JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Josephs Hospital

4 / 5

At a glance

St Josephs 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 30 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.087Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.393Better than national
Central Line Associated Bloodstream Infection: Number of Device Days32510Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases35.190Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.199Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.184Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.552Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days27589Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases39.263Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.331Better than national
SSI - Colon Surgery: Lower Confidence Limit0.248Same as national
SSI - Colon Surgery: Upper Confidence Limit1.013Same as national
SSI - Colon Surgery: Number of Procedures559Same as national
SSI - Colon Surgery: Predicted Cases14.998Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery0.533Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitBetter than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit0.681Better than national
SSI - Abdominal Hysterectomy: Number of Procedures551Better than national
SSI - Abdominal Hysterectomy: Predicted Cases4.398Better than national
SSI - Abdominal Hysterectomy: Observed Cases0Better than national
SSI - Abdominal Hysterectomy0.000Better than national
MRSA Bacteremia: Lower Confidence Limit0.129Better than national
MRSA Bacteremia: Upper Confidence Limit0.526Better than national
MRSA Bacteremia: Patient Days356922Better than national
MRSA Bacteremia: Predicted Cases28.886Better than national
MRSA Bacteremia: Observed Cases8Better than national
MRSA Bacteremia0.277Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.101Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.229Better than national
Clostridium Difficile (C.Diff): Patient Days328231Better than national
Clostridium Difficile (C.Diff): Predicted Cases148.354Better than national
Clostridium Difficile (C.Diff): Observed Cases23Better than national
Clostridium Difficile (C.Diff)0.155Better 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 Rate3.8Same as national3750
Death rate for heart attack patients12.6Same as national427
Death rate for CABG surgery patients2.3Same as national94
Death rate for COPD patients8Same as national333
Death rate for heart failure patients10.8Same as national1171
Death rate for pneumonia patients14Better than national1258
Death rate for stroke patients12.3Same as national505
Pressure ulcer rate0.24Same as national15152
Death rate among surgical inpatients with serious treatable complications151.36Same as national176
Iatrogenic pneumothorax rate0.29Same as national17320
In-hospital fall-associated fracture rate0.29Same as national17351
Postoperative hemorrhage or hematoma rate1.71Same as national3254
Postoperative acute kidney injury requiring dialysis rate1.54Same as national742
Postoperative respiratory failure rate6.12Same as national755
Perioperative pulmonary embolism or deep vein thrombosis rate3.99Same as national3347
Postoperative sepsis rate6.51Same as national711
Postoperative wound dehiscence rate1.50Same as national711
Abdominopelvic accidental puncture or laceration rate1.05Same as national3264
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients19.8Not available400
Hospital return days for heart failure patients11.1Not available1386
Hospital return days for pneumonia patients-2Not available1274
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.6Worse than national6635
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national2721
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.9Same as national236
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national236
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national877
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.8Same as national400
Rate of readmission for CABG8.7Same as national93
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national374
Heart failure (HF) 30-Day Readmission Rate21.9Worse than national1386
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national1274

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 rating45938
Doctor communication - star rating35938
Communication about medicines - star rating35938
Discharge information - star rating35938
Cleanliness - star rating45938
Quietness - star rating45938
Overall hospital rating - star rating45938
Recommend hospital - star rating45938
Summary star rating45938

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 vaccination3611031
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 better1882510
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 better1862419
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25684
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 seen2220707
Head CT results7322
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99227
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4959
Safe Use of Opioids - Concurrent Prescribing1414257
Appropriate care for severe sepsis and septic shock741307
Septic Shock 3-Hour Bundle77427
Septic Shock 6-Hour Bundle93258
Severe Sepsis 3-Hour Bundle851308
Severe Sepsis 6-Hour Bundle98762
Discharged on Antithrombotic Therapy94849
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis8925725
Intensive Care Unit Venous Thromboembolism Prophylaxis996675

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 Josephs Hospital rated?
St Josephs Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Josephs Hospital have emergency services?
Yes. St Josephs Hospital operates a 24/7 emergency department.
Where is St Josephs Hospital located?
St Josephs Hospital is located at 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607.
What type of hospital is St Josephs Hospital?
St Josephs Hospital 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