Intermountain Health St. Mary'S Regional Hospital

Hospital in Grand Junction, CO, Medicare certification number 060023. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 060023The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Church
Control type: Church
Participating since: Jul 1, 1966
Last certification: Mar 25, 2015
Beds: 346
Overall star rating: 4 of 5Care Compare
Address: 2635 N 7TH St
Grand Junction, CO 81501
(970) 298-2260

NPI records for this facility 4

St Mary'S Hospital and Medical Center, Inc
- Ambulance
- Grand Junction, CO
- NPI 1164060877
Medicare enrollment
St Mary'S Hospital and Medical Center, Inc
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
Medicare enrollment
St Mary'S Hospital and Medical Center, Inc
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1821647801
Medicare enrollment
St. Mary'S Hospital and Medical Center, Inc.
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1699716027
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.75 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 3.04 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.48 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.34 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.52 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.66 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.66 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 4.04 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.52 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 717

Page 1 of 29Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Zameer Abedin, MD
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1518491125
Anthony D Accurso, MD
- Hematology & Oncology Physician
- Hays, KS
- NPI 1295098424
Richard Michael Ackerson, MD
- Orthopaedic Surgery Physician
- Fruita, CO
- NPI 1104091438
Bryanna Adams
- Physician Assistant
- Grand Junction, CO
- NPI 1508565326
Michael Adams
- Family Medicine Physician
- Grand Junction, CO
- NPI 1053948133
Joseph Adragna IV, MD, MHA, MGH
- Family Medicine Physician
- Montrose, CO
- NPI 1851658876
Addison Adzema
- Surgical Physician Assistant
- Aspen, CO
- NPI 1184353468
Basheal M. Agrawal, M.D.
- Neurological Surgery Physician
- Grand Junction, CO
- NPI 1154365153
Bilal Aijaz, M.D
- Interventional Cardiology Physician
- Aurora, CO
- NPI 1205957198
Shefta Ahmed Akhunji, M.D
- Hospitalist Physician
- Springfield, IL
- NPI 1477937811
Ivan S Alkes, MD
- Family Medicine Physician
- Grand JCT, CO
- NPI 1750466819
Melinda Beth Allen, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Grand Junction, CO
- NPI 1609280882
Michael K Allender, DO
- Anesthesiology Physician
- Ann Arbor, MI
- NPI 1811332695
Nathan J Ambrose, PA
- Surgical Physician Assistant
- Lafayette, LA
- NPI 1326694076
Neil Anand, M.D.
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1508271149
Arianna M Andersen, FNP
- Nurse Practitioner
- Grand Junction, CO
- NPI 1558436618
Craig Holger Andersen, MD
- Surgery Physician
- Grand Junction, CO
- NPI 1164535340
Christi Renee Anderson, RN, MSN, WHNP-BC, NP
- Family Nurse Practitioner
- Hotchkiss, CO
- NPI 1346697364
Dustin Anderson, MD
- Physical Medicine & Rehabilitation Physician
- Aurora, CO
- NPI 1265827737
Katherine Shepherd Anderson, ACNP- BC
- Acute Care Nurse Practitioner
- Colleyville, TX
- NPI 1730710641
Jan-Michael Andresen, DO
- Hospitalist Physician
- Des Moines, IA
- NPI 1356757421
Ray Allen Andrew, M.D.
- Family Medicine Physician
- Moab, UT
- NPI 1093804809
Mojgan Arashvand, DO
- Cardiovascular Disease Physician
- Montrose, CO
- NPI 1487669859
Amy J Archer, DO
- Family Medicine Physician
- Glenwood Springs, CO
- NPI 1205800208
Joseph Michael Arcidi Jr., M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Eureka, CA
- NPI 1528024544

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.95
- State average 1.08 (computed here)
- National average 1.06
- No different than the national rate
- 1,161 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.99
- State average 0.98 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected184.86
- State average 172.29 (computed here)
- National average 173.3
- No different than the national rate
- 122 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.5
- State average 2.06 (computed here)
- National average 2.4
- No different than the national rate
- 95 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.2
- State average 8.78 (computed here)
- National average 8.6
- No different than the national rate
- 72 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.2
- State average 10.76 (computed here)
- National average 11.9
- No different than the national rate
- 271 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected13.1
- State average 10.89 (computed here)
- National average 11.1
- No different than the national rate
- 232 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.5
- State average 14.58 (computed here)
- National average 15.2
- No different than the national rate
- 235 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.1
- State average 11.48 (computed here)
- National average 11.9
- No different than the national rate
- 382 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.1
- State average 3.78 (computed here)
- National average 3.9
- Better than the national rate
- 2,987 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.25
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 4,897 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 5,033 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.08
- State average 3.35 (computed here)
- National average 3.52
- No different than the national rate
- 1,953 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.6
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 817 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected3.23
- State average 2.35 (computed here)
- National average 2.34
- No different than the national rate
- 1,781 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.23
- State average 9.8 (computed here)
- National average 9.42
- No different than the national rate
- 746 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.86
- State average 5.1 (computed here)
- National average 5.27
- No different than the national rate
- 773 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.85
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 418 patients
- Period from 07/01/2022
Pressure ulcer rate As expected1.08
- State average 0.58 (computed here)
- National average 0.63
- No different than the national rate
- 4,037 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.8
- State average 4.15 (computed here)
- National average 4.1
- No different than the national rate
- 30 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.7
- State average 0.47
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.03
- State average 0.47
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.22
- State average 0.27
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.21
- State average 0.49
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.13
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.1
- State average 5.7 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.7
- State average 8.56 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.04
- State average 0.96
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 93
- State average 94.35 (computed here)
- National average 92.79 (computed here)
- 224 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 62
- State average 72
- National average 65
- 287 patients
- Period from 10/01/2024
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 better 208
- State average 140
- National average 168
- 381 patients
- Period from 10/01/2024
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 better 202
- State average 134
- National average 162
- 336 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 282
- State average 235
- National average 257
- 42 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 98.42 (computed here)
- National average 96.1 (computed here)
- 283 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 90
- State average 96
- National average 93
- 21 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 88
- State average 91
- National average 78
- 3,664 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 6
- State average 7.33 (computed here)
- National average 8.08 (computed here)
- 15,412 patients
- Period from 01/01/2024
Left before being seen 2
- State average 1
- National average 2
- 41,743 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 14
- National average 15
- 3,781 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 59
- State average 78
- National average 73
- 92 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 91
- National average 87
- 44 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 81
- State average 85
- National average 81
- 287 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 95
- National average 93
- 165 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (15)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected11.8
- State average 13.89 (computed here)
- National average 14.4
- No different than the national rate
- 413 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.2
- State average 20.06 (computed here)
- National average 21.3
- No different than the national rate
- 334 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -24.7
- State average -18.05 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 303 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -37.7
- State average -22.89 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 256 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -5.9
- State average -5.83 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 247 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.8
- State average 16.88 (computed here)
- National average 17.3
- No different than the national rate
- 368 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.5
- State average 5.71 (computed here)
- National average 5.4
- No different than the national rate
- 133 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.7
- State average 10.32 (computed here)
- National average 10.7
- No different than the national rate
- 133 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.7
- State average 5.61 (computed here)
- National average 5.8
- No different than the national rate
- 29 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected9.6
- State average 10.15 (computed here)
- National average 11
- No different than the national rate
- 103 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.8
- State average 19.26 (computed here)
- National average 20
- No different than the national rate
- 146 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.5
- State average 13.14 (computed here)
- National average 13
- No different than the national rate
- 201 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.08 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 691 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

St. Marys Hospital and Medical Center Inc Inpatient rehabilitation facility, CCN 06T023, 18 measures, 7 providers

Saint Mary'S Rehabilitation Center CCN 063026, Grand Junction, CO

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.