JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sisters of Charity Hospital

3 / 5

At a glance

Sisters of Charity 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 Limit0.038Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.752Better than national
Central Line Associated Bloodstream Infection: Number of Device Days8008Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.782Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.228Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.467Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5146Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.412Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.526Same as national
SSI - Colon Surgery: Upper Confidence Limit3.179Same as national
SSI - Colon Surgery: Number of Procedures131Same as national
SSI - Colon Surgery: Predicted Cases3.486Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.434Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.590Same as national
SSI - Abdominal Hysterectomy: Number of Procedures224Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.884Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.014Same as national
MRSA Bacteremia: Upper Confidence Limit1.337Same as national
MRSA Bacteremia: Patient Days79143Same as national
MRSA Bacteremia: Predicted Cases3.688Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.271Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.002Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.180Better than national
Clostridium Difficile (C.Diff): Patient Days61995Better than national
Clostridium Difficile (C.Diff): Predicted Cases27.438Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.036Better 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 Rate3.9Same as national426
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.5Same as national42
Death rate for heart failure patients11.2Same as national139
Death rate for pneumonia patients12Same as national82
Death rate for stroke patients15Same as national39
Pressure ulcer rate2.52Worse than national1757
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national2143
In-hospital fall-associated fracture rate0.25Same as national2208
Postoperative hemorrhage or hematoma rate3.14Same as national448
Postoperative acute kidney injury requiring dialysis rate2.40Same as national240
Postoperative respiratory failure rate12.03Same as national239
Perioperative pulmonary embolism or deep vein thrombosis rate4.68Same as national477
Postoperative sepsis rate5.19Same as national230
Postoperative wound dehiscence rate1.70Same as national97
Abdominopelvic accidental puncture or laceration rate1.46Same as national452
CMS Medicare PSI 90: Patient safety and adverse events composite1.71Worse 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 patientsNot available
Hospital return days for heart failure patients36.4Not available148
Hospital return days for pneumonia patients54.8Not available87
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national674
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national705
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national25
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national25
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national328
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national48
Heart failure (HF) 30-Day Readmission Rate20.4Same as national148
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17Same as national87

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 rating31112
Doctor communication - star rating31112
Communication about medicines - star rating21112
Discharge information - star rating31112
Cleanliness - star rating21112
Quietness - star rating21112
Overall hospital rating - star rating31112
Recommend hospital - star rating31112
Summary star rating31112

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events05626
Healthcare workers given influenza vaccination543991
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 better195389
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 better197375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen361290
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9973
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132867
Appropriate care for severe sepsis and septic shock27137
Septic Shock 3-Hour Bundle5426
Septic Shock 6-Hour Bundle5812
Severe Sepsis 3-Hour Bundle44137
Severe Sepsis 6-Hour Bundle8336
Discharged on Antithrombotic Therapy9672
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis914347
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 Sisters of Charity Hospital rated?
Sisters of Charity Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Sisters of Charity Hospital have emergency services?
Yes. Sisters of Charity Hospital operates a 24/7 emergency department.
Where is Sisters of Charity Hospital located?
Sisters of Charity Hospital is located at 2157 Main Street, Buffalo, NY 14214.
What type of hospital is Sisters of Charity Hospital?
Sisters of Charity Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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