JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

UCSF Health Saint Francis Hospital

3 / 5

At a glance

UCSF Health Saint Francis Hospital 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 Limit0.026Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.554Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1565Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.931Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.518Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.185Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2671Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.529Same 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 Procedures16Not available
SSI - Colon Surgery: Predicted Cases0.393Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.024Not 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 Days17967Not available
MRSA Bacteremia: Predicted Cases0.965Not available
MRSA Bacteremia: Observed Cases6Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.007Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.669Better than national
Clostridium Difficile (C.Diff): Patient Days17967Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.373Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.136Better 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 patients3.8Same as national45
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national192
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national26
Death rate for heart failure patients13Same as national62
Death rate for pneumonia patients15.4Same as national70
Death rate for stroke patients11.8Same as national29
Pressure ulcer rate0.34Same as national1068
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1255
In-hospital fall-associated fracture rate0.25Same as national1226
Postoperative hemorrhage or hematoma rate2.20Same as national222
Postoperative acute kidney injury requiring dialysis rate1.65Same as national109
Postoperative respiratory failure rate7.17Same as national111
Perioperative pulmonary embolism or deep vein thrombosis rate3.50Same as national221
Postoperative sepsis rate4.97Same as national87
Postoperative wound dehiscence rate1.72Same as national55
Abdominopelvic accidental puncture or laceration rate1.02Same as national146
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patientsNot available
Hospital return days for heart failure patients44.6Not available74
Hospital return days for pneumonia patients56.5Not available68
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national371
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national87
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 surgery1.1Same as national35
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national40
Heart failure (HF) 30-Day Readmission Rate20.5Same as national74
Rate of readmission after hip/knee replacement4.9Same as national47
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national68

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 rating2202
Doctor communication - star rating2202
Communication about medicines - star rating2202
Discharge information - star rating3202
Cleanliness - star rating3202
Quietness - star rating1202
Overall hospital rating - star rating2202
Recommend hospital - star rating2202
Summary star rating2202

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination591471
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 better144384
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 better140306
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16977
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 seen223543
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9471
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing15560
Appropriate care for severe sepsis and septic shock70127
Septic Shock 3-Hour Bundle8431
Septic Shock 6-Hour Bundle7423
Severe Sepsis 3-Hour Bundle83127
Severe Sepsis 6-Hour Bundle9582
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis991169
Intensive Care Unit Venous Thromboembolism Prophylaxis100477

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is UCSF Health Saint Francis Hospital rated?
UCSF Health Saint Francis Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does UCSF Health Saint Francis Hospital have emergency services?
Yes. UCSF Health Saint Francis Hospital operates a 24/7 emergency department.
Where is UCSF Health Saint Francis Hospital located?
UCSF Health Saint Francis Hospital is located at 900 Hyde St, San Francisco, CA 94109.
What type of hospital is UCSF Health Saint Francis Hospital?
UCSF Health Saint Francis 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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