JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Chi Health Lakeside

4 / 5

At a glance

Chi Health Lakeside carries a 4-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 Limit1.458Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2302Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.054Same 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 Limit0.015Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.491Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3283Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.308Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.302Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.438Same as national
SSI - Colon Surgery: Number of Procedures47Same as national
SSI - Colon Surgery: Predicted Cases1.229Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures41Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.322Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.453Same as national
MRSA Bacteremia: Upper Confidence Limit4.851Same as national
MRSA Bacteremia: Patient Days32271Same as national
MRSA Bacteremia: Predicted Cases1.683Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.783Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.130Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.587Better than national
Clostridium Difficile (C.Diff): Patient Days30640Better than national
Clostridium Difficile (C.Diff): Predicted Cases23.596Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.297Better 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 patients4.1Same as national55
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national988
Death rate for heart attack patients11.3Same as national167
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national31
Death rate for heart failure patients14.6Same as national280
Death rate for pneumonia patients15.5Same as national136
Death rate for stroke patients13.6Same as national115
Pressure ulcer rate0.23Same as national2960
Death rate among surgical inpatients with serious treatable complications159.97Same as national40
Iatrogenic pneumothorax rate0.17Same as national3648
In-hospital fall-associated fracture rate0.24Same as national3592
Postoperative hemorrhage or hematoma rate2.10Same as national649
Postoperative acute kidney injury requiring dialysis rate1.59Same as national181
Postoperative respiratory failure rate8.32Same as national202
Perioperative pulmonary embolism or deep vein thrombosis rate4.09Same as national703
Postoperative sepsis rate5.20Same as national178
Postoperative wound dehiscence rate1.67Same as national146
Abdominopelvic accidental puncture or laceration rate0.90Same as national724
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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-18.5Not available135
Hospital return days for heart failure patients-10Not available305
Hospital return days for pneumonia patients-9.3Not available130
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1613
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national769
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national500
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national135
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national35
Heart failure (HF) 30-Day Readmission Rate18.9Same as national305
Rate of readmission after hip/knee replacement5.1Same as national54
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national130

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 rating3555
Doctor communication - star rating3555
Communication about medicines - star rating2555
Discharge information - star rating3555
Cleanliness - star rating3555
Quietness - star rating4555
Overall hospital rating - star rating3555
Recommend hospital - star rating3555
Summary star rating3555

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 vaccination801578
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 better175402
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 better173372
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20917
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26213
Left before being seen227887
Head CT results8715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9670
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing181713
Appropriate care for severe sepsis and septic shock66130
Septic Shock 3-Hour Bundle7722
Septic Shock 6-Hour Bundle8513
Severe Sepsis 3-Hour Bundle78131
Severe Sepsis 6-Hour Bundle9158
Discharged on Antithrombotic Therapy99125
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis993081
Intensive Care Unit Venous Thromboembolism Prophylaxis991070

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 Chi Health Lakeside rated?
Chi Health Lakeside has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Chi Health Lakeside have emergency services?
Yes. Chi Health Lakeside operates a 24/7 emergency department.
Where is Chi Health Lakeside located?
Chi Health Lakeside is located at 16901 Lakeside Hills Ct, Omaha, NE 68130.
What type of hospital is Chi Health Lakeside?
Chi Health Lakeside is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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