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Acute Care Hospitals · Voluntary non-profit - Church

St Joseph's University Medical Center Inc

3 / 5

At a glance

St Joseph's University Medical Center Inc 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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.004Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.354Better than national
Central Line Associated Bloodstream Infection: Number of Device Days12068Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases13.937Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.072Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.114Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.688Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11493Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.114Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.310Better than national
SSI - Colon Surgery: Lower Confidence Limit0.177Same as national
SSI - Colon Surgery: Upper Confidence Limit1.892Same as national
SSI - Colon Surgery: Number of Procedures153Same as national
SSI - Colon Surgery: Predicted Cases4.316Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.695Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures101Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.855Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.324Same as national
MRSA Bacteremia: Upper Confidence Limit1.327Same as national
MRSA Bacteremia: Patient Days160056Same as national
MRSA Bacteremia: Predicted Cases11.450Same as national
MRSA Bacteremia: Observed Cases8Same as national
MRSA Bacteremia0.699Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.138Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.334Better than national
Clostridium Difficile (C.Diff): Patient Days142685Better than national
Clostridium Difficile (C.Diff): Predicted Cases90.960Better than national
Clostridium Difficile (C.Diff): Observed Cases20Better than national
Clostridium Difficile (C.Diff)0.220Better 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 patients3.4Same as national66
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1417
Death rate for heart attack patients13.4Same as national205
Death rate for CABG surgery patients2.9Same as national40
Death rate for COPD patients8Same as national97
Death rate for heart failure patients9.5Same as national403
Death rate for pneumonia patients14.7Same as national602
Death rate for stroke patients13Same as national255
Pressure ulcer rate0.10Same as national6154
Death rate among surgical inpatients with serious treatable complications196.42Same as national81
Iatrogenic pneumothorax rate0.19Same as national6389
In-hospital fall-associated fracture rate0.24Same as national6583
Postoperative hemorrhage or hematoma rate2.44Same as national1293
Postoperative acute kidney injury requiring dialysis rate1.73Same as national447
Postoperative respiratory failure rate8.29Same as national479
Perioperative pulmonary embolism or deep vein thrombosis rate2.73Same as national1291
Postoperative sepsis rate3.63Same as national431
Postoperative wound dehiscence rate1.64Same as national294
Abdominopelvic accidental puncture or laceration rate1.48Same as national1258
CMS Medicare PSI 90: Patient safety and adverse events composite0.73Same 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 patients23.6Not available186
Hospital return days for heart failure patients63Not available449
Hospital return days for pneumonia patients21.1Not available610
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national2394
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national804
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national41
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national41
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national326
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national186
Rate of readmission for CABG11.1Same as national39
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.2Same as national108
Heart failure (HF) 30-Day Readmission Rate23Worse than national449
Rate of readmission after hip/knee replacement4.8Same as national72
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national610

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 rating21518
Doctor communication - star rating21518
Communication about medicines - star rating11518
Discharge information - star rating21518
Cleanliness - star rating31518
Quietness - star rating21518
Overall hospital rating - star rating21518
Recommend hospital - star rating21518
Summary star rating21518

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 vaccination997291
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 better224746
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 better224708
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32432
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 seen5152579
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99162
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5639
Safe Use of Opioids - Concurrent Prescribing142159
Appropriate care for severe sepsis and septic shock58213
Septic Shock 3-Hour Bundle7079
Septic Shock 6-Hour Bundle9143
Severe Sepsis 3-Hour Bundle79213
Severe Sepsis 6-Hour Bundle91113
Discharged on Antithrombotic Therapy93442
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 291434
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis99651

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 University Medical Center Inc rated?
St Joseph's University Medical Center Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Joseph's University Medical Center Inc have emergency services?
According to CMS records, St Joseph's University Medical Center Inc does not report a 24/7 emergency department.
Where is St Joseph's University Medical Center Inc located?
St Joseph's University Medical Center Inc is located at 703 Main St, Paterson, NJ 07503.
What type of hospital is St Joseph's University Medical Center Inc?
St Joseph's University Medical Center Inc 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.

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