Acute Care Hospitals · Voluntary non-profit - Private
Froedtert Memorial Lutheran Hospital
- 9200 W Wisconsin Ave, Milwaukee, WI 53226
- (414) 805-3000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Froedtert Memorial Lutheran 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 18 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.390 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.923 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 32597 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 34.196 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 21 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.614 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.260 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.628 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 31551 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 48.351 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 20 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.414 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.977 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.114 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 578 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 17.760 | Same as national |
| SSI - Colon Surgery: Observed Cases | 26 | Same as national |
| SSI - Colon Surgery | 1.464 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.488 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 3.702 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 287 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.606 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 4 | Same as national |
| SSI - Abdominal Hysterectomy | 1.535 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.407 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.129 | Same as national |
| MRSA Bacteremia: Patient Days | 261061 | Same as national |
| MRSA Bacteremia: Predicted Cases | 21.428 | Same as national |
| MRSA Bacteremia: Observed Cases | 15 | Same as national |
| MRSA Bacteremia | 0.700 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.436 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.681 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 254046 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 140.494 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 77 | Better than national |
| Clostridium Difficile (C.Diff) | 0.548 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.2 | Better than national | 2456 |
| Death rate for heart attack patients | 11.3 | Same as national | 130 |
| Death rate for CABG surgery patients | 2.1 | Same as national | 74 |
| Death rate for COPD patients | 6.8 | Same as national | 157 |
| Death rate for heart failure patients | 9.4 | Same as national | 501 |
| Death rate for pneumonia patients | 13.2 | Better than national | 412 |
| Death rate for stroke patients | 13.4 | Same as national | 310 |
| Pressure ulcer rate | 0.12 | Better than national | 11521 |
| Death rate among surgical inpatients with serious treatable complications | 186.28 | Same as national | 238 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 13152 |
| In-hospital fall-associated fracture rate | 0.17 | Same as national | 13985 |
| Postoperative hemorrhage or hematoma rate | 2.53 | Same as national | 2975 |
| Postoperative acute kidney injury requiring dialysis rate | 1.54 | Same as national | 165 |
| Postoperative respiratory failure rate | 6.29 | Same as national | 164 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.31 | Same as national | 3884 |
| Postoperative sepsis rate | 4.50 | Same as national | 164 |
| Postoperative wound dehiscence rate | 2.17 | Same as national | 1016 |
| Abdominopelvic accidental puncture or laceration rate | 1.73 | Same as national | 2798 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.78 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 20.1 | Not available | 152 |
| Hospital return days for heart failure patients | -4.8 | Not available | 586 |
| Hospital return days for pneumonia patients | 10.5 | Not available | 436 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.4 | Same as national | 4569 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 11.1 | Same as national | 1074 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 14.3 | Worse than national | 1155 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.5 | Same as national | 1155 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 1103 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 15.4 | Same as national | 152 |
| Rate of readmission for CABG | 12.3 | Same as national | 72 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.4 | Same as national | 175 |
| Heart failure (HF) 30-Day Readmission Rate | 18.6 | Same as national | 586 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 16.8 | Same as national | 436 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 2174 |
| Doctor communication - star rating | 3 | 2174 |
| Communication about medicines - star rating | 3 | 2174 |
| Discharge information - star rating | 4 | 2174 |
| Cleanliness - star rating | 3 | 2174 |
| Quietness - star rating | 3 | 2174 |
| Overall hospital rating - star rating | 4 | 2174 |
| Recommend hospital - star rating | 4 | 2174 |
| Summary star rating | 4 | 2174 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 | 2 | 10219 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 95 | 13567 |
| 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 better | 282 | 514 |
| 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 better | 275 | 493 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 342 | 20 |
| 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 seen | 6 | 81316 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 77 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 12 | 11912 |
| Appropriate care for severe sepsis and septic shock | 43 | 153 |
| Septic Shock 3-Hour Bundle | 52 | 46 |
| Septic Shock 6-Hour Bundle | 82 | 17 |
| Severe Sepsis 3-Hour Bundle | 67 | 153 |
| Severe Sepsis 6-Hour Bundle | 84 | 68 |
| Discharged on Antithrombotic Therapy | 99 | 570 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 80 | 21482 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Froedtert Memorial Lutheran Hospital rated?
- Froedtert Memorial Lutheran Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Froedtert Memorial Lutheran Hospital have emergency services?
- Yes. Froedtert Memorial Lutheran Hospital operates a 24/7 emergency department.
- Where is Froedtert Memorial Lutheran Hospital located?
- Froedtert Memorial Lutheran Hospital is located at 9200 W Wisconsin Ave, Milwaukee, WI 53226.
- What type of hospital is Froedtert Memorial Lutheran Hospital?
- Froedtert Memorial Lutheran Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
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.