JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

St Francis Hospital

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At a glance

St Francis Hospital carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.016Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.560Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3152Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.161Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.316Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.764Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3837Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.919Better 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 Limit0.566Same as national
SSI - Colon Surgery: Upper Confidence Limit2.903Same as national
SSI - Colon Surgery: Number of Procedures155Same as national
SSI - Colon Surgery: Predicted Cases4.299Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.396Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.568Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.075Same as national
SSI - Abdominal Hysterectomy: Number of Procedures158Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.344Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy2.232Same as national
MRSA Bacteremia: Lower Confidence Limit0.236Same as national
MRSA Bacteremia: Upper Confidence Limit1.791Same as national
MRSA Bacteremia: Patient Days77474Same as national
MRSA Bacteremia: Predicted Cases5.386Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.743Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.001Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.119Better than national
Clostridium Difficile (C.Diff): Patient Days72699Better than national
Clostridium Difficile (C.Diff): Predicted Cases41.306Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.024Better 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 patients4.4Same as national120
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national926
Death rate for heart attack patients12.7Same as national68
Death rate for CABG surgery patients2.5Same as national83
Death rate for COPD patients10.7Same as national28
Death rate for heart failure patients13.4Same as national177
Death rate for pneumonia patients15.7Same as national197
Death rate for stroke patients14.6Same as national94
Pressure ulcer rate1.10Same as national3348
Death rate among surgical inpatients with serious treatable complications208.62Same as national32
Iatrogenic pneumothorax rate0.17Same as national3704
In-hospital fall-associated fracture rate0.23Same as national3882
Postoperative hemorrhage or hematoma rate2.22Same as national1169
Postoperative acute kidney injury requiring dialysis rate1.63Same as national92
Postoperative respiratory failure rate10.37Same as national94
Perioperative pulmonary embolism or deep vein thrombosis rate5.57Same as national1215
Postoperative sepsis rate5.01Same as national85
Postoperative wound dehiscence rate1.99Same as national404
Abdominopelvic accidental puncture or laceration rate1.30Same as national843
CMS Medicare PSI 90: Patient safety and adverse events composite1.23Same 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 patients46.1Not available84
Hospital return days for heart failure patients76Not available182
Hospital return days for pneumonia patients-14.2Not available184
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Same as national1476
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national27
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national27
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national431
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national84
Rate of readmission for CABG11.8Same as national82
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national36
Heart failure (HF) 30-Day Readmission Rate21.8Same as national182
Rate of readmission after hip/knee replacement5.2Same as national130
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national184

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 rating1889
Doctor communication - star rating2889
Communication about medicines - star rating1889
Discharge information - star rating1889
Cleanliness - star rating1889
Quietness - star rating3889
Overall hospital rating - star rating1889
Recommend hospital - star rating1889
Summary star rating1889

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 volumehigh
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 Hyperglycemia923234
Hospital Harm - Severe Hypoglycemia33610
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination801566
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 better154432
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 better153415
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19415
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 seen050286
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132841
Appropriate care for severe sepsis and septic shock34112
Septic Shock 3-Hour Bundle3918
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle58112
Severe Sepsis 6-Hour Bundle7149
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis817056
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 Francis Hospital rated?
St Francis Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does St Francis Hospital have emergency services?
Yes. St Francis Hospital operates a 24/7 emergency department.
Where is St Francis Hospital located?
St Francis Hospital is located at 5959 Park Ave, Memphis, TN 38119.
What type of hospital is St Francis Hospital?
St Francis Hospital 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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