JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Francis Hospital

3 / 5

At a glance

St Francis Hospital 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 Limit0.241Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.754Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1536Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.390Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.439Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.038Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.705Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1302Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.331Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.751Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures30Not available
SSI - Colon Surgery: Predicted Cases0.842Not 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 Procedures56Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.511Not 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 Days16775Not available
MRSA Bacteremia: Predicted Cases0.676Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.045Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.884Better than national
Clostridium Difficile (C.Diff): Patient Days15504Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.477Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.267Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national348
Death rate for heart attack patients13Same as national41
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national34
Death rate for heart failure patients9.9Same as national116
Death rate for pneumonia patients14.7Same as national85
Death rate for stroke patients12Same as national39
Pressure ulcer rate0.36Same as national1125
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national1478
In-hospital fall-associated fracture rate0.26Same as national1508
Postoperative hemorrhage or hematoma rate2.47Same as national260
Postoperative acute kidney injury requiring dialysis rate1.63Same as national85
Postoperative respiratory failure rate7.72Same as national91
Perioperative pulmonary embolism or deep vein thrombosis rate3.09Same as national271
Postoperative sepsis rate5.67Same as national90
Postoperative wound dehiscence rate1.72Same as national65
Abdominopelvic accidental puncture or laceration rate1.25Same as national280
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients4.9Not available148
Hospital return days for pneumonia patients-46.8Not available91
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national518
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national369
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 surgery0.9Same as national283
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national30
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national39
Heart failure (HF) 30-Day Readmission Rate18.7Same as national148
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national91

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 rating2322
Doctor communication - star rating3322
Communication about medicines - star rating1322
Discharge information - star rating2322
Cleanliness - star rating2322
Quietness - star rating3322
Overall hospital rating - star rating2322
Recommend hospital - star rating3322
Summary star rating2322

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 vaccination441158
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 better196415
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 better194399
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23413
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 seen827251
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9850
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13891
Appropriate care for severe sepsis and septic shock9143
Septic Shock 3-Hour Bundle10011
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle10043
Severe Sepsis 6-Hour Bundle9134
Discharged on Antithrombotic Therapy9656
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29849
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 Francis Hospital rated?
St Francis Hospital has a 3 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 7th and Clayton Sts, Wilmington, DE 19805.
What type of hospital is St Francis Hospital?
St Francis Hospital 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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