JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

St Joseph Hospital

4 / 5

At a glance

St Joseph 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 12 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.125Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.335Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7712Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.114Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.491Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.973Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5915Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.067Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.197Better than national
SSI - Colon Surgery: Lower Confidence Limit0.072Same as national
SSI - Colon Surgery: Upper Confidence Limit1.412Same as national
SSI - Colon Surgery: Number of Procedures204Same as national
SSI - Colon Surgery: Predicted Cases4.679Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.427Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures58Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.482Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.012Same as national
MRSA Bacteremia: Upper Confidence Limit1.171Same as national
MRSA Bacteremia: Patient Days70234Same as national
MRSA Bacteremia: Predicted Cases4.211Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.237Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.250Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.749Better than national
Clostridium Difficile (C.Diff): Patient Days66717Better than national
Clostridium Difficile (C.Diff): Predicted Cases28.938Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.449Better 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 patients3.3Same as national126
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national2271
Death rate for heart attack patients12.3Same as national364
Death rate for CABG surgery patients2.4Same as national115
Death rate for COPD patients10.8Same as national120
Death rate for heart failure patients10.6Same as national591
Death rate for pneumonia patients12.3Better than national540
Death rate for stroke patients12.3Same as national275
Pressure ulcer rate0.49Same as national6221
Death rate among surgical inpatients with serious treatable complications161.88Same as national91
Iatrogenic pneumothorax rate0.18Same as national8007
In-hospital fall-associated fracture rate0.24Same as national8252
Postoperative hemorrhage or hematoma rate1.76Same as national1816
Postoperative acute kidney injury requiring dialysis rate1.64Same as national663
Postoperative respiratory failure rate6.02Same as national673
Perioperative pulmonary embolism or deep vein thrombosis rate3.44Same as national2014
Postoperative sepsis rate3.31Same as national665
Postoperative wound dehiscence rate1.54Same as national360
Abdominopelvic accidental puncture or laceration rate0.76Same as national1554
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients4.9Not available382
Hospital return days for heart failure patients-14.4Not available671
Hospital return days for pneumonia patients0.3Not available564
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.2Better than national3511
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national429
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.7Same as national299
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national299
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national1008
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national382
Rate of readmission for CABG10.6Same as national114
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national131
Heart failure (HF) 30-Day Readmission Rate17.3Same as national671
Rate of readmission after hip/knee replacement4.1Same as national131
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national564

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 rating3417
Doctor communication - star rating3417
Communication about medicines - star rating2417
Discharge information - star rating4417
Cleanliness - star rating2417
Quietness - star rating1417
Overall hospital rating - star rating2417
Recommend hospital - star rating3417
Summary star rating3417

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 vaccination894831
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 better214376
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 better211344
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38624
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 seen371471
Head CT results6433
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8539
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing154308
Appropriate care for severe sepsis and septic shock57162
Septic Shock 3-Hour Bundle5362
Septic Shock 6-Hour Bundle8425
Severe Sepsis 3-Hour Bundle84162
Severe Sepsis 6-Hour Bundle92106
Discharged on Antithrombotic Therapy99286
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis968259
Intensive Care Unit Venous Thromboembolism Prophylaxis931696

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 Joseph Hospital rated?
St Joseph Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Joseph Hospital have emergency services?
Yes. St Joseph Hospital operates a 24/7 emergency department.
Where is St Joseph Hospital located?
St Joseph Hospital is located at 2901 Squalicum Parkway, Bellingham, WA 98225.
What type of hospital is St Joseph Hospital?
St Joseph Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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