JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

St Mark's Hospital

4 / 5

At a glance

St Mark's 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 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 Limit0.115Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.235Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6122Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.612Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.454Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.103Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.097Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6182Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.440Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.403Same as national
SSI - Colon Surgery: Lower Confidence Limit0.362Same as national
SSI - Colon Surgery: Upper Confidence Limit1.859Same as national
SSI - Colon Surgery: Number of Procedures247Same as national
SSI - Colon Surgery: Predicted Cases6.713Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.894Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.206Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.066Same as national
SSI - Abdominal Hysterectomy: Number of Procedures189Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.625Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.231Same as national
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.014Same as national
MRSA Bacteremia: Patient Days52512Same as national
MRSA Bacteremia: Predicted Cases2.953Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.114Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.587Better than national
Clostridium Difficile (C.Diff): Patient Days44700Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.269Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.282Better 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 patients3.1Same as national26
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1369
Death rate for heart attack patients10.6Same as national167
Death rate for CABG surgery patients2.4Same as national86
Death rate for COPD patients9.3Same as national36
Death rate for heart failure patients10.5Same as national242
Death rate for pneumonia patients12.2Better than national305
Death rate for stroke patients12Same as national165
Pressure ulcer rate0.19Same as national3379
Death rate among surgical inpatients with serious treatable complications162.93Same as national73
Iatrogenic pneumothorax rate0.21Same as national4596
In-hospital fall-associated fracture rate0.27Same as national4769
Postoperative hemorrhage or hematoma rate2.73Same as national1609
Postoperative acute kidney injury requiring dialysis rate1.29Same as national811
Postoperative respiratory failure rate12.03Same as national821
Perioperative pulmonary embolism or deep vein thrombosis rate2.04Same as national1613
Postoperative sepsis rate5.65Same as national799
Postoperative wound dehiscence rate1.55Same as national433
Abdominopelvic accidental puncture or laceration rate1.20Same as national1002
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients3.4Not available205
Hospital return days for heart failure patients-24.1Not available276
Hospital return days for pneumonia patients-26.5Not available327
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national2016
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national110
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 surgery1.2Same as national612
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national205
Rate of readmission for CABG11.9Same as national85
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national35
Heart failure (HF) 30-Day Readmission Rate17.5Same as national276
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national327

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 rating2625
Doctor communication - star rating3625
Communication about medicines - star rating2625
Discharge information - star rating3625
Cleanliness - star rating4625
Quietness - star rating3625
Overall hospital rating - star rating3625
Recommend hospital - star rating4625
Summary star rating3625

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 vaccination722489
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 better109453
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 better108432
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21220
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 seen063186
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8834
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing195016
Appropriate care for severe sepsis and septic shock85130
Septic Shock 3-Hour Bundle8746
Septic Shock 6-Hour Bundle9735
Severe Sepsis 3-Hour Bundle94130
Severe Sepsis 6-Hour Bundle9995
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 291174
Venous Thromboembolism Prophylaxis976299
Intensive Care Unit Venous Thromboembolism Prophylaxis1001355

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 Mark's Hospital rated?
St Mark's Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Mark's Hospital have emergency services?
Yes. St Mark's Hospital operates a 24/7 emergency department.
Where is St Mark's Hospital located?
St Mark's Hospital is located at 1200 East 3900 South, Salt Lake City, UT 84124.
What type of hospital is St Mark's Hospital?
St Mark's Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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