JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Aurora Medical Center Sheboygan County

5 / 5

At a glance

Aurora Medical Center Sheboygan County carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.676Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2643Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.787Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.675Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.124Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2778Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.883Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.124Same as national
SSI - Colon Surgery: Lower Confidence Limit0.034Same as national
SSI - Colon Surgery: Upper Confidence Limit3.357Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.469Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.681Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures5Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.034Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.813Same as national
MRSA Bacteremia: Patient Days30140Same as national
MRSA Bacteremia: Predicted Cases1.065Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.067Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.718Better than national
Clostridium Difficile (C.Diff): Patient Days28038Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.364Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.264Better than 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 Rate3.6Same as national615
Death rate for heart attack patients11.5Same as national43
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national61
Death rate for heart failure patients9Same as national194
Death rate for pneumonia patients14.2Same as national174
Death rate for stroke patients14.3Same as national59
Pressure ulcer rate0.32Same as national1669
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2526
In-hospital fall-associated fracture rate0.34Same as national2510
Postoperative hemorrhage or hematoma rate2.20Same as national275
Postoperative acute kidney injury requiring dialysis rate1.66Same as national62
Postoperative respiratory failure rate8.32Same as national61
Perioperative pulmonary embolism or deep vein thrombosis rate3.40Same as national309
Postoperative sepsis rate4.98Same as national52
Postoperative wound dehiscence rate1.74Same as national61
Abdominopelvic accidental puncture or laceration rate0.99Same as national341
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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-13.8Not available224
Hospital return days for pneumonia patients-2.7Not available188
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national984
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national1284
Rate of inpatient admissions for patients receiving outpatient chemotherapy11Same as national152
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.2Same as national152
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national372
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national71
Heart failure (HF) 30-Day Readmission Rate20.7Same as national224
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national188

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 rating41047
Doctor communication - star rating41047
Communication about medicines - star rating31047
Discharge information - star rating51047
Cleanliness - star rating51047
Quietness - star rating41047
Overall hospital rating - star rating41047
Recommend hospital - star rating41047
Summary star rating41047

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 volumemedium
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 vaccination941467
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 better171400
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 better171369
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17127
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 seen130720
Head CT results
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 Prescribing161427
Appropriate care for severe sepsis and septic shock73184
Septic Shock 3-Hour Bundle6265
Septic Shock 6-Hour Bundle9433
Severe Sepsis 3-Hour Bundle89186
Severe Sepsis 6-Hour Bundle99121
Discharged on Antithrombotic Therapy10095
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis952712
Intensive Care Unit Venous Thromboembolism Prophylaxis94697

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 Medical Center Sheboygan County rated?
Aurora Medical Center Sheboygan County has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Aurora Medical Center Sheboygan County have emergency services?
Yes. Aurora Medical Center Sheboygan County operates a 24/7 emergency department.
Where is Aurora Medical Center Sheboygan County located?
Aurora Medical Center Sheboygan County is located at 2629 N 7th St, Sheboygan, WI 53083.
What type of hospital is Aurora Medical Center Sheboygan County?
Aurora Medical Center Sheboygan County 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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