JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Aspirus Stevens Point Hospital & Clinics, Inc.

4 / 5

At a glance

Aspirus Stevens Point Hospital & Clinics, Inc. carries a 4-star CMS overall rating — above 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 Days732Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.425Not 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 Days833Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.409Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.726Same as national
SSI - Colon Surgery: Number of Procedures44Same as national
SSI - Colon Surgery: Predicted Cases1.099Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures21Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.178Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days15409Not available
MRSA Bacteremia: Predicted Cases0.452Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.305Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.844Same as national
Clostridium Difficile (C.Diff): Patient Days15065Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.010Same as national
Clostridium Difficile (C.Diff): Observed Cases5Same as national
Clostridium Difficile (C.Diff)0.832Same 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 Rate4.6Same as national303
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national32
Death rate for heart failure patients14.3Same as national105
Death rate for pneumonia patients14.3Same as national84
Death rate for stroke patients12.2Same as national38
Pressure ulcer rate1.30Same as national942
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1303
In-hospital fall-associated fracture rate0.26Same as national1247
Postoperative hemorrhage or hematoma rate2.55Same as national195
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national204
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.73Same as national33
Abdominopelvic accidental puncture or laceration rate1.03Same as national124
CMS Medicare PSI 90: Patient safety and adverse events composite1.16Same 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 patients-7Not available110
Hospital return days for pneumonia patients-7.1Not available92
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national473
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national529
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national68
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national68
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national206
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national35
Heart failure (HF) 30-Day Readmission Rate19.7Same as national110
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.7Same 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 rating3364
Doctor communication - star rating4364
Communication about medicines - star rating3364
Discharge information - star rating5364
Cleanliness - star rating2364
Quietness - star rating4364
Overall hospital rating - star rating4364
Recommend hospital - star rating4364
Summary star rating4364

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 Events
Healthcare workers given influenza vaccination771305
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 better152406
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 better145366
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14321
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38222
Left before being seen116945
Head CT results6715
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 Prescribing12666
Appropriate care for severe sepsis and septic shock91159
Septic Shock 3-Hour Bundle8937
Septic Shock 6-Hour Bundle10021
Severe Sepsis 3-Hour Bundle94159
Severe Sepsis 6-Hour Bundle100110
Discharged on Antithrombotic Therapy9857
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29060
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 Stevens Point Hospital & Clinics, Inc. rated?
Aspirus Stevens Point Hospital & Clinics, Inc. has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Aspirus Stevens Point Hospital & Clinics, Inc. have emergency services?
Yes. Aspirus Stevens Point Hospital & Clinics, Inc. operates a 24/7 emergency department.
Where is Aspirus Stevens Point Hospital & Clinics, Inc. located?
Aspirus Stevens Point Hospital & Clinics, Inc. is located at 900 Illinois Ave, Stevens Point, WI 54481.
What type of hospital is Aspirus Stevens Point Hospital & Clinics, Inc.?
Aspirus Stevens Point Hospital & Clinics, Inc. is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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