JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Luke's Warren Hospital

5 / 5

At a glance

St Luke's Warren 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 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.322Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1672Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.290Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.591Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1920Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.883Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures35Not available
SSI - Colon Surgery: Predicted Cases0.862Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures5Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.038Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.867Same as national
MRSA Bacteremia: Patient Days21835Same as national
MRSA Bacteremia: Predicted Cases1.045Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.005Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.504Better than national
Clostridium Difficile (C.Diff): Patient Days21835Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.784Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.102Better 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 patients4Same as national30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national767
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national113
Death rate for heart failure patients9.6Same as national311
Death rate for pneumonia patients15.1Same as national229
Death rate for stroke patients12Same as national106
Pressure ulcer rate0.53Same as national2748
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national3285
In-hospital fall-associated fracture rate0.24Same as national3380
Postoperative hemorrhage or hematoma rate2.15Same as national324
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate2.94Same as national354
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.68Same as national81
Abdominopelvic accidental puncture or laceration rate0.95Same as national635
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patientsNot available
Hospital return days for heart failure patients17.3Not available370
Hospital return days for pneumonia patients20Not available231
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national1296
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.8Same as national1094
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.1Same as national89
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national89
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national273
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.1Same as national141
Heart failure (HF) 30-Day Readmission Rate21.4Same as national370
Rate of readmission after hip/knee replacement5Same as national27
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national231

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 rating4535
Doctor communication - star rating4535
Communication about medicines - star rating2535
Discharge information - star rating3535
Cleanliness - star rating3535
Quietness - star rating2535
Overall hospital rating - star rating4535
Recommend hospital - star rating4535
Summary star rating3535

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 vaccination96860
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 better142381
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 better140355
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23122
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 seen130628
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14947
Appropriate care for severe sepsis and septic shock95167
Septic Shock 3-Hour Bundle9857
Septic Shock 6-Hour Bundle9846
Severe Sepsis 3-Hour Bundle96168
Severe Sepsis 6-Hour Bundle10092
Discharged on Antithrombotic Therapy9970
Anticoagulation Therapy for Atrial Fibrillation/Flutter10026
Antithrombotic Therapy by End of Hospital Day 29859
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is St Luke's Warren Hospital rated?
St Luke's Warren Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does St Luke's Warren Hospital have emergency services?
Yes. St Luke's Warren Hospital operates a 24/7 emergency department.
Where is St Luke's Warren Hospital located?
St Luke's Warren Hospital is located at 185 Roseberry St, Phillipsburg, NJ 08865.
What type of hospital is St Luke's Warren Hospital?
St Luke's Warren 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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