JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Saint Mary's Regional Medical Center

4 / 5

At a glance

Saint Mary's Regional Medical Center carries a 4-star CMS overall rating — above the national norm.

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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.108Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1992Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.421Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.675Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2561Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.788Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.792Same as national
SSI - Colon Surgery: Number of Procedures62Same as national
SSI - Colon Surgery: Predicted Cases1.672Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures20Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.187Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.049Same as national
MRSA Bacteremia: Upper Confidence Limit4.845Same as national
MRSA Bacteremia: Patient Days21206Same as national
MRSA Bacteremia: Predicted Cases1.018Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.982Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.235Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.419Same as national
Clostridium Difficile (C.Diff): Patient Days21206Same as national
Clostridium Difficile (C.Diff): Predicted Cases7.810Same as national
Clostridium Difficile (C.Diff): Observed Cases5Same as national
Clostridium Difficile (C.Diff)0.640Same as 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 patients3.3Same as national36
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Same as national957
Death rate for heart attack patients11.3Same as national169
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national66
Death rate for heart failure patients10Same as national243
Death rate for pneumonia patients14.3Same as national386
Death rate for stroke patients13.6Same as national126
Pressure ulcer rate0.50Same as national2623
Death rate among surgical inpatients with serious treatable complications186.22Same as national65
Iatrogenic pneumothorax rate0.16Same as national4211
In-hospital fall-associated fracture rate0.27Same as national4197
Postoperative hemorrhage or hematoma rate1.84Same as national949
Postoperative acute kidney injury requiring dialysis rate1.48Same as national464
Postoperative respiratory failure rate7.33Same as national423
Perioperative pulmonary embolism or deep vein thrombosis rate2.39Same as national1036
Postoperative sepsis rate4.65Same as national465
Postoperative wound dehiscence rate1.66Same as national224
Abdominopelvic accidental puncture or laceration rate0.88Same as national773
CMS Medicare PSI 90: Patient safety and adverse events composite0.81Same 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 patients12.9Not available187
Hospital return days for heart failure patients-10.4Not available285
Hospital return days for pneumonia patients7.3Not available415
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1550
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national102
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.1Same as national29
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national29
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national145
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national187
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national74
Heart failure (HF) 30-Day Readmission Rate19.6Same as national285
Rate of readmission after hip/knee replacement4.3Same as national31
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national415

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 rating2514
Doctor communication - star rating2514
Communication about medicines - star rating2514
Discharge information - star rating3514
Cleanliness - star rating4514
Quietness - star rating2514
Overall hospital rating - star rating3514
Recommend hospital - star rating4514
Summary star rating3514

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 volumemedium
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 Hyperglycemia106064
Hospital Harm - Severe Hypoglycemia11493
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination891839
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 better140438
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 better138384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21454
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 seen135529
Head CT results3611
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 Prescribing111523
Appropriate care for severe sepsis and septic shock7769
Septic Shock 3-Hour Bundle6020
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle9069
Severe Sepsis 6-Hour Bundle9840
Discharged on Antithrombotic Therapy9288
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 Mary's Regional Medical Center rated?
Saint Mary's Regional Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Mary's Regional Medical Center have emergency services?
Yes. Saint Mary's Regional Medical Center operates a 24/7 emergency department.
Where is Saint Mary's Regional Medical Center located?
Saint Mary's Regional Medical Center is located at 235 W 6th St, Reno, NV 89503.
What type of hospital is Saint Mary's Regional Medical Center?
Saint Mary's Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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