JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Saint Francis Hospital Muskogee

3 / 5

At a glance

Saint Francis Hospital Muskogee 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 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 Limit0.011Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.120Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4878Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.402Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.227Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.486Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6162Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.163Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.805Same as national
SSI - Colon Surgery: Number of Procedures38Same as national
SSI - Colon Surgery: Predicted Cases1.068Same 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 Procedures70Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.725Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.248Same as national
MRSA Bacteremia: Upper Confidence Limit2.655Same as national
MRSA Bacteremia: Patient Days46254Same as national
MRSA Bacteremia: Predicted Cases3.075Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.976Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.060Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.364Better than national
Clostridium Difficile (C.Diff): Patient Days45481Better than national
Clostridium Difficile (C.Diff): Predicted Cases30.407Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.164Better 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 patients4.1Same as national102
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national1187
Death rate for heart attack patients11.6Same as national107
Death rate for CABG surgery patientsNot available
Death rate for COPD patients5.5Better than national132
Death rate for heart failure patients8.8Better than national370
Death rate for pneumonia patients13.4Same as national372
Death rate for stroke patients10.8Same as national150
Pressure ulcer rate0.61Same as national4485
Death rate among surgical inpatients with serious treatable complications149.23Same as national43
Iatrogenic pneumothorax rate0.28Same as national5762
In-hospital fall-associated fracture rate0.22Same as national5828
Postoperative hemorrhage or hematoma rate2.08Same as national646
Postoperative acute kidney injury requiring dialysis rate1.63Same as national187
Postoperative respiratory failure rate13.72Same as national189
Perioperative pulmonary embolism or deep vein thrombosis rate3.85Same as national678
Postoperative sepsis rate5.56Same as national175
Postoperative wound dehiscence rate1.69Same as national129
Abdominopelvic accidental puncture or laceration rate0.94Same as national454
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same 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-14.3Not available78
Hospital return days for heart failure patients-24.9Not available449
Hospital return days for pneumonia patients6.4Not available411
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national1960
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.6Same as national708
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.2Same as national115
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.5Same as national115
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national212
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national78
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national159
Heart failure (HF) 30-Day Readmission Rate19.7Same as national449
Rate of readmission after hip/knee replacement7.2Same as national102
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national411

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 rating3689
Doctor communication - star rating3689
Communication about medicines - star rating2689
Discharge information - star rating4689
Cleanliness - star rating3689
Quietness - star rating3689
Overall hospital rating - star rating4689
Recommend hospital - star rating4689
Summary star rating3689

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 volumemedium
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 vaccination821491
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 better199385
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 better198373
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24412
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 seen235844
Head CT results6526
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients88101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142766
Appropriate care for severe sepsis and septic shock49161
Septic Shock 3-Hour Bundle8035
Septic Shock 6-Hour Bundle7914
Severe Sepsis 3-Hour Bundle57161
Severe Sepsis 6-Hour Bundle9240
Discharged on Antithrombotic Therapy96143
Anticoagulation Therapy for Atrial Fibrillation/Flutter7528
Antithrombotic Therapy by End of Hospital Day 293112
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 Francis Hospital Muskogee rated?
Saint Francis Hospital Muskogee has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Francis Hospital Muskogee have emergency services?
Yes. Saint Francis Hospital Muskogee operates a 24/7 emergency department.
Where is Saint Francis Hospital Muskogee located?
Saint Francis Hospital Muskogee is located at 300 Rockefeller Drive, Muskogee, OK 74401.
What type of hospital is Saint Francis Hospital Muskogee?
Saint Francis Hospital Muskogee 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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