JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

St Luke's Hospital - Grand View Campus

4 / 5

At a glance

St Luke's Hospital - Grand View Campus carries a 4-star CMS overall rating — above 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 Limit0.029Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.864Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1829Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.722Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.581Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.015Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.502Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3183Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.284Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.305Same as national
SSI - Colon Surgery: Lower Confidence Limit0.019Same as national
SSI - Colon Surgery: Upper Confidence Limit1.825Same as national
SSI - Colon Surgery: Number of Procedures110Same as national
SSI - Colon Surgery: Predicted Cases2.702Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.370Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures21Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.166Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.639Same as national
MRSA Bacteremia: Patient Days41135Same as national
MRSA Bacteremia: Predicted Cases1.828Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.507Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.254Same as national
Clostridium Difficile (C.Diff): Patient Days39156Same as national
Clostridium Difficile (C.Diff): Predicted Cases23.222Same as national
Clostridium Difficile (C.Diff): Observed Cases19Same as national
Clostridium Difficile (C.Diff)0.818Same 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 patients3.3Same as national66
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1309
Death rate for heart attack patients11.4Same as national121
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7Same as national114
Death rate for heart failure patients9.9Same as national327
Death rate for pneumonia patients14.7Same as national394
Death rate for stroke patients13.1Same as national168
Pressure ulcer rate0.22Same as national3936
Death rate among surgical inpatients with serious treatable complications154.20Same as national35
Iatrogenic pneumothorax rate0.22Same as national5022
In-hospital fall-associated fracture rate0.31Same as national4865
Postoperative hemorrhage or hematoma rate2.48Same as national865
Postoperative acute kidney injury requiring dialysis rate1.54Same as national250
Postoperative respiratory failure rate7.43Same as national242
Perioperative pulmonary embolism or deep vein thrombosis rate2.72Same as national915
Postoperative sepsis rate5.27Same as national223
Postoperative wound dehiscence rate1.67Same as national208
Abdominopelvic accidental puncture or laceration rate0.86Same as national841
CMS Medicare PSI 90: Patient safety and adverse events composite0.79Same 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-7Not available85
Hospital return days for heart failure patients-30.4Not available346
Hospital return days for pneumonia patients5.5Not available405
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national2420
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national321
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 surgery0.9Same as national593
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national85
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national130
Heart failure (HF) 30-Day Readmission Rate18.2Same as national346
Rate of readmission after hip/knee replacement4.4Same as national56
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national405

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 rating4417
Doctor communication - star rating3417
Communication about medicines - star rating3417
Discharge information - star rating4417
Cleanliness - star rating4417
Quietness - star rating3417
Overall hospital rating - star rating4417
Recommend hospital - star rating4417
Summary star rating4417

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 vaccination862877
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 better2221376
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 better2181302
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better46070
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 seen229889
Head CT results7315
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10045
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing181676
Appropriate care for severe sepsis and septic shock53322
Septic Shock 3-Hour Bundle69124
Septic Shock 6-Hour Bundle8059
Severe Sepsis 3-Hour Bundle74322
Severe Sepsis 6-Hour Bundle91162
Discharged on Antithrombotic Therapy97144
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis965453
Intensive Care Unit Venous Thromboembolism Prophylaxis100655

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 Luke's Hospital - Grand View Campus rated?
St Luke's Hospital - Grand View Campus has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Luke's Hospital - Grand View Campus have emergency services?
Yes. St Luke's Hospital - Grand View Campus operates a 24/7 emergency department.
Where is St Luke's Hospital - Grand View Campus located?
St Luke's Hospital - Grand View Campus is located at 700 Lawn Avenue, Sellersville, PA 18960.
What type of hospital is St Luke's Hospital - Grand View Campus?
St Luke's Hospital - Grand View Campus is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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