Hospital

SAINT AGNES MEDICAL CENTER

CCN: 050093 · FRESNO, CA 93720 · FRESNO County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1303 E HERNDON AVE, FRESNO, CA 93720
Phone
(559) 450-3000
Hospital Type
Acute Care
Ownership
Non-Profit (Church)
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
★★★★★
CMS Overall Rating
p7
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
1
7
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 9 of 11 measures reported
7
2
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 11 of 12 measures reported
11 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 292 discharges
1.1443 p97
Heart Failure 916 discharges
1.1768 p99
Pneumonia 917 discharges
1.1531 p97
COPD 361 discharges
1.0500 p85
Hip/Knee Replacement
0.9284 p32
CABG Surgery 99 discharges
0.9606 p34
Expected (1.0) National median

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.1768
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 0.4306

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 3.60 No Different Than the National Rate 83
Hybrid_HWM 4.10 No Different Than the National Rate 2,584
MORT_30_AMI 13.20 No Different Than the National Rate 303
MORT_30_CABG 3.70 No Different Than the National Rate 109
MORT_30_COPD 7.30 No Different Than the National Rate 322
MORT_30_HF 11.40 No Different Than the National Rate 792
MORT_30_PN 17.50 No Different Than the National Rate 938
MORT_30_STK 12.70 No Different Than the National Rate 314
PSI_03 0.67 No Different Than the National Rate 9,626
PSI_04 197.82 No Different Than the National Rate 103
PSI_06 0.24 No Different Than the National Rate 11,641
PSI_08 0.25 No Different Than the National Rate 12,213
PSI_09 1.61 No Different Than the National Rate 2,362
PSI_10 1.09 No Different Than the National Rate 864
PSI_11 10.10 No Different Than the National Rate 900
PSI_12 4.76 No Different Than the National Rate 2,466
PSI_13 4.40 No Different Than the National Rate 882
PSI_14 1.84 No Different Than the National Rate 541
PSI_15 1.06 No Different Than the National Rate 2,342
PSI_90 1.02 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 71% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 7% —
H_COMP_1_U_P: Nurses "usually" communicated well 22% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 79% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 17% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 67% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 66% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 26% —
H_COMP_2_A_P: Doctors "always" communicated well 73% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7% —
H_COMP_2_U_P: Doctors "usually" communicated well 20% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 80% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 5% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 15% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 72% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 21% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 68% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 8% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 24% —
H_COMP_5_A_P: Staff "always" explained 54% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 22% —
H_COMP_5_U_P: Staff "usually" explained 24% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 2
H_MED_FOR_A_P: Staff "always" explained new medications 67% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 14% —
H_MED_FOR_U_P: Staff "usually" explained new medications 19% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 41% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 30% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 29% —
H_COMP_6_N_P: No, staff "did not" give patients this information 17% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 83% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 19% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 81% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 16% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84% —
H_CLEAN_HSP_A_P: Room was "always" clean 71% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 10% —
H_CLEAN_HSP_U_P: Room was "usually" clean 19% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 3
H_QUIET_HSP_A_P: "Always" quiet at night 50% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 13% —
H_QUIET_HSP_U_P: "Usually" quiet at night 37% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 8% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 24% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 68% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 6% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 72% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 22% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 4
H_STAR_RATING: Summary star rating — 2

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.164 Better than the National Benchmark
HAI_1_CIUPPER 0.993 Better than the National Benchmark
HAI_1_DOPC 11625.000 Better than the National Benchmark
HAI_1_ELIGCASES 11.162 Better than the National Benchmark
HAI_1_NUMERATOR 5.000 Better than the National Benchmark
HAI_1_SIR 0.448 Better than the National Benchmark
HAI_2_CILOWER 0.127 Better than the National Benchmark
HAI_2_CIUPPER 0.769 Better than the National Benchmark
HAI_2_DOPC 13283.000 Better than the National Benchmark
HAI_2_ELIGCASES 14.406 Better than the National Benchmark
HAI_2_NUMERATOR 5.000 Better than the National Benchmark
HAI_2_SIR 0.347 Better than the National Benchmark
HAI_3_CILOWER 0.557 No Different than National Benchmark
HAI_3_CIUPPER 2.521 No Different than National Benchmark
HAI_3_DOPC 205.000 No Different than National Benchmark
HAI_3_ELIGCASES 5.492 No Different than National Benchmark
HAI_3_NUMERATOR 7.000 No Different than National Benchmark
HAI_3_SIR 1.275 No Different than National Benchmark
HAI_4_CILOWER 0.424 No Different than National Benchmark
HAI_4_CIUPPER 4.536 No Different than National Benchmark
HAI_4_DOPC 205.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.800 No Different than National Benchmark
HAI_4_NUMERATOR 3.000 No Different than National Benchmark
HAI_4_SIR 1.667 No Different than National Benchmark
HAI_5_CILOWER 0.376 No Different than National Benchmark
HAI_5_CIUPPER 1.928 No Different than National Benchmark
HAI_5_DOPC 117188.000 No Different than National Benchmark
HAI_5_ELIGCASES 6.473 No Different than National Benchmark
HAI_5_NUMERATOR 6.000 No Different than National Benchmark
HAI_5_SIR 0.927 No Different than National Benchmark
HAI_6_CILOWER 0.265 Better than the National Benchmark
HAI_6_CIUPPER 0.602 Better than the National Benchmark
HAI_6_DOPC 110687.000 Better than the National Benchmark
HAI_6_ELIGCASES 56.383 Better than the National Benchmark
HAI_6_NUMERATOR 23.000 Better than the National Benchmark
HAI_6_SIR 0.408 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV very high Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 90.0 Healthcare Personnel Vaccination
OP_18a 253.0 Emergency Department
OP_18b 246.0 Emergency Department
OP_18c 682.0 Emergency Department
OP_18d — Emergency Department
OP_22 2.0 Emergency Department
OP_23 71.0 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 9.0 Electronic Clinical Quality Measure
SEP_1 58.0 Sepsis Care
SEP_SH_3HR 74.0 Sepsis Care
SEP_SH_6HR 77.0 Sepsis Care
SEV_SEP_3HR 81.0 Sepsis Care
SEV_SEP_6HR 83.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 66.0 Electronic Clinical Quality Measure
STK_05 95.0 Electronic Clinical Quality Measure
VTE_1 — Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 41.40 More Days Than Average per 100 Discharges
EDAC_30_HF 30.80 More Days Than Average per 100 Discharges
EDAC_30_PN 19.90 More Days Than Average per 100 Discharges
Hybrid_HWR 15.90 No Different Than the National Rate
OP_32 12.30 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI 15.30 No Different Than the National Rate
READM_30_CABG 10.20 No Different Than the National Rate
READM_30_COPD 19.10 No Different Than the National Rate
READM_30_HF 23.30 Worse Than the National Rate
READM_30_HIP_KNEE 4.50 No Different Than the National Rate
READM_30_PN 18.50 Worse Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
0.99

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.22 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.65 — metrics.current_ratio
Cost Report Employees per Bed 6.86 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $318,189,499 — metrics.fund_balance
Cost Report Net Income ($) $-64,679,717 — metrics.net_income
Cost Report Net Patient Revenue ($) $606,971,660 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -14.2% — metrics.operating_margin
Cost Report Total Assets ($) $635,536,782 — metrics.total_assets
Cost Report Total Costs ($) $542,566,518 — metrics.total_costs
Cost Report Total Liabilities ($) $317,347,283 — metrics.total_liabilities
Cost Report Total Margin (%) -10.3% — metrics.total_margin
Cost Report Uncompensated Care (%) 1.8% — metrics.uncompensated_care_pct
General Information Address 1303 E HERNDON AVE — Address
General Information City/Town FRESNO — City/Town
General Information Count of Facility MORT Measures 7 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 9 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 8 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 7 — Count of READM Measures No Different
General Information Count of READM Measures Worse 2 — Count of READM Measures Worse
General Information Count of Safety Measures Better 1 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 7 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish FRESNO — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 050093 — Facility ID
General Information Facility Name SAINT AGNES MEDICAL CENTER — Facility Name
General Information Hospital overall rating 2 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Church — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation Y — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State CA — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (559) 450-3000 — Telephone Number
General Information ZIP Code 93720 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.55 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.54 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.12 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.79 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.05 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.43 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 0.99 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.14 0.9995 p97 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.1% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 292 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 54 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 16.1% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.96 1.0000 p34 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 12.7% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 99 — READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 11 — READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 12.2% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.05 0.9969 p85 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.6% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 361 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 74 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.5% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.18 0.9983 p99 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.3% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 916 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 220 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.7% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.93 0.9916 p32 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.2% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.8% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.15 0.9955 p97 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 14.9% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 917 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 167 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.2% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →