JCIPatientSafety.orgHospital Quality Directory

Critical Access Hospitals · Voluntary non-profit - Church

St Anthony Hospital

3 / 5

At a glance

St Anthony Hospital carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days118Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.032Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.032Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.194Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days632Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.544Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.648Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures11Not available
SSI - Colon Surgery: Predicted Cases0.318Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures4Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.032Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days4554Not available
MRSA Bacteremia: Predicted Cases0.095Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.031Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit3.065Same as national
Clostridium Difficile (C.Diff): Patient Days4005Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.609Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.622Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national211
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.5Same as national25
Death rate for heart failure patients16Same as national67
Death rate for pneumonia patients16.6Same as national85
Death rate for stroke patients14.9Same as national36
Pressure ulcer rateNot available
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rateNot available
In-hospital fall-associated fracture rateNot available
Postoperative hemorrhage or hematoma rateNot available
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rateNot available
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rateNot available
CMS Medicare PSI 90: Patient safety and adverse events compositeNot available

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 patients42.7Not available72
Hospital return days for pneumonia patients12.2Not available87
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national269
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.5Same as national628
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national54
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national54
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Same as national175
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national25
Heart failure (HF) 30-Day Readmission Rate19Same as national72
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.2Same 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 rating5149
Doctor communication - star rating4149
Communication about medicines - star rating5149
Discharge information - star rating3149
Cleanliness - star rating4149
Quietness - star rating4149
Overall hospital rating - star rating4149
Recommend hospital - star rating4149
Summary star rating4149

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 volumelow
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 Hyperglycemia0760
Hospital Harm - Severe Hypoglycemia0230
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination64448
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 better152405
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 better144377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22718
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 seen314742
Head CT results5618
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9676
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing9212
Appropriate care for severe sepsis and septic shock8181
Septic Shock 3-Hour Bundle8834
Septic Shock 6-Hour Bundle8329
Severe Sepsis 3-Hour Bundle9581
Severe Sepsis 6-Hour Bundle9761
Discharged on Antithrombotic Therapy
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 MeasureYes

Frequently asked questions

How is St Anthony Hospital rated?
St Anthony Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Anthony Hospital have emergency services?
Yes. St Anthony Hospital operates a 24/7 emergency department.
Where is St Anthony Hospital located?
St Anthony Hospital is located at 2801 St Anthony Way, Pendleton, OR 97801.
What type of hospital is St Anthony Hospital?
St Anthony Hospital is classified by CMS as a Critical Access Hospitals facility (Voluntary non-profit - Church).

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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