Chi St Alexius Health
900 E Broadway, Bismarck, ND 58501 · (701) 530-7000
CMS rating
2/5
Overall hospital rating
Ownership
Non-profit
Voluntary non-profit - Church
CMS Hospital Compare measure groups
Mortality
7
measures reported
Safety
7
measures reported
Readmission
11
measures reported
2 better than national
Patient experience
8
HCAHPS dimensions
Timely & effective
10
measures reported
Chi St Alexius Health in context
CHI ST ALEXIUS HEALTH is an acute-care hospital in Bismarck, North Dakota, running as a faith-based non-profit hospital and operates as part of CommonSpirit Health. The facility is Medicare-certified under CMS Certification Number 350002, which is the join key across Hospital Compare, MACRA, and most state discharge scorecards.
CMS Hospital Compare assigns this facility an overall rating of 2 of 5 stars — below the national median. On measure groups versus the national rate, the facility is: 7 mortality measures reported with none flagged; 7 safety measures reported with none flagged; 2 better of 11 readmission. CMS's composite rating weights mortality, safety, readmission, patient experience, and timely & effective care across all reporting measures; it is not stratified by patient race.
Operationally: CHI ST ALEXIUS HEALTH operates an emergency department (EMTALA-covered, which means it must screen and stabilize any patient regardless of ability to pay), and the CMS Birthing-Friendly designation, which requires attesting to the Alliance for Innovation on Maternal Health (AIM) obstetric safety bundles.
Statewide context: Sanford Health runs a dominant share of North Dakota's inpatient capacity across Fargo and Bismarck. Race-stratified measures are frequently cell-suppressed at the facility level.
For Black patients
If you are a Black patient being seen at CHI ST ALEXIUS HEALTH in Bismarck, North Dakota, a few concrete steps:
- Bring an advocate. National data from CDC's Black maternal mortality review show the single biggest reduction in missed-diagnosis rates comes from a second set of ears in the room — a partner, a doula, a family member. Ask in advance that they be credentialed as a visitor; the hospital cannot turn away a designated support person.
- If you need ongoing primary care, our North Dakota provider directory filters to physicians who accept Medicaid and speak Spanish / Haitian Creole / ASL where relevant. Filter to your insurance first.
- If the hospital doesn't take your coverage, the closest Federally Qualified Health Center is listed under our FQHCs in this area. FQHCs serve every patient on a sliding-fee scale regardless of insurance status.
- For help paying for care, the state Medicaid navigator at /medicaid/north-dakota/ explains eligibility, documents, and how to apply (same-day presumptive eligibility for pregnancy).
- If you are treated dismissively or your pain is ignored, every Medicare-certified hospital is required by CMS Conditions of Participation (42 CFR 482.13) to have a grievance procedure; file in writing and request the CMS regional office contact if the hospital ombuds does not respond within seven days.
Alternatives & nearby care
Sliding-scale clinics
FQHCs near Bismarck
Federally Qualified Health Centers — take Medicaid and uninsured on sliding scale.
Providers
Providers in ND
Filter our directory to ND — by specialty, language, Medicaid acceptance.
State rollup
All hospitals in North Dakota
Safety-net systems, state scorecard, rollups by CMS star rating.
References & primary sources
- CMS Hospital Compare — Hospital General Information (the primary source for overall star rating, measure-group counts, ownership, ER, birthing-friendly flag): data.cms.gov/provider-data/dataset/xubh-q36u.
- CMS Care Compare facility profile — this hospital's public page: Care Compare.gov search by CCN.
- 42 CFR Part 482 — Medicare Conditions of Participation for Hospitals (source for grievance-procedure rights + EMTALA): ecfr.gov / Title 42 Part 482.
- Alliance for Innovation on Maternal Health (AIM) — the obstetric safety bundles underlying the CMS Birthing-Friendly designation: saferbirth.org.
Data refreshed: