JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Mary Medical Center

2 / 5

At a glance

St Mary Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.173Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.316Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7039Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.332Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.546Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.164Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.993Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8758Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.156Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.448Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.152Same as national
SSI - Colon Surgery: Number of Procedures105Same as national
SSI - Colon Surgery: Predicted Cases2.601Same 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 Procedures53Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.453Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.144Same as national
MRSA Bacteremia: Upper Confidence Limit1.543Same as national
MRSA Bacteremia: Patient Days78602Same as national
MRSA Bacteremia: Predicted Cases5.293Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.567Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.307Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.646Better than national
Clostridium Difficile (C.Diff): Patient Days75482Better than national
Clostridium Difficile (C.Diff): Predicted Cases61.803Better than national
Clostridium Difficile (C.Diff): Observed Cases28Better than national
Clostridium Difficile (C.Diff)0.453Better 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 patients3.8Same as national217
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national2499
Death rate for heart attack patients10.8Same as national276
Death rate for CABG surgery patients2.1Same as national93
Death rate for COPD patients9Same as national215
Death rate for heart failure patients10.1Same as national633
Death rate for pneumonia patients19Worse than national824
Death rate for stroke patients15.2Same as national273
Pressure ulcer rate0.73Same as national8348
Death rate among surgical inpatients with serious treatable complications193.51Same as national72
Iatrogenic pneumothorax rate0.13Same as national10131
In-hospital fall-associated fracture rate0.26Same as national10275
Postoperative hemorrhage or hematoma rate2.00Same as national1893
Postoperative acute kidney injury requiring dialysis rate1.40Same as national608
Postoperative respiratory failure rate8.77Same as national629
Perioperative pulmonary embolism or deep vein thrombosis rate3.38Same as national1975
Postoperative sepsis rate5.30Same as national621
Postoperative wound dehiscence rate1.65Same as national303
Abdominopelvic accidental puncture or laceration rate0.79Same as national1429
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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-15.3Not available292
Hospital return days for heart failure patients24.5Not available734
Hospital return days for pneumonia patients13.1Not available848
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.6Worse than national4315
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national221
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 national909
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national292
Rate of readmission for CABG11.9Same as national91
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients21.2Same as national237
Heart failure (HF) 30-Day Readmission Rate21.6Same as national734
Rate of readmission after hip/knee replacement5.9Same as national199
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national848

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 rating3428
Doctor communication - star rating3428
Communication about medicines - star rating2428
Discharge information - star rating2428
Cleanliness - star rating2428
Quietness - star rating2428
Overall hospital rating - star rating2428
Recommend hospital - star rating3428
Summary star rating2428

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 volumehigh
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 vaccination413718
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 better233421
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 better229405
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33014
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 seen252681
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10039
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing183727
Appropriate care for severe sepsis and septic shock80138
Septic Shock 3-Hour Bundle9345
Septic Shock 6-Hour Bundle9431
Severe Sepsis 3-Hour Bundle84139
Severe Sepsis 6-Hour Bundle9864
Discharged on Antithrombotic Therapy100276
Anticoagulation Therapy for Atrial Fibrillation/Flutter8080
Antithrombotic Therapy by End of Hospital Day 297261
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 Langhorne-Newtown Rd, Langhorne, PA 19047.
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 - 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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