JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Clare Hospital

4 / 5

At a glance

St Clare Hospital carries a 4-star CMS overall rating — above 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 Limit1.529Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2136Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.959Same 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 LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.286Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2292Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.330Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures26Not available
SSI - Colon Surgery: Predicted Cases0.705Not 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 Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.022Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.023Same as national
MRSA Bacteremia: Upper Confidence Limit2.307Same as national
MRSA Bacteremia: Patient Days31059Same as national
MRSA Bacteremia: Predicted Cases2.138Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.468Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.004Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.418Better than national
Clostridium Difficile (C.Diff): Patient Days31059Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.789Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.085Better 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 patients3.9Same as national51
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national568
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national48
Death rate for heart failure patients11.7Same as national143
Death rate for pneumonia patients13.4Same as national153
Death rate for stroke patients13.2Same as national37
Pressure ulcer rate0.28Same as national1967
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2290
In-hospital fall-associated fracture rate0.29Same as national2279
Postoperative hemorrhage or hematoma rate2.20Same as national342
Postoperative acute kidney injury requiring dialysis rate1.63Same as national131
Postoperative respiratory failure rate15.66Same as national130
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national366
Postoperative sepsis rate4.92Same as national119
Postoperative wound dehiscence rate1.73Same as national56
Abdominopelvic accidental puncture or laceration rate1.28Same as national368
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same 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 patientsNot available
Hospital return days for heart failure patients28.3Not available143
Hospital return days for pneumonia patients-30.1Not available143
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national853
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national234
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 national317
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national53
Heart failure (HF) 30-Day Readmission Rate19.1Same as national143
Rate of readmission after hip/knee replacement4.3Same as national47
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national143

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 rating3646
Doctor communication - star rating3646
Communication about medicines - star rating3646
Discharge information - star rating3646
Cleanliness - star rating3646
Quietness - star rating2646
Overall hospital rating - star rating3646
Recommend hospital - star rating3646
Summary star rating3646

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination79895
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 better167415
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 better163391
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23121
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 seen135791
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10071
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151670
Appropriate care for severe sepsis and septic shock71271
Septic Shock 3-Hour Bundle8358
Septic Shock 6-Hour Bundle8738
Severe Sepsis 3-Hour Bundle84271
Severe Sepsis 6-Hour Bundle91141
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29259
Venous Thromboembolism Prophylaxis913843
Intensive Care Unit Venous Thromboembolism Prophylaxis96728

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is St Clare Hospital rated?
St Clare Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Clare Hospital have emergency services?
Yes. St Clare Hospital operates a 24/7 emergency department.
Where is St Clare Hospital located?
St Clare Hospital is located at 11315 Bridgeport Way S W, Lakewood, WA 98499.
What type of hospital is St Clare Hospital?
St Clare Hospital is classified by CMS as a Acute Care 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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