JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

St Johns Medical Center

5 / 5

At a glance

St Johns Medical Center carries a 5-star CMS overall rating — above 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 Days267Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.164Not 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 LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days562Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.287Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures22Not available
SSI - Colon Surgery: Predicted Cases0.491Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures22Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.141Not 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 Days10531Not available
MRSA Bacteremia: Predicted Cases0.220Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.017Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.679Same as national
Clostridium Difficile (C.Diff): Patient Days9600Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.937Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.340Same 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 patients3.5Same as national34
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national423
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.1Same as national44
Death rate for heart failure patients11.2Same as national58
Death rate for pneumonia patients9.6Better than national98
Death rate for stroke patientsNot available
Pressure ulcer rate1.59Same as national810
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1323
In-hospital fall-associated fracture rate0.26Same as national1288
Postoperative hemorrhage or hematoma rate2.18Same as national346
Postoperative acute kidney injury requiring dialysis rate1.63Same as national204
Postoperative respiratory failure rate7.68Same as national205
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national358
Postoperative sepsis rate4.68Same as national190
Postoperative wound dehiscence rate1.73Same as national103
Abdominopelvic accidental puncture or laceration rate0.99Same as national207
CMS Medicare PSI 90: Patient safety and adverse events composite1.20Same 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-65.8Not available72
Hospital return days for pneumonia patients-39.9Not available112
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national587
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national836
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national71
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national71
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national359
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national47
Heart failure (HF) 30-Day Readmission Rate18.1Same as national72
Rate of readmission after hip/knee replacement5Same as national37
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national112

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 rating5365
Doctor communication - star rating4365
Communication about medicines - star rating4365
Discharge information - star rating5365
Cleanliness - star rating5365
Quietness - star rating4365
Overall hospital rating - star rating5365
Recommend hospital - star rating5365
Summary star rating5365

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events0949
Healthcare workers given influenza vaccination85972
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 better113408
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 better110385
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better13216
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 seen09489
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100263
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14549
Appropriate care for severe sepsis and septic shock8335
Septic Shock 3-Hour Bundle8116
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle9736
Severe Sepsis 6-Hour Bundle10026
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 Johns Medical Center rated?
St Johns Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does St Johns Medical Center have emergency services?
Yes. St Johns Medical Center operates a 24/7 emergency department.
Where is St Johns Medical Center located?
St Johns Medical Center is located at Po Box 428, Jackson, WY 83001.
What type of hospital is St Johns Medical Center?
St Johns Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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.

Report an issue with this page