JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Lukes Hospital

3 / 5

At a glance

St Lukes 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 6 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 Limit0.078Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.529Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4722Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.321Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.463Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.544Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.461Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5415Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.627Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.244Same as national
SSI - Colon Surgery: Lower Confidence Limit0.023Same as national
SSI - Colon Surgery: Upper Confidence Limit2.297Same as national
SSI - Colon Surgery: Number of Procedures86Same as national
SSI - Colon Surgery: Predicted Cases2.147Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.466Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures19Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.156Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.261Same as national
MRSA Bacteremia: Upper Confidence Limit2.790Same as national
MRSA Bacteremia: Patient Days46709Same as national
MRSA Bacteremia: Predicted Cases2.926Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.025Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.195Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.684Better than national
Clostridium Difficile (C.Diff): Patient Days44931Better than national
Clostridium Difficile (C.Diff): Predicted Cases26.048Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.384Better 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 patients2.7Same as national80
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national802
Death rate for heart attack patients13.5Same as national146
Death rate for CABG surgery patients2.7Same as national38
Death rate for COPD patients9.8Same as national78
Death rate for heart failure patients12.3Same as national164
Death rate for pneumonia patients21.8Worse than national150
Death rate for stroke patients15.5Same as national102
Pressure ulcer rate0.21Same as national2952
Death rate among surgical inpatients with serious treatable complications139.95Same as national52
Iatrogenic pneumothorax rate0.23Same as national3538
In-hospital fall-associated fracture rate0.36Same as national3580
Postoperative hemorrhage or hematoma rate2.36Same as national929
Postoperative acute kidney injury requiring dialysis rate2.24Same as national502
Postoperative respiratory failure rate8.07Same as national511
Perioperative pulmonary embolism or deep vein thrombosis rate2.82Same as national954
Postoperative sepsis rate5.18Same as national458
Postoperative wound dehiscence rate1.97Same as national176
Abdominopelvic accidental puncture or laceration rate0.88Same as national664
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients12.6Not available162
Hospital return days for heart failure patients-4.8Not available191
Hospital return days for pneumonia patients11.1Not available157
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national1263
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national939
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national168
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national168
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national313
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national162
Rate of readmission for CABG10.1Same as national37
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national85
Heart failure (HF) 30-Day Readmission Rate19.3Same as national191
Rate of readmission after hip/knee replacement4.8Same as national73
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national157

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 rating3454
Doctor communication - star rating3454
Communication about medicines - star rating3454
Discharge information - star rating4454
Cleanliness - star rating1454
Quietness - star rating3454
Overall hospital rating - star rating3454
Recommend hospital - star rating4454
Summary star rating3454

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 vaccination953668
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 better218438
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 better218408
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27529
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 seen428145
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95108
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing172587
Appropriate care for severe sepsis and septic shock55124
Septic Shock 3-Hour Bundle8738
Septic Shock 6-Hour Bundle10018
Severe Sepsis 3-Hour Bundle66124
Severe Sepsis 6-Hour Bundle8656
Discharged on Antithrombotic Therapy97135
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295112
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis941277

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 3 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 915 East 1st Street, Duluth, MN 55805.
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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