JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

St Joseph's Hospital

3 / 5

At a glance

St Joseph's Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.105Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2816Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.712Same 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 Limit0.005Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.535Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6047Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.214Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.109Better than national
SSI - Colon Surgery: Lower Confidence Limit0.045Same as national
SSI - Colon Surgery: Upper Confidence Limit4.388Same as national
SSI - Colon Surgery: Number of Procedures44Same as national
SSI - Colon Surgery: Predicted Cases1.124Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.890Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures9Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.091Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.830Better than national
MRSA Bacteremia: Patient Days49930Better than national
MRSA Bacteremia: Predicted Cases3.609Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.024Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.255Better than national
Clostridium Difficile (C.Diff): Patient Days46820Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.035Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.094Better 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 patients3.8Same as national107
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national953
Death rate for heart attack patients10.9Same as national129
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national50
Death rate for heart failure patients12.2Same as national145
Death rate for pneumonia patients20.8Worse than national219
Death rate for stroke patients15.1Same as national295
Pressure ulcer rate0.22Same as national3176
Death rate among surgical inpatients with serious treatable complications156.00Same as national102
Iatrogenic pneumothorax rate0.22Same as national3786
In-hospital fall-associated fracture rate0.34Same as national3532
Postoperative hemorrhage or hematoma rate2.08Same as national1182
Postoperative acute kidney injury requiring dialysis rate1.64Same as national108
Postoperative respiratory failure rate8.17Same as national108
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national1261
Postoperative sepsis rate5.85Same as national103
Postoperative wound dehiscence rate1.68Same as national275
Abdominopelvic accidental puncture or laceration rate0.93Same as national578
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 patients8.4Not available121
Hospital return days for heart failure patients-15.3Not available150
Hospital return days for pneumonia patients1.3Not available215
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national1604
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national239
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 surgery1Same as national561
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national121
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national54
Heart failure (HF) 30-Day Readmission Rate19.6Same as national150
Rate of readmission after hip/knee replacement4.9Same as national90
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national215

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 rating1922
Doctor communication - star rating2922
Communication about medicines - star rating1922
Discharge information - star rating2922
Cleanliness - star rating2922
Quietness - star rating2922
Overall hospital rating - star rating1922
Recommend hospital - star rating1922
Summary star rating2922

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 Hyperglycemia313760
Hospital Harm - Severe Hypoglycemia12534
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination922844
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 better180510
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 better170471
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better37727
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32513
Left before being seen235599
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91110
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing113182
Appropriate care for severe sepsis and septic shock45163
Septic Shock 3-Hour Bundle5143
Septic Shock 6-Hour Bundle5714
Severe Sepsis 3-Hour Bundle66164
Severe Sepsis 6-Hour Bundle9573
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis855492
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's Hospital rated?
St Joseph's Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Joseph's Hospital have emergency services?
Yes. St Joseph's Hospital operates a 24/7 emergency department.
Where is St Joseph's Hospital located?
St Joseph's Hospital is located at 350 North Wilmot Road, Tucson, AZ 85711.
What type of hospital is St Joseph's Hospital?
St Joseph's 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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