JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Lukes Hospital

4 / 5

At a glance

St Lukes 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 12 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 Limit0.060Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.190Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5826Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.553Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.360Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.470Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.413Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5103Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.171Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.160Same as national
SSI - Colon Surgery: Lower Confidence Limit0.019Same as national
SSI - Colon Surgery: Upper Confidence Limit1.883Same as national
SSI - Colon Surgery: Number of Procedures102Same as national
SSI - Colon Surgery: Predicted Cases2.619Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.382Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures31Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.267Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.764Better than national
MRSA Bacteremia: Patient Days72905Better than national
MRSA Bacteremia: Predicted Cases3.923Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.240Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.719Better than national
Clostridium Difficile (C.Diff): Patient Days64018Better than national
Clostridium Difficile (C.Diff): Predicted Cases30.155Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.431Better 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 patients3.3Same as national110
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Better than national1608
Death rate for heart attack patients11.1Same as national189
Death rate for CABG surgery patients1.9Same as national134
Death rate for COPD patients8.5Same as national138
Death rate for heart failure patients9.8Same as national577
Death rate for pneumonia patients15Same as national471
Death rate for stroke patients14.3Same as national225
Pressure ulcer rate1.01Same as national4665
Death rate among surgical inpatients with serious treatable complications175.37Same as national67
Iatrogenic pneumothorax rate0.19Same as national6145
In-hospital fall-associated fracture rate0.30Same as national6240
Postoperative hemorrhage or hematoma rate2.61Same as national1449
Postoperative acute kidney injury requiring dialysis rate2.73Same as national695
Postoperative respiratory failure rate12.83Same as national692
Perioperative pulmonary embolism or deep vein thrombosis rate4.06Same as national1532
Postoperative sepsis rate4.29Same as national693
Postoperative wound dehiscence rate1.96Same as national232
Abdominopelvic accidental puncture or laceration rate0.86Same as national908
CMS Medicare PSI 90: Patient safety and adverse events composite1.23Same 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 patients9.6Not available236
Hospital return days for heart failure patients-22.6Not available654
Hospital return days for pneumonia patients30.9Not available492
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national2541
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national2736
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 surgery1.1Same as national841
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national236
Rate of readmission for CABG10.8Same as national129
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national153
Heart failure (HF) 30-Day Readmission Rate18.8Same as national654
Rate of readmission after hip/knee replacement5Same as national97
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national492

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 rating4565
Doctor communication - star rating4565
Communication about medicines - star rating2565
Discharge information - star rating4565
Cleanliness - star rating4565
Quietness - star rating4565
Overall hospital rating - star rating4565
Recommend hospital - star rating5565
Summary star rating4565

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 volumehigh
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 vaccination893902
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 better172382
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 better168356
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19622
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 seen350219
Head CT results7232
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9263
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing163446
Appropriate care for severe sepsis and septic shock63129
Septic Shock 3-Hour Bundle7752
Septic Shock 6-Hour Bundle9226
Severe Sepsis 3-Hour Bundle78130
Severe Sepsis 6-Hour Bundle9472
Discharged on Antithrombotic Therapy99203
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295142
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis951466

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 4 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 1026 a Ave Ne, Cedar Rapids, IA 52402.
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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