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Acute Care Hospitals · Voluntary non-profit - Church

Saint Agnes Medical Center

2 / 5

At a glance

Saint Agnes Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.183Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.107Same as national
Central Line Associated Bloodstream Infection: Number of Device Days10732Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.011Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.499Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.108Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.817Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11741Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.805Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.339Better than national
SSI - Colon Surgery: Lower Confidence Limit0.483Same as national
SSI - Colon Surgery: Upper Confidence Limit2.479Same as national
SSI - Colon Surgery: Number of Procedures191Same as national
SSI - Colon Surgery: Predicted Cases5.035Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.192Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.181Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.568Same as national
SSI - Abdominal Hysterectomy: Number of Procedures208Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.852Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.080Same as national
MRSA Bacteremia: Lower Confidence Limit0.205Same as national
MRSA Bacteremia: Upper Confidence Limit1.557Same as national
MRSA Bacteremia: Patient Days113555Same as national
MRSA Bacteremia: Predicted Cases6.198Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.645Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.209Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.518Better than national
Clostridium Difficile (C.Diff): Patient Days107231Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.247Better than national
Clostridium Difficile (C.Diff): Observed Cases19Better than national
Clostridium Difficile (C.Diff)0.338Better 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 patients3.6Same as national83
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national2584
Death rate for heart attack patients13.2Same as national303
Death rate for CABG surgery patients3.7Same as national109
Death rate for COPD patients7.3Same as national322
Death rate for heart failure patients11.4Same as national792
Death rate for pneumonia patients17.5Same as national938
Death rate for stroke patients12.7Same as national314
Pressure ulcer rate0.67Same as national9626
Death rate among surgical inpatients with serious treatable complications197.82Same as national103
Iatrogenic pneumothorax rate0.24Same as national11641
In-hospital fall-associated fracture rate0.25Same as national12213
Postoperative hemorrhage or hematoma rate1.61Same as national2362
Postoperative acute kidney injury requiring dialysis rate1.09Same as national864
Postoperative respiratory failure rate10.10Same as national900
Perioperative pulmonary embolism or deep vein thrombosis rate4.76Same as national2466
Postoperative sepsis rate4.40Same as national882
Postoperative wound dehiscence rate1.84Same as national541
Abdominopelvic accidental puncture or laceration rate1.06Same as national2342
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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 patients41.4Not available292
Hospital return days for heart failure patients30.8Not available916
Hospital return days for pneumonia patients19.9Not available917
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national4170
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national1324
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 surgery0.9Same as national863
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.3Same as national292
Rate of readmission for CABG10.2Same as national99
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national361
Heart failure (HF) 30-Day Readmission Rate23.3Worse than national916
Rate of readmission after hip/knee replacement4.5Same as national80
Pneumonia (PN) 30-Day Readmission Rate18.5Worse than national917

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 rating2840
Doctor communication - star rating2840
Communication about medicines - star rating2840
Discharge information - star rating3840
Cleanliness - star rating3840
Quietness - star rating3840
Overall hospital rating - star rating3840
Recommend hospital - star rating4840
Summary star rating3840

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 vaccination905990
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 better252449
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 better244411
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41833
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 seen287402
Head CT results5937
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100131
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing96154
Appropriate care for severe sepsis and septic shock60511
Septic Shock 3-Hour Bundle74168
Septic Shock 6-Hour Bundle7694
Severe Sepsis 3-Hour Bundle82519
Severe Sepsis 6-Hour Bundle84234
Discharged on Antithrombotic Therapy98264
Anticoagulation Therapy for Atrial Fibrillation/Flutter6650
Antithrombotic Therapy by End of Hospital Day 295232
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 Saint Agnes Medical Center rated?
Saint Agnes Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Agnes Medical Center have emergency services?
Yes. Saint Agnes Medical Center operates a 24/7 emergency department.
Where is Saint Agnes Medical Center located?
Saint Agnes Medical Center is located at 1303 E Herndon Ave, Fresno, CA 93720.
What type of hospital is Saint Agnes Medical Center?
Saint Agnes Medical Center 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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