JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

St Marys Regional Medical Center

4 / 5

At a glance

St Marys Regional Medical Center carries a 4-star CMS overall rating — above 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 Days1619Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.988Not 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 LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.808Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2001Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.067Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures34Not available
SSI - Colon Surgery: Predicted Cases0.891Not 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 Procedures5Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.057Not 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 Days21544Not available
MRSA Bacteremia: Predicted Cases0.947Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.008Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.792Better than national
Clostridium Difficile (C.Diff): Patient Days19758Better than national
Clostridium Difficile (C.Diff): Predicted Cases6.225Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.161Better 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 patients2.7Same as national80
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.9Same as national462
Death rate for heart attack patients11.2Same as national69
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national70
Death rate for heart failure patients11.4Same as national163
Death rate for pneumonia patients14.4Same as national214
Death rate for stroke patients14.3Same as national47
Pressure ulcer rate0.34Same as national1544
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.37Same as national2004
In-hospital fall-associated fracture rate0.30Same as national1892
Postoperative hemorrhage or hematoma rate2.56Same as national390
Postoperative acute kidney injury requiring dialysis rate1.64Same as national110
Postoperative respiratory failure rate10.63Same as national113
Perioperative pulmonary embolism or deep vein thrombosis rate3.42Same as national406
Postoperative sepsis rate5.07Same as national89
Postoperative wound dehiscence rate1.73Same as national50
Abdominopelvic accidental puncture or laceration rate1.03Same as national110
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients11.7Not available66
Hospital return days for heart failure patients-35.8Not available182
Hospital return days for pneumonia patients-40.9Not available217
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national674
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national518
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 surgery1Same as national145
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national66
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national72
Heart failure (HF) 30-Day Readmission Rate18.5Same as national182
Rate of readmission after hip/knee replacement4.4Same as national78
Pneumonia (PN) 30-Day Readmission Rate14.2Same as national217

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 rating3616
Doctor communication - star rating3616
Communication about medicines - star rating2616
Discharge information - star rating3616
Cleanliness - star rating3616
Quietness - star rating3616
Overall hospital rating - star rating2616
Recommend hospital - star rating2616
Summary star rating3616

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 Hyperglycemia113983
Hospital Harm - Severe Hypoglycemia21004
Hospital Harm - Opioid Related Adverse Events02303
Healthcare workers given influenza vaccination631229
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 better150426
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 better147383
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better15015
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29428
Left before being seen325849
Head CT results8825
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100102
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131066
Appropriate care for severe sepsis and septic shock53126
Septic Shock 3-Hour Bundle5141
Septic Shock 6-Hour Bundle7114
Severe Sepsis 3-Hour Bundle76126
Severe Sepsis 6-Hour Bundle9370
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 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 Marys Regional Medical Center rated?
St Marys Regional Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Marys Regional Medical Center have emergency services?
Yes. St Marys Regional Medical Center operates a 24/7 emergency department.
Where is St Marys Regional Medical Center located?
St Marys Regional Medical Center is located at 1808 West Main Street, Russellville, AR 72801.
What type of hospital is St Marys Regional Medical Center?
St Marys 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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