JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

St Mary's Regional Medical Center

3 / 5

At a glance

St Mary's Regional Medical Center carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1242Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.887Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not 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 Days1305Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.915Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures33Not available
SSI - Colon Surgery: Predicted Cases0.868Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures44Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.441Not 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 Days13575Not available
MRSA Bacteremia: Predicted Cases0.557Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.089Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.952Better than national
Clostridium Difficile (C.Diff): Patient Days13008Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.573Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.350Better 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 patients4.1Same as national90
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national509
Death rate for heart attack patients12.7Same as national55
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.6Same as national45
Death rate for heart failure patients14.5Same as national159
Death rate for pneumonia patients21.9Worse than national286
Death rate for stroke patients16.1Same as national80
Pressure ulcer rate0.35Same as national1689
Death rate among surgical inpatients with serious treatable complications161.11Same as national29
Iatrogenic pneumothorax rate0.18Same as national2281
In-hospital fall-associated fracture rate0.29Same as national2172
Postoperative hemorrhage or hematoma rate2.50Same as national418
Postoperative acute kidney injury requiring dialysis rate1.60Same as national115
Postoperative respiratory failure rate12.17Same as national118
Perioperative pulmonary embolism or deep vein thrombosis rate3.79Same as national421
Postoperative sepsis rate4.72Same as national80
Postoperative wound dehiscence rate2.00Same as national121
Abdominopelvic accidental puncture or laceration rate1.21Same as national387
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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-34.7Not available50
Hospital return days for heart failure patients-32.2Not available174
Hospital return days for pneumonia patients-15.7Not available287
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national768
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national923
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.3Same as national63
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national63
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national496
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national50
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national44
Heart failure (HF) 30-Day Readmission Rate18.3Same as national174
Rate of readmission after hip/knee replacement4.1Same as national82
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national287

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 rating4384
Doctor communication - star rating3384
Communication about medicines - star rating3384
Discharge information - star rating3384
Cleanliness - star rating4384
Quietness - star rating4384
Overall hospital rating - star rating4384
Recommend hospital - star rating4384
Summary star rating4384

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 volumelow
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 Events01454
Healthcare workers given influenza vaccination68726
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 better143405
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 better132374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26219
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38712
Left before being seen117603
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10051
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12771
Appropriate care for severe sepsis and septic shock8496
Septic Shock 3-Hour Bundle8833
Septic Shock 6-Hour Bundle9519
Severe Sepsis 3-Hour Bundle9097
Severe Sepsis 6-Hour Bundle10056
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis911291
Intensive Care Unit Venous Thromboembolism Prophylaxis97430

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's Regional Medical Center rated?
St Mary's Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Mary's Regional Medical Center have emergency services?
Yes. St Mary's Regional Medical Center operates a 24/7 emergency department.
Where is St Mary's Regional Medical Center located?
St Mary's Regional Medical Center is located at 305 South 5th Street, Enid, OK 73701.
What type of hospital is St Mary's Regional Medical Center?
St Mary's Regional Medical Center 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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