Acute Care Hospitals · Voluntary non-profit - Private
Saint Joseph's Hospital of Atlanta, Inc
- 5665 Peachtree Dunwoody Road, Atlanta, GA 30342
- (678) 843-7001
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Saint Joseph's Hospital of Atlanta, Inc 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.666 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.847 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 12464 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 13.096 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 15 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 1.145 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.212 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.960 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 11319 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 14.429 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 7 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.485 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.718 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.372 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 310 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 8.060 | Same as national |
| SSI - Colon Surgery: Observed Cases | 11 | Same as national |
| SSI - Colon Surgery | 1.365 | 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 | 83 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.729 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.036 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.715 | Better than national |
| MRSA Bacteremia: Patient Days | 111848 | Better than national |
| MRSA Bacteremia: Predicted Cases | 9.239 | Better than national |
| MRSA Bacteremia: Observed Cases | 2 | Better than national |
| MRSA Bacteremia | 0.216 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.273 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.611 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 111848 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 57.563 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 24 | Better than national |
| Clostridium Difficile (C.Diff) | 0.417 | 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 | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 2.9 | Better than national | 1832 |
| Death rate for heart attack patients | 13.1 | Same as national | 121 |
| Death rate for CABG surgery patients | 3.5 | Same as national | 243 |
| Death rate for COPD patients | 7.6 | Same as national | 90 |
| Death rate for heart failure patients | 10.6 | Same as national | 581 |
| Death rate for pneumonia patients | 14.8 | Same as national | 408 |
| Death rate for stroke patients | 10.7 | Same as national | 154 |
| Pressure ulcer rate | 0.73 | Same as national | 6464 |
| Death rate among surgical inpatients with serious treatable complications | 183.48 | Same as national | 81 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 7265 |
| In-hospital fall-associated fracture rate | 0.28 | Same as national | 8053 |
| Postoperative hemorrhage or hematoma rate | 3.37 | Same as national | 2005 |
| Postoperative acute kidney injury requiring dialysis rate | 1.43 | Same as national | 1096 |
| Postoperative respiratory failure rate | 7.36 | Same as national | 1084 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.16 | Same as national | 2297 |
| Postoperative sepsis rate | 5.69 | Same as national | 1096 |
| Postoperative wound dehiscence rate | 1.86 | Same as national | 403 |
| Abdominopelvic accidental puncture or laceration rate | 0.95 | Same as national | 1519 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.02 | 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 | 12.3 | Not available | 169 |
| Hospital return days for heart failure patients | 21 | Not available | 689 |
| Hospital return days for pneumonia patients | 14.1 | Not available | 415 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.3 | Same as national | 3065 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.5 | Same as national | 808 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.8 | Same as national | 788 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14 | Same as national | 169 |
| Rate of readmission for CABG | 11.3 | Same as national | 238 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.6 | Same as national | 99 |
| Heart failure (HF) 30-Day Readmission Rate | 21 | Same as national | 689 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 16.4 | Same as national | 415 |
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 | 502 |
| Doctor communication - star rating | 4 | 502 |
| Communication about medicines - star rating | 2 | 502 |
| Discharge information - star rating | 3 | 502 |
| Cleanliness - star rating | 3 | 502 |
| Quietness - star rating | 3 | 502 |
| Overall hospital rating - star rating | 3 | 502 |
| Recommend hospital - star rating | 4 | 502 |
| Summary star rating | 3 | 502 |
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 | 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 Hyperglycemia | 8 | 34828 |
| Hospital Harm - Severe Hypoglycemia | 2 | 6466 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 93 | 3537 |
| 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 | 261 | 403 |
| 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 | 259 | 388 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 316 | 15 |
| 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 | 3 | 43483 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 65 | 141 |
| 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 | 5047 |
| Appropriate care for severe sepsis and septic shock | 32 | 111 |
| Septic Shock 3-Hour Bundle | 27 | 33 |
| Septic Shock 6-Hour Bundle | — | — |
| Severe Sepsis 3-Hour Bundle | 68 | 111 |
| Severe Sepsis 6-Hour Bundle | 70 | 44 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 81 | 11362 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 92 | 3662 |
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 | Not Applicable (our hospital does not provide inpatient labor/delivery care) | — |
Frequently asked questions
- How is Saint Joseph's Hospital of Atlanta, Inc rated?
- Saint Joseph's Hospital of Atlanta, Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Saint Joseph's Hospital of Atlanta, Inc have emergency services?
- Yes. Saint Joseph's Hospital of Atlanta, Inc operates a 24/7 emergency department.
- Where is Saint Joseph's Hospital of Atlanta, Inc located?
- Saint Joseph's Hospital of Atlanta, Inc is located at 5665 Peachtree Dunwoody Road, Atlanta, GA 30342.
- What type of hospital is Saint Joseph's Hospital of Atlanta, Inc?
- Saint Joseph's Hospital of Atlanta, Inc 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.