St Bernard Hospital

Hospital in Chicago, IL, Medicare certification number 140103. CMS publishes 32 quality measures for it.

Medicare certification

Provider of Services

CCN: 140103The 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: Feb 2, 2022
Beds: 210
Overall star rating: 1 of 5Care Compare
Address: 326 W 64TH St
Chicago, IL 60621
(773) 962-3900

NPI records for this facility 1

St. Bernard Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1811034291
Medicare enrollment

Patient survey (HCAHPS) 0

Medicare Care Compare

Measures CMS does not publish for this facility (9)

Cleanliness - star rating — 15
Communication about medicines - star rating — 15
Discharge information - star rating — 15
Doctor communication - star rating — 15
Nurse communication - star rating — 15
Overall hospital rating - star rating — 15
Quietness - star rating — 15
Recommend hospital - star rating — 15
Summary star rating — 15

Complications and deaths 9

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.05
- State average 1.05 (computed here)
- National average 1.06
- No different than the national rate
- 104 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.95
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.7
- State average 15.41 (computed here)
- National average 15.2
- No different than the national rate
- 50 patients
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Worse5.3
- State average 4.05 (computed here)
- National average 3.9
- Worse than the national rate
- 239 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 616 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.27
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 628 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.48
- State average 3.71 (computed here)
- National average 3.52
- No different than the national rate
- 37 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.32
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 35 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.46
- State average 0.57 (computed here)
- National average 0.63
- No different than the national rate
- 571 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (11)

Death rate among surgical inpatients with serious treatable complications — 1
Death rate for CABG surgery patients — 5
Death rate for COPD patients — 1
Death rate for heart attack patients — 1
Death rate for heart failure patients — 1
Death rate for stroke patients — 1
Postoperative acute kidney injury requiring dialysis rate — 1
Postoperative respiratory failure rate — 1
Postoperative sepsis rate — 1
Postoperative wound dehiscence rate — 1
Rate of complications for hip/knee replacement patients — 5

Infections 4

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.5
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0
- State average 0.69
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.58
- State average 0.37
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (2)

SSI - Abdominal Hysterectomy — 13
SSI - Colon Surgery — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 3.1
- State average 6.49 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 3.5
- State average 7.81 (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) 1.03
- State average 1
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 12

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 75
- State average 63
- National average 65
- 92 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 256
- State average 171
- National average 168
- 358 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 231
- State average 162
- National average 162
- 321 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 676
- State average 288
- National average 257
- 30 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 96
- State average 95
- National average 93
- 73 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 97
- State average 87
- National average 78
- 1,009 patients
- Period from 10/01/2024
Left before being seen 14
- State average 3
- National average 2
- 33,367 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 16
- National average 15
- 174 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 84
- State average 72
- National average 73
- 25 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 79
- State average 86
- National average 87
- 19 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 91
- State average 79
- National average 81
- 93 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 89
- State average 93
- National average 93
- 62 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (18)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 1
Antithrombotic Therapy by End of Hospital Day 2 — 1
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Discharged on Antithrombotic Therapy — 1
Emergency department volume — medium
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 — 7
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 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 4

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected21.7
- State average 21.51 (computed here)
- National average 21.3
- No different than the national rate
- 69 patients
- Period from 07/01/2023
Hospital return days for pneumonia patients -13.1
- State average 13.94 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 49 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.4
- State average 17.5 (computed here)
- National average 17.3
- No different than the national rate
- 100 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.6
- State average 20.07 (computed here)
- National average 20
- No different than the national rate
- 66 patients
- Period from 07/01/2023

Measures CMS does not publish for this facility (10)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hospital return days for heart failure patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 5
Rate of readmission after hip/knee replacement — 5
Rate of readmission for CABG — 5
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 1
Ratio of unplanned hospital visits after hospital outpatient surgery — 7

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.
NPPES NPI Registry: the NPI records connected to this certification.

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.