JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Aurora Medical Ctr Oshkosh

4 / 5

At a glance

Aurora Medical Ctr Oshkosh 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.599Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2808Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.874Same 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 Limit0.032Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.194Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2243Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.544Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.648Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures30Not available
SSI - Colon Surgery: Predicted Cases0.773Not available
SSI - Colon Surgery: Observed Cases4Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.061Not 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 Days23555Not available
MRSA Bacteremia: Predicted Cases0.751Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.221Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.337Same as national
Clostridium Difficile (C.Diff): Patient Days21592Same as national
Clostridium Difficile (C.Diff): Predicted Cases8.288Same as national
Clostridium Difficile (C.Diff): Observed Cases5Same as national
Clostridium Difficile (C.Diff)0.603Same 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 Rate4.3Same as national399
Death rate for heart attack patients11.3Same as national28
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.1Same as national32
Death rate for heart failure patients10.6Same as national105
Death rate for pneumonia patients17.3Same as national85
Death rate for stroke patients11.8Same as national29
Pressure ulcer rate0.40Same as national940
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.32Same as national1634
In-hospital fall-associated fracture rate0.26Same as national1635
Postoperative hemorrhage or hematoma rate2.17Same as national309
Postoperative acute kidney injury requiring dialysis rate1.55Same as national140
Postoperative respiratory failure rate6.69Same as national161
Perioperative pulmonary embolism or deep vein thrombosis rate3.00Same as national331
Postoperative sepsis rate4.59Same as national136
Postoperative wound dehiscence rate2.07Same as national47
Abdominopelvic accidental puncture or laceration rate1.00Same as national287
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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-18.3Not available126
Hospital return days for pneumonia patients-0.6Not available101
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national607
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national878
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national72
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national72
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national238
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national27
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national32
Heart failure (HF) 30-Day Readmission Rate19.1Same as national126
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national101

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 rating4701
Doctor communication - star rating4701
Communication about medicines - star rating3701
Discharge information - star rating5701
Cleanliness - star rating4701
Quietness - star rating4701
Overall hospital rating - star rating4701
Recommend hospital - star rating5701
Summary star rating4701

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 vaccination861752
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 better125799
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 better122760
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25027
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25812
Left before being seen033810
Head CT results6718
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10096
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing181202
Appropriate care for severe sepsis and septic shock71318
Septic Shock 3-Hour Bundle70111
Septic Shock 6-Hour Bundle8352
Severe Sepsis 3-Hour Bundle88318
Severe Sepsis 6-Hour Bundle94198
Discharged on Antithrombotic Therapy10069
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis901764
Intensive Care Unit Venous Thromboembolism Prophylaxis98637

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 Ctr Oshkosh rated?
Aurora Medical Ctr Oshkosh has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Aurora Medical Ctr Oshkosh have emergency services?
Yes. Aurora Medical Ctr Oshkosh operates a 24/7 emergency department.
Where is Aurora Medical Ctr Oshkosh located?
Aurora Medical Ctr Oshkosh is located at 855 N Westhaven Drive, Oshkosh, WI 54904.
What type of hospital is Aurora Medical Ctr Oshkosh?
Aurora Medical Ctr Oshkosh 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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