JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Froedtert South Inc.

2 / 5

At a glance

Froedtert South Inc. carries a 2-star CMS overall rating — below 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 Limit0.302Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.296Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6113Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.202Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.952Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.078Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.539Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6257Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.294Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.466Same as national
SSI - Colon Surgery: Lower Confidence Limit0.109Same as national
SSI - Colon Surgery: Upper Confidence Limit2.144Same as national
SSI - Colon Surgery: Number of Procedures119Same as national
SSI - Colon Surgery: Predicted Cases3.082Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.649Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures76Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.649Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.186Same as national
MRSA Bacteremia: Upper Confidence Limit3.673Same as national
MRSA Bacteremia: Patient Days40490Same as national
MRSA Bacteremia: Predicted Cases1.799Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.112Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.265Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.794Better than national
Clostridium Difficile (C.Diff): Patient Days39267Better than national
Clostridium Difficile (C.Diff): Predicted Cases27.298Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.476Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national792
Death rate for heart attack patients13.5Same as national74
Death rate for CABG surgery patients2.5Same as national35
Death rate for COPD patients9.7Same as national115
Death rate for heart failure patients14.5Same as national176
Death rate for pneumonia patients18.6Same as national228
Death rate for stroke patients16.6Same as national105
Pressure ulcer rate1.14Same as national2638
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.24Same as national2904
In-hospital fall-associated fracture rate0.28Same as national2918
Postoperative hemorrhage or hematoma rate3.39Same as national606
Postoperative acute kidney injury requiring dialysis rate1.86Same as national179
Postoperative respiratory failure rate9.50Same as national169
Perioperative pulmonary embolism or deep vein thrombosis rate4.28Same as national619
Postoperative sepsis rate4.29Same as national161
Postoperative wound dehiscence rate2.72Same as national180
Abdominopelvic accidental puncture or laceration rate0.90Same as national543
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 patients31.9Not available79
Hospital return days for heart failure patients39.8Not available189
Hospital return days for pneumonia patients36.1Not available223
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1232
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.2Same as national1490
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national90
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national90
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national252
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national79
Rate of readmission for CABG10.8Same as national33
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national125
Heart failure (HF) 30-Day Readmission Rate20.7Same as national189
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national223

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 rating41247
Doctor communication - star rating31247
Communication about medicines - star rating31247
Discharge information - star rating31247
Cleanliness - star rating31247
Quietness - star rating31247
Overall hospital rating - star rating41247
Recommend hospital - star rating41247
Summary star rating31247

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 volumehigh
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 vaccination903051
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 better158379
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 better154356
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31020
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 seen141038
Head CT results8312
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9993
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing162045
Appropriate care for severe sepsis and septic shock7685
Septic Shock 3-Hour Bundle8935
Septic Shock 6-Hour Bundle10024
Severe Sepsis 3-Hour Bundle8585
Severe Sepsis 6-Hour Bundle9448
Discharged on Antithrombotic Therapy96157
Anticoagulation Therapy for Atrial Fibrillation/Flutter5240
Antithrombotic Therapy by End of Hospital Day 295134
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 MeasureNo

Frequently asked questions

How is Froedtert South Inc. rated?
Froedtert South Inc. has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Froedtert South Inc. have emergency services?
Yes. Froedtert South Inc. operates a 24/7 emergency department.
Where is Froedtert South Inc. located?
Froedtert South Inc. is located at 6308 Eighth Ave, Kenosha, WI 53143.
What type of hospital is Froedtert South Inc.?
Froedtert South Inc. 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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