JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

UPMC St Margaret

3 / 5

At a glance

UPMC St Margaret 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 Limit0.378Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.285Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5528Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.851Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.031Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.689Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.591Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6192Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.374Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.412Same as national
SSI - Colon Surgery: Lower Confidence Limit0.062Same as national
SSI - Colon Surgery: Upper Confidence Limit1.231Same as national
SSI - Colon Surgery: Number of Procedures196Same as national
SSI - Colon Surgery: Predicted Cases5.369Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.373Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.006Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.119Same as national
MRSA Bacteremia: Upper Confidence Limit2.339Same as national
MRSA Bacteremia: Patient Days42198Same as national
MRSA Bacteremia: Predicted Cases2.825Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.708Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.219Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.769Better than national
Clostridium Difficile (C.Diff): Patient Days42198Better than national
Clostridium Difficile (C.Diff): Predicted Cases23.168Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.432Better 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 national200
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national676
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national51
Death rate for heart failure patients11.2Same as national197
Death rate for pneumonia patients16Same as national183
Death rate for stroke patients14.7Same as national50
Pressure ulcer rate0.68Same as national2161
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national3133
In-hospital fall-associated fracture rate0.24Same as national3088
Postoperative hemorrhage or hematoma rate2.01Same as national754
Postoperative acute kidney injury requiring dialysis rate1.62Same as national412
Postoperative respiratory failure rate6.56Same as national443
Perioperative pulmonary embolism or deep vein thrombosis rate4.52Same as national807
Postoperative sepsis rate4.35Same as national407
Postoperative wound dehiscence rate1.69Same as national233
Abdominopelvic accidental puncture or laceration rate1.63Same as national619
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients15.9Not available225
Hospital return days for pneumonia patients-4.7Not available200
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1096
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national980
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.8Same as national49
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national49
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national628
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national54
Heart failure (HF) 30-Day Readmission Rate20.3Same as national225
Rate of readmission after hip/knee replacement7.1Same as national185
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national200

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 rating4461
Doctor communication - star rating4461
Communication about medicines - star rating2461
Discharge information - star rating4461
Cleanliness - star rating3461
Quietness - star rating2461
Overall hospital rating - star rating4461
Recommend hospital - star rating4461
Summary star rating3461

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 vaccination911712
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 better231613
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 better226573
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30717
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29823
Left before being seen131745
Head CT results1513
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98311
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)037
Safe Use of Opioids - Concurrent Prescribing192274
Appropriate care for severe sepsis and septic shock41252
Septic Shock 3-Hour Bundle5374
Septic Shock 6-Hour Bundle9626
Severe Sepsis 3-Hour Bundle71252
Severe Sepsis 6-Hour Bundle74129
Discharged on Antithrombotic Therapy10084
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29373
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis88598

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 UPMC St Margaret rated?
UPMC St Margaret has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does UPMC St Margaret have emergency services?
Yes. UPMC St Margaret operates a 24/7 emergency department.
Where is UPMC St Margaret located?
UPMC St Margaret is located at 815 Freeport Road, Pittsburgh, PA 15215.
What type of hospital is UPMC St Margaret?
UPMC St Margaret 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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