JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Dickinson County Memorial Hospital

2 / 5

At a glance

Dickinson County Memorial Hospital carries a 2-star CMS overall rating — below 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 Days1000Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.636Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.036Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.571Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2691Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.381Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.724Same as national
SSI - Colon Surgery: Lower Confidence Limit0.291Same as national
SSI - Colon Surgery: Upper Confidence Limit5.726Same as national
SSI - Colon Surgery: Number of Procedures48Same as national
SSI - Colon Surgery: Predicted Cases1.154Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.733Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures49Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.482Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days10075Not available
MRSA Bacteremia: Predicted Cases0.297Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.016Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.566Same as national
Clostridium Difficile (C.Diff): Patient Days9539Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.149Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.318Same 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 Rate4.2Same as national256
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.2Same as national78
Death rate for heart failure patients11.3Same as national138
Death rate for pneumonia patients14.5Same as national97
Death rate for stroke patients15.7Same as national39
Pressure ulcer rate0.41Same as national908
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.33Same as national1067
In-hospital fall-associated fracture rate0.30Same as national1054
Postoperative hemorrhage or hematoma rate2.60Same as national142
Postoperative acute kidney injury requiring dialysis rate1.65Same as national47
Postoperative respiratory failure rate16.00Same as national48
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national149
Postoperative sepsis rate6.80Same as national37
Postoperative wound dehiscence rate1.72Same as national54
Abdominopelvic accidental puncture or laceration rate1.00Same as national150
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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-2.8Not available142
Hospital return days for pneumonia patients-29.7Not available96
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national397
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national868
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national101
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.6Same as national101
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national262
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17Same as national77
Heart failure (HF) 30-Day Readmission Rate20.1Same as national142
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national96

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 rating3348
Doctor communication - star rating3348
Communication about medicines - star rating3348
Discharge information - star rating4348
Cleanliness - star rating3348
Quietness - star rating3348
Overall hospital rating - star rating3348
Recommend hospital - star rating3348
Summary star rating3348

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 volumelow
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 vaccination78805
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 better180452
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 better168404
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34919
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better40731
Left before being seen318266
Head CT results3821
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91494
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock68158
Septic Shock 3-Hour Bundle7851
Septic Shock 6-Hour Bundle9522
Severe Sepsis 3-Hour Bundle82158
Severe Sepsis 6-Hour Bundle9186
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Dickinson County Memorial Hospital rated?
Dickinson County Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Dickinson County Memorial Hospital have emergency services?
Yes. Dickinson County Memorial Hospital operates a 24/7 emergency department.
Where is Dickinson County Memorial Hospital located?
Dickinson County Memorial Hospital is located at 1721 S Stephenson Ave, Iron Mountain, MI 49801.
What type of hospital is Dickinson County Memorial Hospital?
Dickinson County Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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