JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Aspirus Rhinelander Hospital

3 / 5

At a glance

Aspirus Rhinelander Hospital carries a 3-star CMS overall rating — in line with the national norm.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days431Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.263Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1037Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.536Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures35Not available
SSI - Colon Surgery: Predicted Cases0.768Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures38Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.314Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days12110Not available
MRSA Bacteremia: Predicted Cases0.279Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.199Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.129Same as national
Clostridium Difficile (C.Diff): Patient Days11687Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.835Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.782Same as national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national289
Death rate for heart attack patients11.9Same as national25
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.6Same as national45
Death rate for heart failure patients15.1Same as national123
Death rate for pneumonia patients14.9Same as national98
Death rate for stroke patients14.9Same as national40
Pressure ulcer rate0.42Same as national945
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national1258
In-hospital fall-associated fracture rate0.26Same as national1198
Postoperative hemorrhage or hematoma rate2.26Same as national191
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.58Same as national203
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.70Same as national65
Abdominopelvic accidental puncture or laceration rate1.01Same as national160
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients11.8Not available129
Hospital return days for pneumonia patients-44.1Not available92
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national413
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national666
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national93
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national93
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national162
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national48
Heart failure (HF) 30-Day Readmission Rate20.1Same as national129
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national92

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating5249
Doctor communication - star rating3249
Communication about medicines - star rating4249
Discharge information - star rating5249
Cleanliness - star rating4249
Quietness - star rating3249
Overall hospital rating - star rating3249
Recommend hospital - star rating3249
Summary star rating4249

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumelow
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events01112
Healthcare workers given influenza vaccination781345
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 better169404
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 better161360
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16811
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33834
Left before being seen315155
Head CT results6916
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9996
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12557
Appropriate care for severe sepsis and septic shock8475
Septic Shock 3-Hour Bundle9029
Septic Shock 6-Hour Bundle8116
Severe Sepsis 3-Hour Bundle9675
Severe Sepsis 6-Hour Bundle9857
Discharged on Antithrombotic Therapy10044
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29539
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Aspirus Rhinelander Hospital rated?
Aspirus Rhinelander Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Aspirus Rhinelander Hospital have emergency services?
Yes. Aspirus Rhinelander Hospital operates a 24/7 emergency department.
Where is Aspirus Rhinelander Hospital located?
Aspirus Rhinelander Hospital is located at 2251 North Shore Dr, Rhinelander, WI 54501.
What type of hospital is Aspirus Rhinelander Hospital?
Aspirus Rhinelander Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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