JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Mary Medical Center

2 / 5

At a glance

St Mary Medical Center carries a 2-star CMS overall rating — below 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 Limit0.625Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit6.687Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1566Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.221Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.457Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.832Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.031Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2872Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.203Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.270Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures37Not available
SSI - Colon Surgery: Predicted Cases0.976Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures75Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.696Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.509Same as national
MRSA Bacteremia: Patient Days21245Same as national
MRSA Bacteremia: Predicted Cases1.194Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.052Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.024Same as national
Clostridium Difficile (C.Diff): Patient Days20150Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.453Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.310Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national591
Death rate for heart attack patients12.8Same as national47
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.2Same as national98
Death rate for heart failure patients11.4Same as national214
Death rate for pneumonia patients18.8Same as national300
Death rate for stroke patients14.7Same as national90
Pressure ulcer rate0.32Same as national2065
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national2574
In-hospital fall-associated fracture rate0.25Same as national2657
Postoperative hemorrhage or hematoma rate2.51Same as national251
Postoperative acute kidney injury requiring dialysis rate1.65Same as national70
Postoperative respiratory failure rate8.42Same as national68
Perioperative pulmonary embolism or deep vein thrombosis rate3.12Same as national260
Postoperative sepsis rate5.02Same as national63
Postoperative wound dehiscence rate1.71Same as national81
Abdominopelvic accidental puncture or laceration rate1.00Same as national220
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients18Not available237
Hospital return days for pneumonia patients22.4Not available298
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national963
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national755
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 surgery1.1Same as national122
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national106
Heart failure (HF) 30-Day Readmission Rate21.3Same as national237
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national298

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 rating2532
Doctor communication - star rating3532
Communication about medicines - star rating2532
Discharge information - star rating3532
Cleanliness - star rating2532
Quietness - star rating2532
Overall hospital rating - star rating3532
Recommend hospital - star rating3532
Summary star rating3532

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 Hypoglycemia11157
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination84845
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 better202409
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 better186327
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19926
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better37757
Left before being seen427581
Head CT results6828
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100137
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161318
Appropriate care for severe sepsis and septic shock6292
Septic Shock 3-Hour Bundle7427
Septic Shock 6-Hour Bundle7315
Severe Sepsis 3-Hour Bundle8094
Severe Sepsis 6-Hour Bundle9854
Discharged on Antithrombotic Therapy10066
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29773
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 MeasureYes

Frequently asked questions

How is St Mary Medical Center rated?
St Mary Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does St Mary Medical Center have emergency services?
Yes. St Mary Medical Center operates a 24/7 emergency department.
Where is St Mary Medical Center located?
St Mary Medical Center is located at 3333 North Seminary, Galesburg, IL 61401.
What type of hospital is St Mary Medical Center?
St Mary Medical Center 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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