JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Aurora Baycare Medical Ctr

4 / 5

At a glance

Aurora Baycare Medical Ctr 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 Limit0.470Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.413Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6962Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.172Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.160Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.150Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.605Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7137Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.086Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.590Same as national
SSI - Colon Surgery: Lower Confidence Limit0.230Same as national
SSI - Colon Surgery: Upper Confidence Limit2.465Same as national
SSI - Colon Surgery: Number of Procedures126Same as national
SSI - Colon Surgery: Predicted Cases3.312Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.906Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.769Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.837Same as national
SSI - Abdominal Hysterectomy: Number of Procedures184Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.653Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy2.420Same as national
MRSA Bacteremia: Lower Confidence Limit0.149Same as national
MRSA Bacteremia: Upper Confidence Limit2.946Same as national
MRSA Bacteremia: Patient Days51510Same as national
MRSA Bacteremia: Predicted Cases2.243Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.892Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.390Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.121Same as national
Clostridium Difficile (C.Diff): Patient Days44634Same as national
Clostridium Difficile (C.Diff): Predicted Cases20.449Same as national
Clostridium Difficile (C.Diff): Observed Cases14Same as national
Clostridium Difficile (C.Diff)0.685Same 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 patients4.1Same as national30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national778
Death rate for heart attack patients13.1Same as national105
Death rate for CABG surgery patients2.5Same as national57
Death rate for COPD patients8.3Same as national30
Death rate for heart failure patients14.9Same as national126
Death rate for pneumonia patients15.4Same as national123
Death rate for stroke patients11.4Same as national163
Pressure ulcer rate0.76Same as national2254
Death rate among surgical inpatients with serious treatable complications152.74Same as national69
Iatrogenic pneumothorax rate0.23Same as national3120
In-hospital fall-associated fracture rate0.23Same as national3360
Postoperative hemorrhage or hematoma rate2.04Same as national910
Postoperative acute kidney injury requiring dialysis rate2.16Same as national506
Postoperative respiratory failure rate10.15Same as national505
Perioperative pulmonary embolism or deep vein thrombosis rate2.89Same as national1013
Postoperative sepsis rate4.37Same as national480
Postoperative wound dehiscence rate1.62Same as national203
Abdominopelvic accidental puncture or laceration rate1.07Same as national815
CMS Medicare PSI 90: Patient safety and adverse events composite1.01Same 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 patients-10Not available119
Hospital return days for heart failure patients-30.4Not available160
Hospital return days for pneumonia patients-21.3Not available134
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1287
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national1131
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national176
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national176
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national827
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national119
Rate of readmission for CABG11.1Same as national56
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national35
Heart failure (HF) 30-Day Readmission Rate18.7Same as national160
Rate of readmission after hip/knee replacement5.9Same as national33
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national134

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 rating41244
Doctor communication - star rating41244
Communication about medicines - star rating31244
Discharge information - star rating51244
Cleanliness - star rating41244
Quietness - star rating41244
Overall hospital rating - star rating41244
Recommend hospital - star rating51244
Summary star rating41244

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 volumevery high
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 vaccination932535
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 better134394
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 better133377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18016
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen161551
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100118
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing122358
Appropriate care for severe sepsis and septic shock83330
Septic Shock 3-Hour Bundle8378
Septic Shock 6-Hour Bundle9252
Severe Sepsis 3-Hour Bundle90330
Severe Sepsis 6-Hour Bundle98224
Discharged on Antithrombotic Therapy97209
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis953424
Intensive Care Unit Venous Thromboembolism Prophylaxis991939

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 Aurora Baycare Medical Ctr rated?
Aurora Baycare Medical Ctr has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Aurora Baycare Medical Ctr have emergency services?
Yes. Aurora Baycare Medical Ctr operates a 24/7 emergency department.
Where is Aurora Baycare Medical Ctr located?
Aurora Baycare Medical Ctr is located at 2845 Greenbrier Rd, Green Bay, WI 54313.
What type of hospital is Aurora Baycare Medical Ctr?
Aurora Baycare Medical Ctr is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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.

Report an issue with this page