JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Saint Joseph Hospital

5 / 5

At a glance

Saint Joseph Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.034Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.674Better than national
Central Line Associated Bloodstream Infection: Number of Device Days8674Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.799Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.204Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.007Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.712Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5544Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.931Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.144Better than national
SSI - Colon Surgery: Lower Confidence Limit0.210Same as national
SSI - Colon Surgery: Upper Confidence Limit1.596Same as national
SSI - Colon Surgery: Number of Procedures232Same as national
SSI - Colon Surgery: Predicted Cases6.044Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.662Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.032Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.172Same as national
SSI - Abdominal Hysterectomy: Number of Procedures179Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.555Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.643Same as national
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.496Better than national
MRSA Bacteremia: Patient Days87139Better than national
MRSA Bacteremia: Predicted Cases6.041Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.325Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.846Better than national
Clostridium Difficile (C.Diff): Patient Days69644Better than national
Clostridium Difficile (C.Diff): Predicted Cases31.509Better than national
Clostridium Difficile (C.Diff): Observed Cases17Better than national
Clostridium Difficile (C.Diff)0.540Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Same as national505
Death rate for heart attack patients12.7Same as national29
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national35
Death rate for heart failure patients10.6Same as national102
Death rate for pneumonia patients13Same as national94
Death rate for stroke patientsNot available
Pressure ulcer rate1.28Same as national1660
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national2022
In-hospital fall-associated fracture rate0.25Same as national2276
Postoperative hemorrhage or hematoma rate2.13Same as national645
Postoperative acute kidney injury requiring dialysis rate1.32Same as national413
Postoperative respiratory failure rate6.53Same as national366
Perioperative pulmonary embolism or deep vein thrombosis rate3.07Same as national702
Postoperative sepsis rate4.34Same as national412
Postoperative wound dehiscence rate1.68Same as national150
Abdominopelvic accidental puncture or laceration rate1.14Same as national437
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patients19.2Not available114
Hospital return days for pneumonia patients1.9Not available104
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national728
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national48
Rate of inpatient admissions for patients receiving outpatient chemotherapy11Same as national26
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national26
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national147
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national33
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national37
Heart failure (HF) 30-Day Readmission Rate19.4Same as national114
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national104

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 rating41302
Doctor communication - star rating41302
Communication about medicines - star rating41302
Discharge information - star rating41302
Cleanliness - star rating41302
Quietness - star rating41302
Overall hospital rating - star rating41302
Recommend hospital - star rating51302
Summary star rating41302

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 Hyperglycemia816561
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination924688
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 better181395
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 better179351
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23638
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 seen165412
Head CT results9225
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients5271
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing94441
Appropriate care for severe sepsis and septic shock73412
Septic Shock 3-Hour Bundle82130
Septic Shock 6-Hour Bundle9577
Severe Sepsis 3-Hour Bundle82414
Severe Sepsis 6-Hour Bundle96247
Discharged on Antithrombotic Therapy10074
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29062
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 Joseph Hospital rated?
Saint Joseph Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Joseph Hospital have emergency services?
Yes. Saint Joseph Hospital operates a 24/7 emergency department.
Where is Saint Joseph Hospital located?
Saint Joseph Hospital is located at 1375 E 19th Ave, Denver, CO 80218.
What type of hospital is Saint Joseph Hospital?
Saint Joseph 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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