JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Joseph's Medical Center

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At a glance

St Joseph's Medical Center carries a 1-star CMS overall rating — below 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 Limit—Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.385Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1540Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.256Same 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 Limit0.557Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.955Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1756Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.371Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.188Same as national
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures7Not available
SSI - Colon Surgery: Predicted Cases0.198Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.007Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days16026Not available
MRSA Bacteremia: Predicted Cases0.917Not available
MRSA Bacteremia: Observed Cases3Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.149Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.596Same as national
Clostridium Difficile (C.Diff): Patient Days16026Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.115Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.587Same 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5Same as national218
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients12.7Same as national34
Death rate for pneumonia patients14.7Same as national95
Death rate for stroke patients—Not available—
Pressure ulcer rate0.36Same as national1056
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.33Same as national1164
In-hospital fall-associated fracture rate0.26Same as national1137
Postoperative hemorrhage or hematoma rate2.23Same as national150
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.28Same as national145
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate1.73Same as national27
Abdominopelvic accidental puncture or laceration rate1.03Same as national138
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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—Not available—
Hospital return days for heart failure patients125.7Not available37
Hospital return days for pneumonia patients62.3Not available93
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national329
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national193
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national141
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate20.2Same as national37
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national93

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 rating1139
Doctor communication - star rating1139
Communication about medicines - star rating1139
Discharge information - star rating1139
Cleanliness - star rating3139
Quietness - star rating2139
Overall hospital rating - star rating1139
Recommend hospital - star rating1139
Summary star rating1139

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 Hypoglycemia——
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination621118
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 better209386
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 better202299
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23381
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better93417
Left before being seen229704
Head CT results——
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100151
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing9223
Appropriate care for severe sepsis and septic shock73103
Septic Shock 3-Hour Bundle5520
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle92103
Severe Sepsis 6-Hour Bundle8552
Discharged on Antithrombotic Therapy9628
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 2——
Venous Thromboembolism Prophylaxis891887
Intensive Care Unit Venous Thromboembolism Prophylaxis86137

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)—

Frequently asked questions

How is St Joseph's Medical Center rated?
St Joseph's Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does St Joseph's Medical Center have emergency services?
Yes. St Joseph's Medical Center operates a 24/7 emergency department.
Where is St Joseph's Medical Center located?
St Joseph's Medical Center is located at 127 South Broadway, Yonkers, NY 10701.
What type of hospital is St Joseph's Medical Center?
St Joseph's Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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