JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Saint Joseph Hospital

3 / 5

At a glance

Saint Joseph Hospital 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 18 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 Limit0.595Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.867Same as national
Central Line Associated Bloodstream Infection: Number of Device Days13322Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.929Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases12Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.098Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.061Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.650Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days14134Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.569Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.239Better than national
SSI - Colon Surgery: Lower Confidence Limit0.007Better than national
SSI - Colon Surgery: Upper Confidence Limit0.677Better than national
SSI - Colon Surgery: Number of Procedures282Better than national
SSI - Colon Surgery: Predicted Cases7.287Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.137Better than national
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 Limit0.257Same as national
MRSA Bacteremia: Upper Confidence Limit1.954Same as national
MRSA Bacteremia: Patient Days79087Same as national
MRSA Bacteremia: Predicted Cases4.938Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.810Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.009Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.173Better than national
Clostridium Difficile (C.Diff): Patient Days79087Better than national
Clostridium Difficile (C.Diff): Predicted Cases38.267Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.052Better 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 patients4.3Same as national28
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national1415
Death rate for heart attack patients11.3Same as national128
Death rate for CABG surgery patients6.2Worse than national106
Death rate for COPD patients9Same as national45
Death rate for heart failure patients11Same as national267
Death rate for pneumonia patients13.8Same as national352
Death rate for stroke patients12.1Same as national157
Pressure ulcer rate0.71Same as national4808
Death rate among surgical inpatients with serious treatable complications151.33Same as national181
Iatrogenic pneumothorax rate0.31Same as national5256
In-hospital fall-associated fracture rate0.21Same as national5829
Postoperative hemorrhage or hematoma rate2.41Same as national1783
Postoperative acute kidney injury requiring dialysis rate1.58Same as national911
Postoperative respiratory failure rate16.53Worse than national914
Perioperative pulmonary embolism or deep vein thrombosis rate3.94Same as national1848
Postoperative sepsis rate8.18Same as national806
Postoperative wound dehiscence rate1.49Same as national517
Abdominopelvic accidental puncture or laceration rate1.61Same as national1568
CMS Medicare PSI 90: Patient safety and adverse events composite1.35Worse than 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 patients16Not available182
Hospital return days for heart failure patients17Not available319
Hospital return days for pneumonia patients47.2Not available367
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national2363
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national678
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 national421
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national182
Rate of readmission for CABG10.5Same as national99
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national47
Heart failure (HF) 30-Day Readmission Rate21.8Same as national319
Rate of readmission after hip/knee replacement5.2Same as national25
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national367

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 rating2721
Doctor communication - star rating3721
Communication about medicines - star rating2721
Discharge information - star rating3721
Cleanliness - star rating2721
Quietness - star rating3721
Overall hospital rating - star rating2721
Recommend hospital - star rating3721
Summary star rating3721

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 vaccination582857
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 better136418
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 better135398
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28412
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 seen144488
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9983
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing164798
Appropriate care for severe sepsis and septic shock72149
Septic Shock 3-Hour Bundle8336
Septic Shock 6-Hour Bundle9123
Severe Sepsis 3-Hour Bundle83149
Severe Sepsis 6-Hour Bundle8966
Discharged on Antithrombotic Therapy97260
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295189
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis96956

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 rated?
Saint Joseph Hospital has a 3 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 One Saint Joseph Drive, Lexington, KY 40504.
What type of hospital is Saint Joseph Hospital?
Saint Joseph Hospital 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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