★★★☆☆3 out of 5 StarsWhy 3 stars?CHI St. Joseph's Health's 3-star rating reflects above-average performance on Patient Experience.
CMS Overall Hospital Quality Star Rating · CHI St. Joseph's Health
How was CHI St. Joseph's Health's 3-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like CHI St. Joseph's Health. 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 CHI St. Joseph's Health's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
3 of 7
0 better2 same1 worse
Safety of Care
22%
1 of 19
0 better1 same0 worse
Readmissions
22%
0 of 6
Not reported
Timely & Effective Care
12%
13 of 22
3 better8 same2 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.
How this emergency department performs on the measures that
matter most when you need care fast.
153 minTypical ER visit before heading homeNear the national median of 148 min
3%Walked out before being seenWorse than ~75% of hospitals · national median 1%
55%Recommended sepsis care givenNear the national median of 64%
From CMS Timely & Effective Care reporting.
Quality measures
Mortality
Same as National Average
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
CHI St. Joseph's Health
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 4.20 95% interval: 3.20 – 5.40 Sample size: 144Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 16.00 95% interval: 10.70 – 23.60 Sample size: 64Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for heart failure patientsWorse Than the National RateHospital score: 17.90 95% interval: 12.50 – 25.10 Sample size: 40Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for CABG surgery patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for stroke patientsNumber of Cases Too SmallHospital score: — Reporting 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.
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
WorseUS AvgBetter
Patient Experience
Better than National Average
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
CHI St. Joseph's Health
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
CHI'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 Nurses89%
Communication with Doctors90%
Hospital Cleanliness82%
Hospital Quietness74%
Staff ResponsivenessN/A
Discharge Information91%
Overall Hospital Rating (9 or 10)77%
Would Recommend Hospital77%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Same as National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
CHI St. Joseph's Health
WorseUS AvgBetter
Underlying measures:Safe Use of Opioids - Concurrent PrescribingBetter than ~75% of hospitalsHospital score: 11.00 % National median: 15.00 % (lower is better)
Sample size: 192Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSHospital Harm - Severe HyperglycemiaBetter than ~75% of hospitalsHospital score: 2.00 % National median: 8.00 % (lower is better)
Sample size: 729Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPERHospital Harm - Severe HypoglycemiaBetter than ~75% of hospitalsHospital score: 0.00 % National median: 1.00 % (lower is better)
Sample size: 175Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPOAverage (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 196.00 min National median: 248.00 min (lower is better)
Sample size: 27Reporting 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 betterNear the national medianHospital score: 153.00 min National median: 148.00 min (lower is better)
Sample size: 353Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is betterNear the national medianHospital score: 344.00 min National median: 294.00 min (lower is better)
Sample size: 21Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18dAverage (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 betterNear the national medianHospital score: 159.00 min National median: 154.00 min (lower is better)
Sample size: 401Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aAppropriate care for severe sepsis and septic shockNear the national medianHospital score: 55.00 % National median: 64.00 % (higher is better)
Sample size: 55Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Severe Sepsis 3-Hour BundleNear the national medianHospital score: 75.00 % National median: 81.00 % (higher is better)
Sample size: 55Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleNear the national medianHospital score: 94.00 % National median: 94.00 % (higher is better)
Sample size: 31Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRHealthcare workers given influenza vaccinationNear the national medianHospital score: 84.00 % National median: 79.00 % (higher is better)
Sample size: 340Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Left before being seenWorse than ~75% of hospitalsHospital score: 3.00 % National median: 1.00 % (lower is better)
Sample size: 8,402Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Septic Shock 3-Hour BundleWorse than ~75% of hospitalsHospital score: 33.00 % National median: 72.00 % (higher is better)
Sample size: 12Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HR
Clinical Staff
CHI St. Joseph's Health has 119 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 Practitioner25
Physician Assistant19
Family Practice10
Hospitalist8
Internal Medicine6
Diagnostic Radiology5
Emergency Medicine5
Interventional Cardiology4
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
118(99%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
29(24%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
22 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 3
(14%) 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 2026-07-18.
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 119 clinicians affiliated with CHI St. Joseph's Health.
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 2026-07-18.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Procedure volumes are Medicare fee-for-service counts from the CMS
clinician utilization file (all practice locations, not just this
hospital). Industry payment totals are from CMS Open Payments,
program year 2024, and include meals, travel, consulting, and
speaking fees; payments are legal and common — we show them for
transparency, not as a quality judgment.
Pricing & Costs
Facility Information
Licensed beds
25
Facility type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Emergency services
Yes — 24/7
Ownership & Finances
Ownership
Nonprofit (Church-affiliated)
Charity care spend (FY2023)
$514K
List prices vs. actual cost
≈ 2.5× actual cost
From the hospital's FY2023 Medicare cost report (HCRIS).
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Claim this listing free to add your logo, correct details, and
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Compared with the 6 other acute-care hospitals within 50 miles
— 7 facilities in all, CMS data only.
Among the 7 acute-care hospitals within 50 miles, CHI St. Joseph's Health's overall star rating is 3★; the median among the 4 peers reporting it is 3.5★.
Measure
This facility
Nearby median
Overall star rating
reported by 4 of 6 nearby peers
3★
3.5★
Patient experience (HCAHPS) star
reported by 5 of 6 nearby peers
Cohort: within 50 miles · CMS data period 2026-06 · method cohort-v1
· comparisons are never affected by claiming or payment.
How nearby comparisons work
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.