JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ssm Health St Mary's Hospital - St Louis

3 / 5

At a glance

Ssm Health St Mary's Hospital - St Louis 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 Limit0.263Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.922Better than national
Central Line Associated Bloodstream Infection: Number of Device Days16440Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases19.332Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases10Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.517Better 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 Limit0.528Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4359Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.673Better 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 Limit0.080Same as national
SSI - Colon Surgery: Upper Confidence Limit1.575Same as national
SSI - Colon Surgery: Number of Procedures149Same as national
SSI - Colon Surgery: Predicted Cases4.196Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.477Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.146Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.873Same as national
SSI - Abdominal Hysterectomy: Number of Procedures257Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.300Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.870Same as national
MRSA Bacteremia: Lower Confidence Limit0.426Same as national
MRSA Bacteremia: Upper Confidence Limit1.926Same as national
MRSA Bacteremia: Patient Days115694Same as national
MRSA Bacteremia: Predicted Cases7.190Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia0.974Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.199Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.518Better than national
Clostridium Difficile (C.Diff): Patient Days88535Better than national
Clostridium Difficile (C.Diff): Predicted Cases51.516Better than national
Clostridium Difficile (C.Diff): Observed Cases17Better than national
Clostridium Difficile (C.Diff)0.330Better 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 patients4Same as national25
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national730
Death rate for heart attack patients12.2Same as national77
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national69
Death rate for heart failure patients9.6Same as national251
Death rate for pneumonia patients13Same as national180
Death rate for stroke patients12.1Same as national58
Pressure ulcer rate0.85Same as national3222
Death rate among surgical inpatients with serious treatable complications162.30Same as national52
Iatrogenic pneumothorax rate0.24Same as national3770
In-hospital fall-associated fracture rate0.27Same as national3815
Postoperative hemorrhage or hematoma rate1.94Same as national717
Postoperative acute kidney injury requiring dialysis rate2.91Same as national235
Postoperative respiratory failure rate10.80Same as national226
Perioperative pulmonary embolism or deep vein thrombosis rate3.92Same as national737
Postoperative sepsis rate4.39Same as national211
Postoperative wound dehiscence rate1.95Same as national201
Abdominopelvic accidental puncture or laceration rate1.34Same as national731
CMS Medicare PSI 90: Patient safety and adverse events composite1.15Same 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 patients21.6Not available70
Hospital return days for heart failure patients32.5Not available290
Hospital return days for pneumonia patients17.5Not available177
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Same as national1273
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national939
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national180
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national180
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national246
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national70
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national76
Heart failure (HF) 30-Day Readmission Rate21.1Same as national290
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national177

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 rating3807
Doctor communication - star rating3807
Communication about medicines - star rating2807
Discharge information - star rating2807
Cleanliness - star rating1807
Quietness - star rating3807
Overall hospital rating - star rating2807
Recommend hospital - star rating2807
Summary star rating2807

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 Hypoglycemia22976
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination814677
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 better178395
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 better174373
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better59817
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 seen286931
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9994
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing123706
Appropriate care for severe sepsis and septic shock54126
Septic Shock 3-Hour Bundle5428
Septic Shock 6-Hour Bundle6913
Severe Sepsis 3-Hour Bundle73126
Severe Sepsis 6-Hour Bundle8856
Discharged on Antithrombotic Therapy9777
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298122
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 - St Louis rated?
Ssm Health St Mary's Hospital - St Louis has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ssm Health St Mary's Hospital - St Louis have emergency services?
Yes. Ssm Health St Mary's Hospital - St Louis operates a 24/7 emergency department.
Where is Ssm Health St Mary's Hospital - St Louis located?
Ssm Health St Mary's Hospital - St Louis is located at 6420 Clayton Rd, Saint Louis, MO 63117.
What type of hospital is Ssm Health St Mary's Hospital - St Louis?
Ssm Health St Mary's Hospital - St Louis 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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