JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Joseph Medical Center

2 / 5

At a glance

St Joseph Medical Center carries a 2-star CMS overall rating — below 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 Limit0.093Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.838Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4003Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.595Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.556Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.081Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.603Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4125Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.122Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.485Same as national
SSI - Colon Surgery: Lower Confidence Limit0.439Same as national
SSI - Colon Surgery: Upper Confidence Limit3.334Same as national
SSI - Colon Surgery: Number of Procedures106Same as national
SSI - Colon Surgery: Predicted Cases2.894Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.382Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures27Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.279Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.029Same as national
MRSA Bacteremia: Upper Confidence Limit2.813Same as national
MRSA Bacteremia: Patient Days38405Same as national
MRSA Bacteremia: Predicted Cases1.753Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.570Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.129Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.778Better than national
Clostridium Difficile (C.Diff): Patient Days36716Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.243Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.351Better 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 patients3.7Same as national50
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1045
Death rate for heart attack patients12.6Same as national132
Death rate for CABG surgery patients3.8Same as national57
Death rate for COPD patients10.3Same as national88
Death rate for heart failure patients12.5Same as national333
Death rate for pneumonia patients19.9Worse than national346
Death rate for stroke patients13.4Same as national134
Pressure ulcer rate0.19Same as national3608
Death rate among surgical inpatients with serious treatable complications185.96Same as national40
Iatrogenic pneumothorax rate0.16Same as national4370
In-hospital fall-associated fracture rate0.27Same as national4381
Postoperative hemorrhage or hematoma rate2.89Same as national927
Postoperative acute kidney injury requiring dialysis rate1.50Same as national296
Postoperative respiratory failure rate7.63Same as national290
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national957
Postoperative sepsis rate4.56Same as national296
Postoperative wound dehiscence rate1.66Same as national165
Abdominopelvic accidental puncture or laceration rate0.92Same as national661
CMS Medicare PSI 90: Patient safety and adverse events composite0.78Same 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 patients-1.1Not available144
Hospital return days for heart failure patients22.1Not available385
Hospital return days for pneumonia patients33Not available335
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national1715
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national31
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 surgery1.1Same as national269
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national144
Rate of readmission for CABG9.7Same as national55
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national86
Heart failure (HF) 30-Day Readmission Rate21.8Same as national385
Rate of readmission after hip/knee replacement5.3Same as national56
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national335

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 rating31170
Doctor communication - star rating31170
Communication about medicines - star rating21170
Discharge information - star rating31170
Cleanliness - star rating21170
Quietness - star rating31170
Overall hospital rating - star rating31170
Recommend hospital - star rating31170
Summary star rating31170

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 Hypoglycemia22507
Hospital Harm - Opioid Related Adverse Events14813
Healthcare workers given influenza vaccination891686
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 better206401
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 better198364
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23913
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better35625
Left before being seen134075
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 Prescribing162213
Appropriate care for severe sepsis and septic shock49108
Septic Shock 3-Hour Bundle5343
Septic Shock 6-Hour Bundle9020
Severe Sepsis 3-Hour Bundle72109
Severe Sepsis 6-Hour Bundle9653
Discharged on Antithrombotic Therapy98120
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 Joseph Medical Center rated?
St Joseph Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does St Joseph Medical Center have emergency services?
Yes. St Joseph Medical Center operates a 24/7 emergency department.
Where is St Joseph Medical Center located?
St Joseph Medical Center is located at 2200 E Washington, Bloomington, IL 61701.
What type of hospital is St Joseph Medical Center?
St Joseph 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.

Report an issue with this page