Acute Care Hospitals · Voluntary non-profit - Private
Saint Joseph Regional Medical Center
- 5215 Holy Cross Pkwy, Mishawaka, IN 46545
- (574) 335-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Saint Joseph Regional Medical Center carries a 2-star CMS overall rating — below 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.252 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.916 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 5147 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 5.037 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 4 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.794 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.008 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.747 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 5450 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 6.602 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 1 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.151 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.154 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 3.026 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 85 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 2.184 | Same as national |
| SSI - Colon Surgery: Observed Cases | 2 | Same as national |
| SSI - Colon Surgery | 0.916 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 74 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.667 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | — | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.026 | Same as national |
| MRSA Bacteremia: Patient Days | 58551 | Same as national |
| MRSA Bacteremia: Predicted Cases | 2.921 | Same as national |
| MRSA Bacteremia: Observed Cases | 0 | Same as national |
| MRSA Bacteremia | 0.000 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.118 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.484 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 52991 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 31.386 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 8 | Better than national |
| Clostridium Difficile (C.Diff) | 0.255 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 4.2 | Same as national | 55 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.7 | Same as national | 1210 |
| Death rate for heart attack patients | 14.1 | Same as national | 123 |
| Death rate for CABG surgery patients | 3.8 | Same as national | 27 |
| Death rate for COPD patients | 6.8 | Same as national | 149 |
| Death rate for heart failure patients | 14.4 | Worse than national | 408 |
| Death rate for pneumonia patients | 20.1 | Worse than national | 375 |
| Death rate for stroke patients | 12.7 | Same as national | 158 |
| Pressure ulcer rate | 0.56 | Same as national | 4559 |
| Death rate among surgical inpatients with serious treatable complications | 205.79 | Same as national | 64 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 5352 |
| In-hospital fall-associated fracture rate | 0.30 | Same as national | 5445 |
| Postoperative hemorrhage or hematoma rate | 1.77 | Same as national | 1210 |
| Postoperative acute kidney injury requiring dialysis rate | 1.82 | Same as national | 426 |
| Postoperative respiratory failure rate | 13.14 | Same as national | 446 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.13 | Same as national | 1266 |
| Postoperative sepsis rate | 5.69 | Same as national | 391 |
| Postoperative wound dehiscence rate | 1.96 | Same as national | 190 |
| Abdominopelvic accidental puncture or laceration rate | 0.85 | Same as national | 992 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.12 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 2.7 | Not available | 136 |
| Hospital return days for heart failure patients | 9.3 | Not available | 458 |
| Hospital return days for pneumonia patients | 6.1 | Not available | 375 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.9 | Same as national | 1959 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.4 | Same as national | 100 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.3 | Same as national | 82 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.1 | Same as national | 82 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as national | 515 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.3 | Same as national | 136 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.3 | Same as national | 167 |
| Heart failure (HF) 30-Day Readmission Rate | 20.8 | Same as national | 458 |
| Rate of readmission after hip/knee replacement | 5 | Same as national | 55 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.8 | Same as national | 375 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 527 |
| Doctor communication - star rating | 3 | 527 |
| Communication about medicines - star rating | 1 | 527 |
| Discharge information - star rating | 3 | 527 |
| Cleanliness - star rating | 3 | 527 |
| Quietness - star rating | 3 | 527 |
| Overall hospital rating - star rating | 3 | 527 |
| Recommend hospital - star rating | 3 | 527 |
| Summary star rating | 3 | 527 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | medium | — |
| 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 vaccination | 61 | 3133 |
| 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 better | 188 | 423 |
| 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 better | 188 | 410 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 211 | 13 |
| 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 | 2 | 37062 |
| Head CT results | 40 | 15 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 47 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 2785 |
| Appropriate care for severe sepsis and septic shock | 68 | 148 |
| Septic Shock 3-Hour Bundle | 75 | 59 |
| Septic Shock 6-Hour Bundle | 89 | 38 |
| Severe Sepsis 3-Hour Bundle | 84 | 149 |
| Severe Sepsis 6-Hour Bundle | 95 | 86 |
| Discharged on Antithrombotic Therapy | 100 | 168 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 74 | 47 |
| Antithrombotic Therapy by End of Hospital Day 2 | 100 | 160 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Saint Joseph Regional Medical Center rated?
- Saint Joseph Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Saint Joseph Regional Medical Center have emergency services?
- Yes. Saint Joseph Regional Medical Center operates a 24/7 emergency department.
- Where is Saint Joseph Regional Medical Center located?
- Saint Joseph Regional Medical Center is located at 5215 Holy Cross Pkwy, Mishawaka, IN 46545.
- What type of hospital is Saint Joseph Regional Medical Center?
- Saint Joseph Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.