Acute Care Hospitals · Voluntary non-profit - Private
Gundersen Lutheran Medical Center
- 1910 South Ave, la Crosse, WI 54601
- (608) 782-7300
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Gundersen Lutheran Medical Center carries a 4-star CMS overall rating — above 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.275 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.664 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 6317 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 6.662 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 5 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.751 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.226 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.162 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 8586 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 10.741 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.559 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.371 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.902 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 250 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 6.560 | Same as national |
| SSI - Colon Surgery: Observed Cases | 6 | Same as national |
| SSI - Colon Surgery | 0.915 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 119 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.930 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 4 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.014 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.385 | Same as national |
| MRSA Bacteremia: Patient Days | 79519 | Same as national |
| MRSA Bacteremia: Predicted Cases | 3.562 | Same as national |
| MRSA Bacteremia: Observed Cases | 1 | Same as national |
| MRSA Bacteremia | 0.281 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.179 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.535 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 72262 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 40.484 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 13 | Better than national |
| Clostridium Difficile (C.Diff) | 0.321 | 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 | 3.9 | Same as national | 1514 |
| Death rate for heart attack patients | 11.6 | Same as national | 234 |
| Death rate for CABG surgery patients | 3.3 | Same as national | 70 |
| Death rate for COPD patients | 10.7 | Same as national | 72 |
| Death rate for heart failure patients | 14.2 | Same as national | 328 |
| Death rate for pneumonia patients | 14.4 | Same as national | 180 |
| Death rate for stroke patients | 13.3 | Same as national | 194 |
| Pressure ulcer rate | 1.17 | Same as national | 5097 |
| Death rate among surgical inpatients with serious treatable complications | 169.26 | Same as national | 97 |
| Iatrogenic pneumothorax rate | 0.23 | Same as national | 6228 |
| In-hospital fall-associated fracture rate | 0.32 | Same as national | 6307 |
| Postoperative hemorrhage or hematoma rate | 2.67 | Same as national | 2112 |
| Postoperative acute kidney injury requiring dialysis rate | 2.13 | Same as national | 745 |
| Postoperative respiratory failure rate | 6.48 | Same as national | 715 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.34 | Same as national | 2197 |
| Postoperative sepsis rate | 4.40 | Same as national | 663 |
| Postoperative wound dehiscence rate | 1.96 | Same as national | 476 |
| Abdominopelvic accidental puncture or laceration rate | 1.48 | Same as national | 1462 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.05 | 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 | -0.1 | Not available | 244 |
| Hospital return days for heart failure patients | 2.3 | Not available | 340 |
| Hospital return days for pneumonia patients | 0.9 | Not available | 190 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.9 | Same as national | 2388 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.4 | Same as national | 2734 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10 | Same as national | 390 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 8.2 | Worse than national | 390 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as national | 1372 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.4 | Same as national | 244 |
| Rate of readmission for CABG | 10.1 | Same as national | 67 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18 | Same as national | 81 |
| Heart failure (HF) 30-Day Readmission Rate | 18.6 | Same as national | 340 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 14.5 | Same as national | 190 |
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 | 439 |
| Doctor communication - star rating | 3 | 439 |
| Communication about medicines - star rating | 3 | 439 |
| Discharge information - star rating | 4 | 439 |
| Cleanliness - star rating | 2 | 439 |
| Quietness - star rating | 4 | 439 |
| Overall hospital rating - star rating | 4 | 439 |
| Recommend hospital - star rating | 5 | 439 |
| Summary star rating | 4 | 439 |
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 | 7 | 16058 |
| Hospital Harm - Severe Hypoglycemia | 1 | 3736 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 79 | 10326 |
| 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 | 166 | 1574 |
| 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 | 164 | 1458 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 176 | 112 |
| 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 | 1 | 68279 |
| Head CT results | 67 | 24 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 116 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 11 | 3274 |
| Appropriate care for severe sepsis and septic shock | 63 | 134 |
| Septic Shock 3-Hour Bundle | 77 | 56 |
| Septic Shock 6-Hour Bundle | 73 | 22 |
| Severe Sepsis 3-Hour Bundle | 79 | 134 |
| Severe Sepsis 6-Hour Bundle | 96 | 82 |
| Discharged on Antithrombotic Therapy | 96 | 222 |
| 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.
| 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 Gundersen Lutheran Medical Center rated?
- Gundersen Lutheran Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Gundersen Lutheran Medical Center have emergency services?
- Yes. Gundersen Lutheran Medical Center operates a 24/7 emergency department.
- Where is Gundersen Lutheran Medical Center located?
- Gundersen Lutheran Medical Center is located at 1910 South Ave, la Crosse, WI 54601.
- What type of hospital is Gundersen Lutheran Medical Center?
- Gundersen Lutheran Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.