JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Cheyenne Regional Medical Center

3 / 5

At a glance

Cheyenne Regional Medical Center carries a 3-star CMS overall rating — in line with 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 Limit0.012Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.218Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5056Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.050Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.247Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.014Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.381Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4382Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.571Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.280Same as national
SSI - Colon Surgery: Lower Confidence Limit0.180Same as national
SSI - Colon Surgery: Upper Confidence Limit3.556Same as national
SSI - Colon Surgery: Number of Procedures68Same as national
SSI - Colon Surgery: Predicted Cases1.858Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.076Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures35Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.332Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.038Same as national
MRSA Bacteremia: Upper Confidence Limit3.753Same as national
MRSA Bacteremia: Patient Days34680Same as national
MRSA Bacteremia: Predicted Cases1.314Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.761Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.356Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.068Same as national
Clostridium Difficile (C.Diff): Patient Days34680Same as national
Clostridium Difficile (C.Diff): Predicted Cases20.298Same as national
Clostridium Difficile (C.Diff): Observed Cases13Same as national
Clostridium Difficile (C.Diff)0.640Same 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 patients4.5Same as national61
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1337
Death rate for heart attack patients11.1Same as national215
Death rate for CABG surgery patients2.8Same as national29
Death rate for COPD patients7.3Same as national175
Death rate for heart failure patients10.8Same as national437
Death rate for pneumonia patients17Same as national475
Death rate for stroke patients12.1Same as national153
Pressure ulcer rate0.59Same as national4519
Death rate among surgical inpatients with serious treatable complications185.14Same as national58
Iatrogenic pneumothorax rate0.16Same as national5543
In-hospital fall-associated fracture rate0.30Same as national5698
Postoperative hemorrhage or hematoma rate2.56Same as national1119
Postoperative acute kidney injury requiring dialysis rate1.50Same as national343
Postoperative respiratory failure rate9.75Same as national314
Perioperative pulmonary embolism or deep vein thrombosis rate2.94Same as national1137
Postoperative sepsis rate4.14Same as national320
Postoperative wound dehiscence rate1.60Same as national264
Abdominopelvic accidental puncture or laceration rate1.08Same as national904
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients5.3Not available226
Hospital return days for heart failure patients-16.5Not available496
Hospital return days for pneumonia patients11.2Not available499
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national2143
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national74
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national173
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1Same as national173
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national463
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national226
Rate of readmission for CABG12.8Same as national29
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national188
Heart failure (HF) 30-Day Readmission Rate18.2Same as national496
Rate of readmission after hip/knee replacement6.2Same as national62
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national499

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 rating4461
Doctor communication - star rating3461
Communication about medicines - star rating2461
Discharge information - star rating4461
Cleanliness - star rating5461
Quietness - star rating3461
Overall hospital rating - star rating4461
Recommend hospital - star rating4461
Summary star rating4461

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 Hyperglycemia117986
Hospital Harm - Severe Hypoglycemia11529
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination922843
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 better194403
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 better190377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better57620
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 seen139922
Head CT results7617
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8715
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141848
Appropriate care for severe sepsis and septic shock70215
Septic Shock 3-Hour Bundle7680
Septic Shock 6-Hour Bundle8548
Severe Sepsis 3-Hour Bundle84215
Severe Sepsis 6-Hour Bundle97135
Discharged on Antithrombotic Therapy96118
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29677
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 Cheyenne Regional Medical Center rated?
Cheyenne Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Cheyenne Regional Medical Center have emergency services?
Yes. Cheyenne Regional Medical Center operates a 24/7 emergency department.
Where is Cheyenne Regional Medical Center located?
Cheyenne Regional Medical Center is located at 214 East 23rd Street, Cheyenne, WY 82001.
What type of hospital is Cheyenne Regional Medical Center?
Cheyenne Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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