JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Community Hospital

3 / 5

At a glance

Community Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.178Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.353Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8221Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.130Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.561Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.277Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.423Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8119Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.767Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.684Same as national
SSI - Colon Surgery: Lower Confidence Limit0.560Same as national
SSI - Colon Surgery: Upper Confidence Limit2.290Same as national
SSI - Colon Surgery: Number of Procedures265Same as national
SSI - Colon Surgery: Predicted Cases6.633Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery1.206Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.671Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.092Same as national
SSI - Abdominal Hysterectomy: Number of Procedures218Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.895Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy2.111Same as national
MRSA Bacteremia: Lower Confidence Limit0.327Same as national
MRSA Bacteremia: Upper Confidence Limit1.977Same as national
MRSA Bacteremia: Patient Days97061Same as national
MRSA Bacteremia: Predicted Cases5.606Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.892Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.244Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.576Better than national
Clostridium Difficile (C.Diff): Patient Days91082Better than national
Clostridium Difficile (C.Diff): Predicted Cases54.802Better than national
Clostridium Difficile (C.Diff): Observed Cases21Better than national
Clostridium Difficile (C.Diff)0.383Better 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 patients5.3Same as national45
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national2600
Death rate for heart attack patients12.6Same as national240
Death rate for CABG surgery patients2.6Same as national98
Death rate for COPD patients9.7Same as national286
Death rate for heart failure patients11.2Same as national970
Death rate for pneumonia patients17Same as national754
Death rate for stroke patients9.9Better than national479
Pressure ulcer rate0.40Same as national10154
Death rate among surgical inpatients with serious treatable complications172.60Same as national206
Iatrogenic pneumothorax rate0.25Same as national11207
In-hospital fall-associated fracture rate0.21Same as national11660
Postoperative hemorrhage or hematoma rate2.58Same as national2753
Postoperative acute kidney injury requiring dialysis rate1.73Same as national1129
Postoperative respiratory failure rate12.02Same as national1116
Perioperative pulmonary embolism or deep vein thrombosis rate3.91Same as national2855
Postoperative sepsis rate4.33Same as national1126
Postoperative wound dehiscence rate1.83Same as national575
Abdominopelvic accidental puncture or laceration rate1.02Same as national2312
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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 patients13.2Not available230
Hospital return days for heart failure patients24.3Not available1122
Hospital return days for pneumonia patients20.7Not available730
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national4725
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.7Same as national4327
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 national933
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national230
Rate of readmission for CABG9.5Same as national95
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national326
Heart failure (HF) 30-Day Readmission Rate21.8Worse than national1122
Rate of readmission after hip/knee replacement5.5Same as national48
Pneumonia (PN) 30-Day Readmission Rate17Same as national730

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 rating4565
Doctor communication - star rating3565
Communication about medicines - star rating2565
Discharge information - star rating3565
Cleanliness - star rating3565
Quietness - star rating3565
Overall hospital rating - star rating4565
Recommend hospital - star rating4565
Summary star rating3565

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 volumevery high
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 vaccination854572
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 better142401
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 better141394
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 better
Left before being seen069546
Head CT results6517
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10084
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing204856
Appropriate care for severe sepsis and septic shock71170
Septic Shock 3-Hour Bundle7877
Septic Shock 6-Hour Bundle9447
Severe Sepsis 3-Hour Bundle85171
Severe Sepsis 6-Hour Bundle97109
Discharged on Antithrombotic Therapy97495
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 289421
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis953241

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 Community Hospital rated?
Community Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Community Hospital have emergency services?
Yes. Community Hospital operates a 24/7 emergency department.
Where is Community Hospital located?
Community Hospital is located at 901 Macarthur Blvd, Munster, IN 46321.
What type of hospital is Community Hospital?
Community 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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