JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Ssm Health St. Mary's Hospital - Jefferson City

3 / 5

At a glance

Ssm Health St. Mary's Hospital - Jefferson City 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 6 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.303Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1616Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.301Same 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 Limit0.028Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.731Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2333Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.806Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.554Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures37Not available
SSI - Colon Surgery: Predicted Cases0.835Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures32Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.292Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.639Same as national
MRSA Bacteremia: Upper Confidence Limit6.832Same as national
MRSA Bacteremia: Patient Days23197Same as national
MRSA Bacteremia: Predicted Cases1.195Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia2.510Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.125Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.947Better than national
Clostridium Difficile (C.Diff): Patient Days21944Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.191Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.393Better 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 patients3.1Same as national32
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national618
Death rate for heart attack patients11.4Same as national58
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national94
Death rate for heart failure patients12.7Same as national134
Death rate for pneumonia patients17.4Same as national290
Death rate for stroke patients13.7Same as national53
Pressure ulcer rate1.18Same as national2033
Death rate among surgical inpatients with serious treatable complications187.20Same as national30
Iatrogenic pneumothorax rate0.18Same as national2428
In-hospital fall-associated fracture rate0.25Same as national2441
Postoperative hemorrhage or hematoma rate2.08Same as national522
Postoperative acute kidney injury requiring dialysis rate1.62Same as national280
Postoperative respiratory failure rate17.32Same as national281
Perioperative pulmonary embolism or deep vein thrombosis rate3.63Same as national554
Postoperative sepsis rate7.23Same as national248
Postoperative wound dehiscence rate1.68Same as national163
Abdominopelvic accidental puncture or laceration rate0.98Same as national432
CMS Medicare PSI 90: Patient safety and adverse events composite1.42Same 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 patients19.2Not available56
Hospital return days for heart failure patients47.6Not available142
Hospital return days for pneumonia patients-2.1Not available295
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national907
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national496
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 surgery1Same as national272
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national56
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.6Same as national112
Heart failure (HF) 30-Day Readmission Rate22Same as national142
Rate of readmission after hip/knee replacement4.2Same as national33
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national295

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 rating3565
Doctor communication - star rating3565
Communication about medicines - star rating3565
Discharge information - star rating5565
Cleanliness - star rating3565
Quietness - star rating4565
Overall hospital rating - star rating4565
Recommend hospital - star rating3565
Summary star rating4565

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia1994
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination741337
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 better179404
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 better170374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28926
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 seen229343
Head CT results8715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10029
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141255
Appropriate care for severe sepsis and septic shock56110
Septic Shock 3-Hour Bundle5937
Septic Shock 6-Hour Bundle7919
Severe Sepsis 3-Hour Bundle77110
Severe Sepsis 6-Hour Bundle9470
Discharged on Antithrombotic Therapy10042
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29656
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 MeasureYes

Frequently asked questions

How is Ssm Health St. Mary's Hospital - Jefferson City rated?
Ssm Health St. Mary's Hospital - Jefferson City has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ssm Health St. Mary's Hospital - Jefferson City have emergency services?
Yes. Ssm Health St. Mary's Hospital - Jefferson City operates a 24/7 emergency department.
Where is Ssm Health St. Mary's Hospital - Jefferson City located?
Ssm Health St. Mary's Hospital - Jefferson City is located at 2505 Mission Drive, Jefferson City, MO 65109.
What type of hospital is Ssm Health St. Mary's Hospital - Jefferson City?
Ssm Health St. Mary's Hospital - Jefferson City 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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