JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Peters Health

3 / 5

At a glance

St Peters Health 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 12.

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 Limit0.260Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.126Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1889Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.289Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.552Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit1.008Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.174Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3395Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.412Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.488Worse than national
SSI - Colon Surgery: Lower Confidence Limit1.329Worse than national
SSI - Colon Surgery: Upper Confidence Limit6.010Worse than national
SSI - Colon Surgery: Number of Procedures94Worse than national
SSI - Colon Surgery: Predicted Cases2.304Worse than national
SSI - Colon Surgery: Observed Cases7Worse than national
SSI - Colon Surgery3.038Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures36Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.298Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.853Same as national
MRSA Bacteremia: Patient Days26555Same as national
MRSA Bacteremia: Predicted Cases1.050Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.160Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.967Better than national
Clostridium Difficile (C.Diff): Patient Days25609Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.465Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.436Better 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 patients2.9Same as national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national860
Death rate for heart attack patients13.1Same as national93
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national111
Death rate for heart failure patients17.6Worse than national216
Death rate for pneumonia patients14.3Same as national262
Death rate for stroke patients16.6Same as national126
Pressure ulcer rate1.77Worse than national2611
Death rate among surgical inpatients with serious treatable complications182.92Same as national32
Iatrogenic pneumothorax rate0.19Same as national3357
In-hospital fall-associated fracture rate0.37Same as national3311
Postoperative hemorrhage or hematoma rate2.40Same as national561
Postoperative acute kidney injury requiring dialysis rate1.60Same as national274
Postoperative respiratory failure rate12.29Same as national268
Perioperative pulmonary embolism or deep vein thrombosis rate3.58Same as national576
Postoperative sepsis rate6.69Same as national243
Postoperative wound dehiscence rate2.35Same as national115
Abdominopelvic accidental puncture or laceration rate1.21Same as national441
CMS Medicare PSI 90: Patient safety and adverse events composite1.48Worse 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.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-32Not available89
Hospital return days for heart failure patients-22Not available222
Hospital return days for pneumonia patients-5.9Not available272
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national1292
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national2170
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national173
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national173
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national590
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national89
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national125
Heart failure (HF) 30-Day Readmission Rate18.5Same as national222
Rate of readmission after hip/knee replacement5.1Same as national43
Pneumonia (PN) 30-Day Readmission Rate15Same as national272

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 rating4702
Doctor communication - star rating4702
Communication about medicines - star rating3702
Discharge information - star rating3702
Cleanliness - star rating2702
Quietness - star rating3702
Overall hospital rating - star rating3702
Recommend hospital - star rating2702
Summary star rating3702

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 Hyperglycemia86212
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination792493
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 better186425
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 better178382
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better28021
Left before being seen325969
Head CT results6913
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10096
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing121275
Appropriate care for severe sepsis and septic shock60267
Septic Shock 3-Hour Bundle6386
Septic Shock 6-Hour Bundle5939
Severe Sepsis 3-Hour Bundle87267
Severe Sepsis 6-Hour Bundle91174
Discharged on Antithrombotic Therapy10090
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29977
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 Peters Health rated?
St Peters Health has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Peters Health have emergency services?
Yes. St Peters Health operates a 24/7 emergency department.
Where is St Peters Health located?
St Peters Health is located at 2475 Broadway, Helena, MT 59601.
What type of hospital is St Peters Health?
St Peters Health 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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