JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Lukes Hospital

5 / 5

At a glance

St Lukes Hospital carries a 5-star CMS overall rating — above 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 Limit0.187Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.765Better than national
Central Line Associated Bloodstream Infection: Number of Device Days19238Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases19.871Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases8Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.403Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.138Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.622Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16236Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases22.255Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.315Better than national
SSI - Colon Surgery: Lower Confidence Limit0.527Same as national
SSI - Colon Surgery: Upper Confidence Limit1.741Same as national
SSI - Colon Surgery: Number of Procedures422Same as national
SSI - Colon Surgery: Predicted Cases10.979Same as national
SSI - Colon Surgery: Observed Cases11Same as national
SSI - Colon Surgery1.002Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.681Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.168Same as national
SSI - Abdominal Hysterectomy: Number of Procedures221Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.867Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy2.142Same as national
MRSA Bacteremia: Lower Confidence Limit0.303Same as national
MRSA Bacteremia: Upper Confidence Limit1.240Same as national
MRSA Bacteremia: Patient Days193859Same as national
MRSA Bacteremia: Predicted Cases12.250Same as national
MRSA Bacteremia: Observed Cases8Same as national
MRSA Bacteremia0.653Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.106Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.304Better than national
Clostridium Difficile (C.Diff): Patient Days185999Better than national
Clostridium Difficile (C.Diff): Predicted Cases75.486Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.185Better 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 patients3Same as national242
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national3088
Death rate for heart attack patients11.1Same as national206
Death rate for CABG surgery patients2.5Same as national201
Death rate for COPD patients7.1Same as national212
Death rate for heart failure patients9.5Better than national915
Death rate for pneumonia patients14.2Same as national571
Death rate for stroke patients13.2Same as national434
Pressure ulcer rate0.13Better than national12350
Death rate among surgical inpatients with serious treatable complications95.36Better than national194
Iatrogenic pneumothorax rate0.08Same as national14123
In-hospital fall-associated fracture rate0.24Same as national14906
Postoperative hemorrhage or hematoma rate1.37Same as national3916
Postoperative acute kidney injury requiring dialysis rate1.54Same as national330
Postoperative respiratory failure rate6.01Same as national336
Perioperative pulmonary embolism or deep vein thrombosis rate1.97Better than national4413
Postoperative sepsis rate4.47Same as national310
Postoperative wound dehiscence rate1.26Same as national789
Abdominopelvic accidental puncture or laceration rate0.65Same as national2827
CMS Medicare PSI 90: Patient safety and adverse events composite0.61Better than 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 patients5.2Not available275
Hospital return days for heart failure patients21.9Not available1125
Hospital return days for pneumonia patients15.3Not available606
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national5744
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national2486
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.2Same as national357
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national357
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national1809
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national275
Rate of readmission for CABG11.6Same as national198
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national244
Heart failure (HF) 30-Day Readmission Rate21.8Worse than national1125
Rate of readmission after hip/knee replacement4.4Same as national238
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national606

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 rating4579
Doctor communication - star rating4579
Communication about medicines - star rating2579
Discharge information - star rating4579
Cleanliness - star rating4579
Quietness - star rating3579
Overall hospital rating - star rating4579
Recommend hospital - star rating4579
Summary star rating4579

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 vaccination976978
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 better1321142
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 better1271068
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28066
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 seen1132312
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100381
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing186789
Appropriate care for severe sepsis and septic shock84364
Septic Shock 3-Hour Bundle89129
Septic Shock 6-Hour Bundle9792
Severe Sepsis 3-Hour Bundle89365
Severe Sepsis 6-Hour Bundle100213
Discharged on Antithrombotic Therapy99437
Anticoagulation Therapy for Atrial Fibrillation/Flutter79117
Antithrombotic Therapy by End of Hospital Day 296382
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 Lukes Hospital rated?
St Lukes Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does St Lukes Hospital have emergency services?
Yes. St Lukes Hospital operates a 24/7 emergency department.
Where is St Lukes Hospital located?
St Lukes Hospital is located at 801 Ostrum Street, Bethlehem, PA 18015.
What type of hospital is St Lukes Hospital?
St Lukes Hospital 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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