Hospitals earn a letter grade based on how well they keep their patients safe.
St. Agnes in Fresno received a C grade this spring, down from a B grade last year. Patients at C hospitals, on the average, face an 88 percent greater risk of avoidable death, according to the survey.
Kaweah Delta Medical Center in Visalia also recieved a C grade.
Adventist Medical Center in Hanford and Sierra View Medical Center earned B grades.
Kaiser Hospital in Fresno earned an A grade.
Click here to dive deeper into the grades for your local hospital.