JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Mary-Corwin Hospital

4 / 5

At a glance

St Mary-Corwin Hospital 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days398Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.311Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days659Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.412Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.216Same as national
SSI - Colon Surgery: Number of Procedures85Same as national
SSI - Colon Surgery: Predicted Cases2.463Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.006Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days9526Not available
MRSA Bacteremia: Predicted Cases0.257Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.015Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.467Same as national
Clostridium Difficile (C.Diff): Patient Days9526Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.363Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.297Same 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 national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national193
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11Same as national45
Death rate for pneumonia patients16.7Same as national27
Death rate for stroke patientsNot available
Pressure ulcer rate0.48Same as national575
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national710
In-hospital fall-associated fracture rate0.26Same as national661
Postoperative hemorrhage or hematoma rate2.56Same as national258
Postoperative acute kidney injury requiring dialysis rate1.64Same as national122
Postoperative respiratory failure rate7.86Same as national119
Perioperative pulmonary embolism or deep vein thrombosis rate3.49Same as national292
Postoperative sepsis rate5.89Same as national107
Postoperative wound dehiscence rate1.71Same as national91
Abdominopelvic accidental puncture or laceration rate1.00Same as national220
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients-9.6Not available55
Hospital return days for pneumonia patientsNot available
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national273
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national367
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national36
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.4Same as national36
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national140
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate18.7Same as national55
Rate of readmission after hip/knee replacement4.8Same as national43
Pneumonia (PN) 30-Day Readmission RateNot available

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 rating4295
Doctor communication - star rating4295
Communication about medicines - star rating4295
Discharge information - star rating4295
Cleanliness - star rating4295
Quietness - star rating4295
Overall hospital rating - star rating4295
Recommend hospital - star rating5295
Summary star rating4295

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 Hypoglycemia1529
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination951520
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 better170401
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 better167373
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19818
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 seen130224
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients5583
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing21817
Appropriate care for severe sepsis and septic shock8487
Septic Shock 3-Hour Bundle8622
Septic Shock 6-Hour Bundle10015
Severe Sepsis 3-Hour Bundle9188
Severe Sepsis 6-Hour Bundle9555
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis97323

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 Mary-Corwin Hospital rated?
St Mary-Corwin Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Mary-Corwin Hospital have emergency services?
According to CMS records, St Mary-Corwin Hospital does not report a 24/7 emergency department.
Where is St Mary-Corwin Hospital located?
St Mary-Corwin Hospital is located at 1008 Minnequa Ave, Pueblo, CO 81004.
What type of hospital is St Mary-Corwin Hospital?
St Mary-Corwin Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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