JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Saint Joseph Hospital-Elgin

4 / 5

At a glance

Saint Joseph Hospital-Elgin carries a 4-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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days543Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.469Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days684Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.658Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures12Not available
SSI - Colon Surgery: Predicted Cases0.321Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days15355Not available
MRSA Bacteremia: Predicted Cases0.849Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.006Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.594Better than national
Clostridium Difficile (C.Diff): Patient Days14806Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.304Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.120Better 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 national60
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national294
Death rate for heart attack patients12Same as national49
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national42
Death rate for heart failure patients11.2Same as national148
Death rate for pneumonia patients17.5Same as national168
Death rate for stroke patients14.1Same as national56
Pressure ulcer rate0.33Same as national1606
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1782
In-hospital fall-associated fracture rate0.29Same as national1832
Postoperative hemorrhage or hematoma rate2.17Same as national310
Postoperative acute kidney injury requiring dialysis rate1.66Same as national100
Postoperative respiratory failure rate8.43Same as national104
Perioperative pulmonary embolism or deep vein thrombosis rate3.06Same as national331
Postoperative sepsis rate5.02Same as national93
Postoperative wound dehiscence rate1.74Same as national43
Abdominopelvic accidental puncture or laceration rate1.01Same as national226
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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-25.5Not available168
Hospital return days for pneumonia patients-13.4Not available161
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national430
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national333
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 surgery1Same as national58
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national43
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national43
Heart failure (HF) 30-Day Readmission Rate18.7Same as national168
Rate of readmission after hip/knee replacement5Same as national53
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national161

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 rating3337
Doctor communication - star rating2337
Communication about medicines - star rating2337
Discharge information - star rating3337
Cleanliness - star rating4337
Quietness - star rating3337
Overall hospital rating - star rating3337
Recommend hospital - star rating3337
Summary star rating3337

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination711171
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 better150309
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 better145280
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32327
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 Prescribing
Appropriate care for severe sepsis and septic shock6469
Septic Shock 3-Hour Bundle7322
Septic Shock 6-Hour Bundle7713
Severe Sepsis 3-Hour Bundle7869
Severe Sepsis 6-Hour Bundle9738
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Saint Joseph Hospital-Elgin rated?
Saint Joseph Hospital-Elgin has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Joseph Hospital-Elgin have emergency services?
Yes. Saint Joseph Hospital-Elgin operates a 24/7 emergency department.
Where is Saint Joseph Hospital-Elgin located?
Saint Joseph Hospital-Elgin is located at 77 N Airlite Street, Elgin, IL 60123.
What type of hospital is Saint Joseph Hospital-Elgin?
Saint Joseph Hospital-Elgin 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.

Report an issue with this page