Bon Secours-St Francis Xavier Hospital

Hospital in Charleston, SC, Medicare certification number 420065. CMS publishes 61 quality measures for it.

Medicare certification

Provider of Services

CCN: 420065The 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 - Private
Control type: Private (not for profit)
Participating since: Oct 1, 1966
Last certification: Aug 3, 2018
Beds: 204
Overall star rating: 3 of 5Care Compare
Address: 2095 Henry Tecklenburg Drive
Charleston, SC 29414
(843) 402-1006

NPI records for this facility 1

Bon Secours St. Francis Xavier Hospital Inc.
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.08 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better4 of 5
- State average 2.72 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.36 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.48 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.68 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.34 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.62 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.7 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.42 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,017

Page 1 of 41Medicare Care Compare

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

Souzan Abdel-Samie, M.D
- Family Medicine Physician
- Summerville, SC
- NPI 1144514266
Alan N. Abel, M.D.
- Primary Care Clinic/Center
- North Charleston, SC
- NPI 1700962487
Jeremy James Ackermann, DO
- Family Medicine Physician
- Moncks Corner, SC
- NPI 1417983982
Samuel Adams II, D.O.
- Family Medicine Physician
- Charleston, SC
- NPI 1972942134
Judd B Adelman, MD
- Gastroenterology Physician
- North Charleston, SC
- NPI 1912940131
Jeffrey M Akhtar, DO
- Internal Medicine Physician
- Charleston, SC
- NPI 1053370841
Francis Akom, MD
- Obstetrics & Gynecology Physician
- North Charleston, SC
- NPI 1790761385
Philip Anton Albaneze, MD
- Surgery Physician
- Charleston, SC
- NPI 1285691170
William Greer Albergotti III, M.D.
- Otolaryngology Physician
- Charleston, SC
- NPI 1538423546
Omar Boston Alexander, M.D.
- Hospitalist Physician
- Greenville, SC
- NPI 1679735047
Russell Scott Allinder, M.D.
- Emergency Medicine Physician
- Charleston, SC
- NPI 1780065607
Lee Lovett Allison, M.D.
- Family Medicine Physician
- Mt Pleasant, SC
- NPI 1417037078
Jake William Altier, MD
- Rheumatology Physician
- Charleston, SC
- NPI 1154983096
Aman Virendra Amin, MD
- Internal Medicine Physician
- Charleston, SC
- NPI 1962681668
Robert M Anders, MD
- Emergency Medicine Physician
- Moncks Corner, SC
- NPI 1699700609
Andrew Karl Anderson, M.D.
- Diagnostic Radiology Physician
- Charleston, SC
- NPI 1073729711
Annette Bilton Anderson, M.D.
- Family Medicine Physician
- Summerville, SC
- NPI 1174541460
Erica Anderson, D.O.
- Rheumatology Physician
- Charleston, SC
- NPI 1881782266
Robert Hampton Andrews, MD
- Vascular & Interventional Radiology Physician
- Charleston, SC
- NPI 1104208982
Jared K Angstadt, CRNA
- Certified Registered Nurse Anesthetist
- Lagrange, GA
- NPI 1700400272
Elizabeth Christine Anisis, D.O.
- Family Medicine Physician
- N Charleston, SC
- NPI 1851687016
James Francis Anoia, MD
- Internal Medicine Physician
- Charleston, SC
- NPI 1588647572
Heather Brooke Joye Anthony, PA-C
- Physician Assistant
- Mt Pleasant, SC
- NPI 1780613653
Thomas C. Appleby, M.D.
- Vascular Surgery Physician
- North Charleston, SC
- NPI 1801985007
Germaine Ryan Aprill, PA-C
- Surgical Physician Assistant
- Charleston, SC
- NPI 1033468434

Complications and deaths 17

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.87
- State average 1.02 (computed here)
- National average 1.06
- No different than the national rate
- 1,073 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.8
- State average 0.96 (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 expected157.75
- State average 172.77 (computed here)
- National average 173.3
- No different than the national rate
- 28 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.6
- State average 9.05 (computed here)
- National average 8.6
- No different than the national rate
- 85 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected14.8
- State average 11.55 (computed here)
- National average 11.1
- No different than the national rate
- 233 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.9
- State average 15.93 (computed here)
- National average 15.2
- No different than the national rate
- 299 patients
- Period from 07/01/2022
Death rate for stroke patients As expected8.6
- State average 12.08 (computed here)
- National average 11.9
- No different than the national rate
- 181 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.4
- State average 3.86 (computed here)
- National average 3.9
- No different than the national rate
- 1,909 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 4,223 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.23
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 4,213 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.36
- State average 3.45 (computed here)
- National average 3.52
- No different than the national rate
- 1,086 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.6
- State average 1.6 (computed here)
- National average 1.67
- No different than the national rate
- 417 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.59
- State average 2.29 (computed here)
- National average 2.34
- No different than the national rate
- 1,042 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected7.88
- State average 9.45 (computed here)
- National average 9.42
- No different than the national rate
- 424 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.37
- State average 5.07 (computed here)
- National average 5.27
- No different than the national rate
- 424 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.97
- State average 1.75 (computed here)
- National average 1.77
- No different than the national rate
- 404 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.25
- State average 0.53 (computed here)
- National average 0.63
- No different than the national rate
- 3,163 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (3)

Death rate for CABG surgery patients — 1
Death rate for heart attack patients — 1
Rate of complications for hip/knee replacement patients — 5

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.25
- State average 0.56
- 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 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.13
- State average 0.3
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.25
- State average 0.61
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0.7
- State average 1.16
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.33
- State average 1.09
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4
- State average 6.74 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.1
- State average 6.44 (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) 1.01
- State average 0.99
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 80
- State average 63
- National average 65
- 98 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 157
- State average 163
- National average 168
- 439 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 340
- State average 320
- National average 287
- 14 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 153
- State average 158
- National average 162
- 413 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 215
- State average 244
- National average 257
- 12 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 100
- State average 97.81 (computed here)
- National average 96.1 (computed here)
- 149 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 94
- National average 93
- 116 patients
- Period from 01/01/2024
Head CT results 53
- State average 72
- National average 69
- 17 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 87
- State average 73
- National average 78
- 1,753 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 100
- State average 94.87 (computed here)
- National average 93.49 (computed here)
- 667 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 47,573 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 17
- National average 15
- 2,872 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 88
- State average 72
- National average 73
- 32 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 100
- State average 88
- National average 87
- 22 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 87
- State average 80
- National average 81
- 98 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 95
- National average 93
- 71 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 93
- State average 89.1 (computed here)
- National average 82.23 (computed here)
- 3,784 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
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
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
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 9

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected21.3
- State average 21.55 (computed here)
- National average 21.3
- No different than the national rate
- 290 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 14.6
- State average 4.03 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 236 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 3.3
- State average 2.82 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 319 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.6
- State average 17.74 (computed here)
- National average 17.3
- No different than the national rate
- 361 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.7
- State average 5.43 (computed here)
- National average 5.4
- No different than the national rate
- 939 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.2
- State average 10.07 (computed here)
- National average 10.7
- No different than the national rate
- 939 patients
- Period from 01/01/2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.3
- State average 20.02 (computed here)
- National average 20
- No different than the national rate
- 156 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.8
- State average 13.03 (computed here)
- National average 13
- No different than the national rate
- 390 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 490 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (5)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 5
Rate of readmission for CABG — 1

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.