JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Saint Francis Hospital South, Llc

5 / 5

At a glance

Saint Francis Hospital South, Llc carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.104Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1682Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.424Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.541Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1241Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.179Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures27Not available
SSI - Colon Surgery: Predicted Cases0.615Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures45Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.421Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days29588Not available
MRSA Bacteremia: Predicted Cases0.997Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.050Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.539Better than national
Clostridium Difficile (C.Diff): Patient Days27558Better than national
Clostridium Difficile (C.Diff): Predicted Cases15.146Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.198Better 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 patients4.5Same as national51
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national814
Death rate for heart attack patients11.9Same as national35
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national106
Death rate for heart failure patients7.7Better than national213
Death rate for pneumonia patients13.9Same as national286
Death rate for stroke patients11.6Same as national70
Pressure ulcer rate0.65Same as national2260
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national2987
In-hospital fall-associated fracture rate0.25Same as national3058
Postoperative hemorrhage or hematoma rate2.53Same as national309
Postoperative acute kidney injury requiring dialysis rate1.65Same as national99
Postoperative respiratory failure rate7.60Same as national113
Perioperative pulmonary embolism or deep vein thrombosis rate3.04Same as national335
Postoperative sepsis rate4.91Same as national108
Postoperative wound dehiscence rate1.74Same as national65
Abdominopelvic accidental puncture or laceration rate0.99Same as national365
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patientsNot available
Hospital return days for heart failure patients-20.7Not available259
Hospital return days for pneumonia patients2.1Not available293
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.8Same as national1159
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national569
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 surgery1.1Same as national295
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national28
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national116
Heart failure (HF) 30-Day Readmission Rate18.3Same as national259
Rate of readmission after hip/knee replacement6.6Same as national56
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national293

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 rating4407
Doctor communication - star rating3407
Communication about medicines - star rating3407
Discharge information - star rating4407
Cleanliness - star rating5407
Quietness - star rating3407
Overall hospital rating - star rating4407
Recommend hospital - star rating5407
Summary star rating4407

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 vaccination892674
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 better181423
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 better178395
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 better27821
Left before being seen251628
Head CT results8614
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients4858
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141636
Appropriate care for severe sepsis and septic shock58137
Septic Shock 3-Hour Bundle6025
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle67137
Severe Sepsis 6-Hour Bundle9853
Discharged on Antithrombotic Therapy10094
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29477
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 South, Llc rated?
Saint Francis Hospital South, Llc has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Francis Hospital South, Llc have emergency services?
Yes. Saint Francis Hospital South, Llc operates a 24/7 emergency department.
Where is Saint Francis Hospital South, Llc located?
Saint Francis Hospital South, Llc is located at 10501 East 91st Street South, Tulsa, OK 74133.
What type of hospital is Saint Francis Hospital South, Llc?
Saint Francis Hospital South, Llc 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.

Report an issue with this page