★★☆☆☆2 out of 5 StarsWhy 2 stars?St Marys Medical Center's 2-star rating reflects below-average performance on Timely Care.
CMS Overall Hospital Quality Star Rating · St Marys Medical Center
How was St Marys Medical Center's 2-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like St Marys Medical Center. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed St Marys Medical Center's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
7 of 7
0 better7 same0 worse
Safety of Care
22%
18 of 19
2 better14 same2 worse
Readmissions
22%
6 of 6
1 better5 same0 worse
Timely & Effective Care
12%
17 of 22
2 better3 same12 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
St Marys Medical Center
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 4.10 95% interval: 3.50 – 4.70 Sample size: 1,575Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for CABG surgery patientsNo Different Than the National RateHospital score: 2.50 95% interval: 1.30 – 4.80 Sample size: 137Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNo Different Than the National RateHospital score: 9.30 95% interval: 7.00 – 12.40 Sample size: 310Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 12.30 95% interval: 9.50 – 15.50 Sample size: 272Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 12.50 95% interval: 10.10 – 15.30 Sample size: 463Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 17.10 95% interval: 14.40 – 20.50 Sample size: 461Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 15.80 95% interval: 13.10 – 18.90 Sample size: 283Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STK
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
St Marys Medical Center
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.63 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Better than the National BenchmarkHospital score: 0.50 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.23 95% interval: 0.28 – 2.17 Sample size: 1,323Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Central Line Associated Bloodstream Infection (ICU + select Wards)No Different than National BenchmarkHospital score: 1.01 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.28 95% interval: 0.09 – 0.48 Sample size: 6,415Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 3.10 95% interval: 1.70 – 5.80 Sample size: 56Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.32 95% interval: 0.13 – 0.51 Sample size: 6,934Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08MRSA BacteremiaNo Different than National BenchmarkHospital score: 0.91 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRPostoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.37 95% interval: 0.97 – 3.76 Sample size: 1,712Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 4.49 95% interval: 2.47 – 6.52 Sample size: 1,743Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 2.08 95% interval: 0.54 – 3.63 Sample size: 447Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 6.16 95% interval: 0.00 – 12.59 Sample size: 443Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.26 95% interval: 1.54 – 8.99 Sample size: 431Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 1.28 95% interval: 0.98 – 1.59 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90Death rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 203.04 95% interval: 153.00 – 253.08 Sample size: 96Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.56 95% interval: 0.12 – 3.00 Sample size: 335Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Pressure ulcer rateWorse Than the National RateHospital score: 1.61 95% interval: 0.99 – 2.24 Sample size: 6,183Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03SSI - Colon SurgeryWorse than the National BenchmarkHospital score: 2.41 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRSSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIR
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
St Marys Medical Center
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
St's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses76%
Communication with Doctors74%
Hospital Cleanliness66%
Hospital Quietness49%
Staff ResponsivenessN/A
Discharge Information84%
Overall Hospital Rating (9 or 10)70%
Would Recommend Hospital74%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Below National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
St Marys Medical Center
WorseUS AvgBetter
Underlying measures:Left before being seenBetter than ~75% of hospitalsHospital score: 1.00 % National median: 1.00 % (lower is better)
Sample size: 61,402Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Healthcare workers given influenza vaccinationBetter than ~75% of hospitalsHospital score: 95.00 % National median: 79.00 % (higher is better)
Sample size: 5,194Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Improvement in Patient's Visual Function within 90 Days Following Cataract SurgeryNear the national medianHospital score: 99.00 % National median: 99.00 % (higher is better)
Sample size: 295Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_31Head CT resultsNear the national medianHospital score: 64.00 % National median: 74.00 % (higher is better)
Sample size: 11Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Septic Shock 6-Hour BundleNear the national medianHospital score: 81.00 % National median: 89.00 % (higher is better)
Sample size: 36Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRDischarged on Antithrombotic TherapyWorse than ~75% of hospitalsHospital score: 95.00 % National median: 98.00 % (higher is better)
Sample size: 345Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Antithrombotic Therapy by End of Hospital Day 2Worse than ~75% of hospitalsHospital score: 78.00 % National median: 94.00 % (higher is better)
Sample size: 388Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_05Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsWorse than ~75% of hospitalsHospital score: 85.00 % National median: 97.00 % (higher is better)
Sample size: 676Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Safe Use of Opioids - Concurrent PrescribingWorse than ~75% of hospitalsHospital score: 18.00 % National median: 15.00 % (lower is better)
Sample size: 3,972Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterWorse than ~75% of hospitalsHospital score: 417.00 min National median: 248.00 min (lower is better)
Sample size: 25Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAverage (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 betterWorse than ~75% of hospitalsHospital score: 217.00 min National median: 148.00 min (lower is better)
Sample size: 381Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterWorse than ~75% of hospitalsHospital score: 225.00 min National median: 154.00 min (lower is better)
Sample size: 410Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aAppropriate care for severe sepsis and septic shockWorse than ~75% of hospitalsHospital score: 40.00 % National median: 64.00 % (higher is better)
Sample size: 292Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleWorse than ~75% of hospitalsHospital score: 56.00 % National median: 72.00 % (higher is better)
Sample size: 79Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSevere Sepsis 3-Hour BundleWorse than ~75% of hospitalsHospital score: 63.00 % National median: 81.00 % (higher is better)
Sample size: 293Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleWorse than ~75% of hospitalsHospital score: 81.00 % National median: 94.00 % (higher is better)
Sample size: 133Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRVenous Thromboembolism ProphylaxisWorse than ~75% of hospitalsHospital score: 51.00 % National median: 90.00 % (higher is better)
Sample size: 10,044Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1
Psychiatric Unit Quality (IPFQR)
St Marys Medical Center operates a Medicare-certified inpatient psychiatric unit that reports under the federal IPFQR program. The measures below are specific to that unit — not the hospital as a whole. They cover restraint and seclusion use, screening for medication side effects, substance-use and tobacco treatment, transitions of care, follow-up after discharge, and readmissions.
Physical Restraint Use 0.2 hours per 1,000 patient-hours
National median: 0.1 hours Worse than national median
HBIPS-2 — hours of physical restraint use per 1,000 patient-hours. Lower is better; restraints carry physical and psychological risks.
Seclusion Use 0.0 hours per 1,000 patient-hours
National median: 0.0 hours Near national median
HBIPS-3 — hours of seclusion per 1,000 patient-hours. Lower is better; seclusion is used only when no other intervention works.
Metabolic Screening (SMD) 93.0 %
National median: 92.0 % Near national median
SMD — % of patients on antipsychotics screened for metabolic side effects (BMI, blood glucose, cholesterol). Antipsychotics raise metabolic-syndrome risk; screening catches it early.
Substance-Use Treatment Provided 92.0 %
National median: 74.0 % Better than national median
SUB-2 — % of patients with alcohol/drug use referred for treatment during admission.
Substance-Use Treatment at Discharge 98.0 %
National median: 77.0 % Better than national median
SUB-3 — % of patients with substance-use disorder offered or referred to treatment at discharge.
Tobacco-Use Treatment at Discharge 85.0 %
National median: 64.0 % Better than national median
TOB-3 — % of patients using tobacco who received counseling and/or medication at discharge.
Transition Record Completed 94.0 %
National median: 77.0 % Better than national median
TR-1 — % of discharges with a completed transition record including medications, follow-up plan, and crisis instructions.
30-Day Readmission Rate 18.7 %
National median: 19.1 % Near national median
READM-30-IPF — risk-standardized 30-day readmission rate. No Different Than the National Rate
Influenza Immunization 63.0 %
National median: 87.0 % Worse than national median
IMM-2 — % of patients given a flu vaccine during the inpatient stay.
St Marys Medical Center has 554 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Nurse Practitioner129
Internal Medicine62
Family Practice51
Physician Assistant39
Certified Registered Nurse Anesthetist (Crna)38
Diagnostic Radiology22
Orthopedic Surgery16
Cardiovascular Disease (Cardiology)13
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
553(100%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
58(10%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
110 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 55
(50%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 554 clinicians affiliated with St Marys Medical Center.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.