosis rate3.04Same as national1035
Postoperative sepsis rate4.86Same as national386
Postoperative wound dehiscence rate1.63Same as national252
Abdominopelvic accidental puncture or laceration rate1.32Same as national986
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients18.2Not available91
Hospital return days for heart failure patients-5.1Not available364
Hospital return days for pneumonia patients30.9Not available305
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Better than national1193
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national132
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.4Same as national112
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national112
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national230
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national91
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national255
Heart failure (HF) 30-Day Readmission Rate18.9Same as national364
Rate of readmission after hip/knee replacement5.8Same as national59
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national305

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 rating1247
Doctor communication - star rating3247
Communication about medicines - star rating1247
Discharge information - star rating2247
Cleanliness - star rating1247
Quietness - star rating2247
Overall hospital rating - star rating1247
Recommend hospital - star rating2247
Summary star rating2247

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 Hyperglycemia85193
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination964272
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 better
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 better
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 Prescribing13487
Appropriate care for severe sepsis and septic shock
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle
Severe Sepsis 6-Hour Bundle
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29447
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis97215

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 Measure

Frequently asked questions

How is Saint Agnes Hospital rated?
Saint Agnes Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Agnes Hospital have emergency services?
Yes. Saint Agnes Hospital operates a 24/7 emergency department.
Where is Saint Agnes Hospital located?
Saint Agnes Hospital is located at 900 Caton Avenue, Baltimore, MD 21229.
What type of hospital is Saint Agnes Hospital?
Saint Agnes 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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