JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Peter's Hospital

2 / 5

At a glance

St Peter's Hospital 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.

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 Limit0.530Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.422Same as national
Central Line Associated Bloodstream Infection: Number of Device Days17493Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases17.881Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases16Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.895Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.224Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.918Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13113Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.555Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.483Better than national
SSI - Colon Surgery: Lower Confidence Limit0.626Same as national
SSI - Colon Surgery: Upper Confidence Limit1.963Same as national
SSI - Colon Surgery: Number of Procedures386Same as national
SSI - Colon Surgery: Predicted Cases10.391Same as national
SSI - Colon Surgery: Observed Cases12Same as national
SSI - Colon Surgery1.155Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.217Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.277Same as national
SSI - Abdominal Hysterectomy: Number of Procedures183Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.545Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.294Same as national
MRSA Bacteremia: Lower Confidence Limit0.173Same as national
MRSA Bacteremia: Upper Confidence Limit1.315Same as national
MRSA Bacteremia: Patient Days125133Same as national
MRSA Bacteremia: Predicted Cases7.335Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.545Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.407Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.807Better than national
Clostridium Difficile (C.Diff): Patient Days117041Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.734Better than national
Clostridium Difficile (C.Diff): Observed Cases33Better than national
Clostridium Difficile (C.Diff)0.582Better 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 patients3.4Same as national187
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national2562
Death rate for heart attack patients10.9Same as national258
Death rate for CABG surgery patients2.8Same as national206
Death rate for COPD patients10.8Same as national164
Death rate for heart failure patients9.7Same as national705
Death rate for pneumonia patients16Same as national769
Death rate for stroke patients11.9Same as national222
Pressure ulcer rate0.72Same as national8963
Death rate among surgical inpatients with serious treatable complications170.47Same as national206
Iatrogenic pneumothorax rate0.16Same as national10479
In-hospital fall-associated fracture rate0.28Same as national11240
Postoperative hemorrhage or hematoma rate3.13Same as national2684
Postoperative acute kidney injury requiring dialysis rate2.03Same as national1597
Postoperative respiratory failure rate14.70Worse than national1560
Perioperative pulmonary embolism or deep vein thrombosis rate3.41Same as national3054
Postoperative sepsis rate6.08Same as national1545
Postoperative wound dehiscence rate1.86Same as national733
Abdominopelvic accidental puncture or laceration rate0.84Same as national2608
CMS Medicare PSI 90: Patient safety and adverse events composite1.20Same 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 patients15.7Not available311
Hospital return days for heart failure patients18.1Not available802
Hospital return days for pneumonia patients17.3Not available784
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national4054
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national712
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national153
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national153
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1194
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national311
Rate of readmission for CABG10.5Same as national200
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national171
Heart failure (HF) 30-Day Readmission Rate21.4Same as national802
Rate of readmission after hip/knee replacement5.7Same as national145
Pneumonia (PN) 30-Day Readmission Rate17.5Same as national784

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 rating3514
Doctor communication - star rating3514
Communication about medicines - star rating2514
Discharge information - star rating3514
Cleanliness - star rating2514
Quietness - star rating2514
Overall hospital rating - star rating3514
Recommend hospital - star rating4514
Summary star rating3514

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 vaccination495537
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 better377412
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 better374389
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39019
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 seen750587
Head CT results5714
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients6671
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing165494
Appropriate care for severe sepsis and septic shock4975
Septic Shock 3-Hour Bundle6015
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle6977
Severe Sepsis 6-Hour Bundle8644
Discharged on Antithrombotic Therapy97275
Anticoagulation Therapy for Atrial Fibrillation/Flutter6783
Antithrombotic Therapy by End of Hospital Day 296244
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 Peter's Hospital rated?
St Peter's Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does St Peter's Hospital have emergency services?
Yes. St Peter's Hospital operates a 24/7 emergency department.
Where is St Peter's Hospital located?
St Peter's Hospital is located at 315 South Manning Boulevard, Albany, NY 12208.
What type of hospital is St Peter's Hospital?
St Peter's Hospital 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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