JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Francis Regional Medical Center

3 / 5

At a glance

St Francis Regional Medical Center 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.385Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1861Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.256Same 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 Limit0.242Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.778Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1897Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.383Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.446Same as national
SSI - Colon Surgery: Lower Confidence Limit0.469Same as national
SSI - Colon Surgery: Upper Confidence Limit5.021Same as national
SSI - Colon Surgery: Number of Procedures65Same as national
SSI - Colon Surgery: Predicted Cases1.626Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.845Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures17Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.163Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.940Same as national
MRSA Bacteremia: Patient Days28217Same as national
MRSA Bacteremia: Predicted Cases1.019Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.134Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.015Same as national
Clostridium Difficile (C.Diff): Patient Days26275Same as national
Clostridium Difficile (C.Diff): Predicted Cases9.508Same as national
Clostridium Difficile (C.Diff): Observed Cases4Same as national
Clostridium Difficile (C.Diff)0.421Same 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 patients3.7Same as national57
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national541
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.7Same as national44
Death rate for heart failure patients12.9Same as national147
Death rate for pneumonia patients16.6Same as national140
Death rate for stroke patients11.2Same as national55
Pressure ulcer rate0.39Same as national1596
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national2081
In-hospital fall-associated fracture rate0.25Same as national2005
Postoperative hemorrhage or hematoma rate2.18Same as national379
Postoperative acute kidney injury requiring dialysis rate1.58Same as national211
Postoperative respiratory failure rate6.58Same as national215
Perioperative pulmonary embolism or deep vein thrombosis rate3.79Same as national401
Postoperative sepsis rate5.44Same as national209
Postoperative wound dehiscence rate1.71Same as national133
Abdominopelvic accidental puncture or laceration rate1.28Same as national361
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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 patients-6.4Not available161
Hospital return days for pneumonia patients11.9Not available145
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national841
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national391
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national31
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national31
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national216
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 national48
Heart failure (HF) 30-Day Readmission Rate19.4Same as national161
Rate of readmission after hip/knee replacement4.7Same as national56
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national145

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 rating31187
Doctor communication - star rating31187
Communication about medicines - star rating21187
Discharge information - star rating41187
Cleanliness - star rating21187
Quietness - star rating41187
Overall hospital rating - star rating31187
Recommend hospital - star rating41187
Summary star rating31187

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination632134
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 better154406
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 better152375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21022
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 seen172292
Head CT results6913
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96483
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151785
Appropriate care for severe sepsis and septic shock5185
Septic Shock 3-Hour Bundle6730
Septic Shock 6-Hour Bundle6414
Severe Sepsis 3-Hour Bundle6985
Severe Sepsis 6-Hour Bundle10045
Discharged on Antithrombotic Therapy9984
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29861
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 Regional Medical Center rated?
St Francis Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Francis Regional Medical Center have emergency services?
Yes. St Francis Regional Medical Center operates a 24/7 emergency department.
Where is St Francis Regional Medical Center located?
St Francis Regional Medical Center is located at 1455 St Francis Avenue, Shakopee, MN 55379.
What type of hospital is St Francis Regional Medical Center?
St Francis Regional Medical Center 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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