Acute Care Hospitals · Voluntary non-profit - Private
St Marys Hospital
- 1800 E Lake Shore Dr, Decatur, IL 62521
- (217) 464-2966
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
St Marys Hospital carries a 1-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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | — | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | — | Not available |
| Central Line Associated Bloodstream Infection: Number of Device Days | 584 | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 0.392 | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 0 | Not available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | — | Not available |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Not available |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | — | Not available |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 668 | Not available |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 0.366 | Not available |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Not available |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | — | Not available |
| SSI - Colon Surgery: Lower Confidence Limit | — | Not available |
| SSI - Colon Surgery: Upper Confidence Limit | — | Not available |
| SSI - Colon Surgery: Number of Procedures | 26 | Not available |
| SSI - Colon Surgery: Predicted Cases | 0.737 | Not available |
| SSI - Colon Surgery: Observed Cases | 1 | Not available |
| SSI - Colon Surgery | — | Not available |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | — | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | — | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | — | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | — | Not available |
| MRSA Bacteremia: Upper Confidence Limit | — | Not available |
| MRSA Bacteremia: Patient Days | 9783 | Not available |
| MRSA Bacteremia: Predicted Cases | 0.318 | Not available |
| MRSA Bacteremia: Observed Cases | 1 | Not available |
| MRSA Bacteremia | — | Not available |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | — | Same as national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.161 | Same as national |
| Clostridium Difficile (C.Diff): Patient Days | 9783 | Same as national |
| Clostridium Difficile (C.Diff): Predicted Cases | 2.580 | Same as national |
| Clostridium Difficile (C.Diff): Observed Cases | 0 | Same as national |
| Clostridium Difficile (C.Diff) | 0.000 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.6 | Same as national | 474 |
| Death rate for heart attack patients | 12.9 | Same as national | 82 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 8.5 | Same as national | 83 |
| Death rate for heart failure patients | 11.6 | Same as national | 324 |
| Death rate for pneumonia patients | 16.1 | Same as national | 328 |
| Death rate for stroke patients | 11.1 | Same as national | 75 |
| Pressure ulcer rate | 1.92 | Worse than national | 2011 |
| Death rate among surgical inpatients with serious treatable complications | 177.51 | Same as national | 42 |
| Iatrogenic pneumothorax rate | 0.25 | Same as national | 2457 |
| In-hospital fall-associated fracture rate | 0.25 | Same as national | 2468 |
| Postoperative hemorrhage or hematoma rate | 2.30 | Same as national | 502 |
| Postoperative acute kidney injury requiring dialysis rate | 2.02 | Same as national | 216 |
| Postoperative respiratory failure rate | 17.60 | Same as national | 222 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.14 | Same as national | 533 |
| Postoperative sepsis rate | 6.38 | Same as national | 185 |
| Postoperative wound dehiscence rate | 1.69 | Same as national | 100 |
| Abdominopelvic accidental puncture or laceration rate | 1.22 | Same as national | 352 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.67 | Worse than 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 26.4 | Not available | 78 |
| Hospital return days for heart failure patients | 4.4 | Not available | 368 |
| Hospital return days for pneumonia patients | 80.1 | Not available | 332 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.1 | Same as national | 729 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.5 | Same as national | 759 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.1 | Same as national | 25 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.3 | Same as national | 25 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 254 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.8 | Same as national | 78 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.1 | Same as national | 97 |
| Heart failure (HF) 30-Day Readmission Rate | 20.4 | Same as national | 368 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 18.3 | Same as national | 332 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 333 |
| Doctor communication - star rating | 3 | 333 |
| Communication about medicines - star rating | 2 | 333 |
| Discharge information - star rating | 3 | 333 |
| Cleanliness - star rating | 2 | 333 |
| Quietness - star rating | 3 | 333 |
| Overall hospital rating - star rating | 2 | 333 |
| Recommend hospital - star rating | 2 | 333 |
| Summary star rating | 3 | 333 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | medium | — |
| 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 | 13 | 3587 |
| Hospital Harm - Severe Hypoglycemia | 3 | 739 |
| Hospital Harm - Opioid Related Adverse Events | 1 | 1525 |
| Healthcare workers given influenza vaccination | 79 | 635 |
| 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 better | 162 | 373 |
| 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 better | 154 | 327 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 430 | 34 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 660 | 24 |
| Left before being seen | 2 | 21333 |
| Head CT results | 83 | 12 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 13 | 139 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 553 |
| Appropriate care for severe sepsis and septic shock | 57 | 99 |
| Septic Shock 3-Hour Bundle | 71 | 28 |
| Septic Shock 6-Hour Bundle | 93 | 15 |
| Severe Sepsis 3-Hour Bundle | 70 | 99 |
| Severe Sepsis 6-Hour Bundle | 91 | 44 |
| Discharged on Antithrombotic Therapy | 100 | 32 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 100 | 29 |
| Venous Thromboembolism Prophylaxis | 87 | 1194 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 97 | 502 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Not Applicable (our hospital does not provide inpatient labor/delivery care) | — |
Frequently asked questions
- How is St Marys Hospital rated?
- St Marys Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
- Does St Marys Hospital have emergency services?
- Yes. St Marys Hospital operates a 24/7 emergency department.
- Where is St Marys Hospital located?
- St Marys Hospital is located at 1800 E Lake Shore Dr, Decatur, IL 62521.
- What type of hospital is St Marys Hospital?
- St Marys Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.