JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Finley Hospital

3 / 5

At a glance

Finley 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.

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 Days1418Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.969Not 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 Limit0.026Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.529Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2783Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.950Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.513Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.268Same as national
SSI - Colon Surgery: Number of Procedures47Same as national
SSI - Colon Surgery: Predicted Cases1.321Same 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 Procedures11Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.097Not 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 Days16919Not available
MRSA Bacteremia: Predicted Cases0.706Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.008Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.831Better than national
Clostridium Difficile (C.Diff): Patient Days15381Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.935Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.168Better 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 patients4.7Same as national36
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national425
Death rate for heart attack patients11.1Same as national39
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.8Same as national40
Death rate for heart failure patients13.9Same as national134
Death rate for pneumonia patients19.7Same as national168
Death rate for stroke patients12Same as national47
Pressure ulcer rate0.74Same as national1410
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national1864
In-hospital fall-associated fracture rate0.26Same as national1848
Postoperative hemorrhage or hematoma rate2.77Same as national363
Postoperative acute kidney injury requiring dialysis rate1.51Same as national128
Postoperative respiratory failure rate10.35Same as national134
Perioperative pulmonary embolism or deep vein thrombosis rate3.46Same as national366
Postoperative sepsis rate7.13Same as national109
Postoperative wound dehiscence rate1.67Same as national104
Abdominopelvic accidental puncture or laceration rate1.25Same as national213
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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-21.4Not available144
Hospital return days for pneumonia patients7.5Not available171
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national671
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national39
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 surgery1.1Same as national320
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national48
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national46
Heart failure (HF) 30-Day Readmission Rate19.8Same as national144
Rate of readmission after hip/knee replacement4.9Same as national38
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national171

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 rating4507
Doctor communication - star rating3507
Communication about medicines - star rating3507
Discharge information - star rating4507
Cleanliness - star rating3507
Quietness - star rating4507
Overall hospital rating - star rating4507
Recommend hospital - star rating4507
Summary star rating4507

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 Hyperglycemia94801
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination791129
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 better121381
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 better114352
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 better29020
Left before being seen123644
Head CT results7818
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9416
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161240
Appropriate care for severe sepsis and septic shock5297
Septic Shock 3-Hour Bundle7236
Septic Shock 6-Hour Bundle6221
Severe Sepsis 3-Hour Bundle7397
Severe Sepsis 6-Hour Bundle9646
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29763
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 Finley Hospital rated?
Finley Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Finley Hospital have emergency services?
Yes. Finley Hospital operates a 24/7 emergency department.
Where is Finley Hospital located?
Finley Hospital is located at 350 North Grandview Avenue, Dubuque, IA 52001.
What type of hospital is Finley Hospital?
Finley 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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