JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Holland Community Hospital

5 / 5

At a glance

Holland Community Hospital carries a 5-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 6.

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 Days695Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.403Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1054Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.517Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit2.461Worse than national
SSI - Colon Surgery: Upper Confidence Limit11.131Worse than national
SSI - Colon Surgery: Number of Procedures57Worse than national
SSI - Colon Surgery: Predicted Cases1.244Worse than national
SSI - Colon Surgery: Observed Cases7Worse than national
SSI - Colon Surgery5.627Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.054Not 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 Days28826Not available
MRSA Bacteremia: Predicted Cases0.765Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.142Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.861Better than national
Clostridium Difficile (C.Diff): Patient Days25761Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.870Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.389Better 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 patients3.1Same as national46
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national512
Death rate for heart attack patients11Same as national61
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.1Same as national39
Death rate for heart failure patients15.4Same as national181
Death rate for pneumonia patients17.1Same as national120
Death rate for stroke patients13.1Same as national89
Pressure ulcer rate1.31Same as national1571
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1966
In-hospital fall-associated fracture rate0.30Same as national1911
Postoperative hemorrhage or hematoma rate2.17Same as national334
Postoperative acute kidney injury requiring dialysis rate1.63Same as national89
Postoperative respiratory failure rate7.72Same as national90
Perioperative pulmonary embolism or deep vein thrombosis rate3.05Same as national344
Postoperative sepsis rate4.83Same as national82
Postoperative wound dehiscence rate1.71Same as national88
Abdominopelvic accidental puncture or laceration rate0.99Same as national316
CMS Medicare PSI 90: Patient safety and adverse events composite1.11Same 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 patients-30.1Not available58
Hospital return days for heart failure patients-0.2Not available189
Hospital return days for pneumonia patients-42.1Not available117
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national759
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national778
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national27
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national27
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national435
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national58
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national44
Heart failure (HF) 30-Day Readmission Rate19.2Same as national189
Rate of readmission after hip/knee replacement4.4Same as national35
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national117

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 rating5303
Doctor communication - star rating4303
Communication about medicines - star rating3303
Discharge information - star rating5303
Cleanliness - star rating5303
Quietness - star rating4303
Overall hospital rating - star rating4303
Recommend hospital - star rating5303
Summary star rating4303

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events04717
Healthcare workers given influenza vaccination942706
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 better166442
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 better159402
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21035
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 seen238286
Head CT results8323
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100801
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151433
Appropriate care for severe sepsis and septic shock88161
Septic Shock 3-Hour Bundle9684
Septic Shock 6-Hour Bundle9464
Severe Sepsis 3-Hour Bundle93162
Severe Sepsis 6-Hour Bundle99109
Discharged on Antithrombotic Therapy97101
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28868
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 Holland Community Hospital rated?
Holland Community Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Holland Community Hospital have emergency services?
Yes. Holland Community Hospital operates a 24/7 emergency department.
Where is Holland Community Hospital located?
Holland Community Hospital is located at 602 Michigan Ave, Holland, MI 49423.
What type of hospital is Holland Community Hospital?
Holland Community 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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