JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Chelsea Hospital

4 / 5

At a glance

Chelsea Hospital 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 Days1124Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.866Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.030Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.005Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2150Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.641Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.609Same as national
SSI - Colon Surgery: Lower Confidence Limit0.427Same as national
SSI - Colon Surgery: Upper Confidence Limit4.564Same as national
SSI - Colon Surgery: Number of Procedures71Same as national
SSI - Colon Surgery: Predicted Cases1.789Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.677Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.074Not 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 Days17882Not available
MRSA Bacteremia: Predicted Cases0.385Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.135Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.440Same as national
Clostridium Difficile (C.Diff): Patient Days17882Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.668Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.529Same 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 national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Same as national690
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national95
Death rate for heart failure patients11.3Same as national286
Death rate for pneumonia patients14.4Same as national187
Death rate for stroke patients11Same as national95
Pressure ulcer rate0.84Same as national1747
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2536
In-hospital fall-associated fracture rate0.29Same as national2459
Postoperative hemorrhage or hematoma rate2.19Same as national342
Postoperative acute kidney injury requiring dialysis rate1.64Same as national142
Postoperative respiratory failure rate12.11Same as national149
Perioperative pulmonary embolism or deep vein thrombosis rate3.50Same as national360
Postoperative sepsis rate4.75Same as national134
Postoperative wound dehiscence rate1.72Same as national84
Abdominopelvic accidental puncture or laceration rate1.00Same as national272
CMS Medicare PSI 90: Patient safety and adverse events composite1.11Same 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-15.4Not available317
Hospital return days for pneumonia patients-3.9Not available189
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national1017
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national844
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national101
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.4Same as national101
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national683
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national96
Heart failure (HF) 30-Day Readmission Rate18.8Same as national317
Rate of readmission after hip/knee replacement6.2Same as national53
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national189

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 rating5583
Doctor communication - star rating5583
Communication about medicines - star rating4583
Discharge information - star rating5583
Cleanliness - star rating4583
Quietness - star rating3583
Overall hospital rating - star rating5583
Recommend hospital - star rating5583
Summary star rating5583

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 Hyperglycemia83974
Hospital Harm - Severe Hypoglycemia1958
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination651350
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 better203435
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 better197412
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33316
Left before being seen131736
Head CT results4613
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96106
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161105
Appropriate care for severe sepsis and septic shock6477
Septic Shock 3-Hour Bundle6819
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7777
Severe Sepsis 6-Hour Bundle9537
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis832592
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Chelsea Hospital rated?
Chelsea Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Chelsea Hospital have emergency services?
Yes. Chelsea Hospital operates a 24/7 emergency department.
Where is Chelsea Hospital located?
Chelsea Hospital is located at 775 S Main St, Chelsea, MI 48118.
What type of hospital is Chelsea Hospital?
Chelsea 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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