JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Sinai-Grace Hospital

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At a glance

Sinai-Grace Hospital carries a 1-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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.504Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.897Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7837Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.705Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases9Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.034Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.028Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.556Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8177Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.893Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.168Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.426Same as national
SSI - Colon Surgery: Number of Procedures62Same as national
SSI - Colon Surgery: Predicted Cases2.101Same 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 Procedures57Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.607Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.394Same as national
MRSA Bacteremia: Upper Confidence Limit1.783Same as national
MRSA Bacteremia: Patient Days77246Same as national
MRSA Bacteremia: Predicted Cases7.768Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia0.901Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.185Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.554Better than national
Clostridium Difficile (C.Diff): Patient Days74130Better than national
Clostridium Difficile (C.Diff): Predicted Cases39.098Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.332Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national436
Death rate for heart attack patients13.1Same as national58
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national73
Death rate for heart failure patients10.4Same as national152
Death rate for pneumonia patients15.9Same as national138
Death rate for stroke patients13.1Same as national93
Pressure ulcer rate2.17Worse than national2588
Death rate among surgical inpatients with serious treatable complications170.45Same as national55
Iatrogenic pneumothorax rate0.23Same as national3251
In-hospital fall-associated fracture rate0.23Same as national3328
Postoperative hemorrhage or hematoma rate2.05Same as national442
Postoperative acute kidney injury requiring dialysis rate1.63Same as national65
Postoperative respiratory failure rate9.92Same as national76
Perioperative pulmonary embolism or deep vein thrombosis rate4.80Same as national424
Postoperative sepsis rate4.86Same as national68
Postoperative wound dehiscence rate2.03Same as national81
Abdominopelvic accidental puncture or laceration rate1.17Same as national597
CMS Medicare PSI 90: Patient safety and adverse events composite1.50Worse 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 patients-14.3Not available57
Hospital return days for heart failure patients38Not available186
Hospital return days for pneumonia patients85.1Not available125
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national787
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national351
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 surgery0.9Same as national37
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national57
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national84
Heart failure (HF) 30-Day Readmission Rate20.3Same as national186
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national125

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 rating1340
Doctor communication - star rating2340
Communication about medicines - star rating1340
Discharge information - star rating1340
Cleanliness - star rating1340
Quietness - star rating2340
Overall hospital rating - star rating1340
Recommend hospital - star rating1340
Summary star rating1340

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 volumevery 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 Hyperglycemia326527
Hospital Harm - Severe Hypoglycemia22429
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination781563
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 better154431
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 better143384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better44442
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 seen462684
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients53124
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing92883
Appropriate care for severe sepsis and septic shock31143
Septic Shock 3-Hour Bundle6128
Septic Shock 6-Hour Bundle7315
Severe Sepsis 3-Hour Bundle49143
Severe Sepsis 6-Hour Bundle8147
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis846034
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 MeasureYes

Frequently asked questions

How is Sinai-Grace Hospital rated?
Sinai-Grace Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Sinai-Grace Hospital have emergency services?
Yes. Sinai-Grace Hospital operates a 24/7 emergency department.
Where is Sinai-Grace Hospital located?
Sinai-Grace Hospital is located at 6071 W Outer Drive, Detroit, MI 48235.
What type of hospital is Sinai-Grace Hospital?
Sinai-Grace Hospital 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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