JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Lake Health

3 / 5

At a glance

Lake Health carries a 3-star CMS overall rating — in line with the national norm. 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.015Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.514Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4229Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.258Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.307Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.013Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.253Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4788Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.935Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.254Same as national
SSI - Colon Surgery: Lower Confidence Limit0.307Same as national
SSI - Colon Surgery: Upper Confidence Limit3.290Same as national
SSI - Colon Surgery: Number of Procedures100Same as national
SSI - Colon Surgery: Predicted Cases2.482Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.209Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.276Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.438Same as national
SSI - Abdominal Hysterectomy: Number of Procedures134Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.215Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.646Same as national
MRSA Bacteremia: Lower Confidence Limit0.306Same as national
MRSA Bacteremia: Upper Confidence Limit3.275Same as national
MRSA Bacteremia: Patient Days49304Same as national
MRSA Bacteremia: Predicted Cases2.493Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.203Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.620Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.571Same as national
Clostridium Difficile (C.Diff): Patient Days49304Same as national
Clostridium Difficile (C.Diff): Predicted Cases17.761Same as national
Clostridium Difficile (C.Diff): Observed Cases18Same as national
Clostridium Difficile (C.Diff)1.013Same as 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 patients3.9Same as national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1270
Death rate for heart attack patients12.4Same as national208
Death rate for CABG surgery patients2.3Same as national40
Death rate for COPD patients7.8Same as national189
Death rate for heart failure patients12Same as national575
Death rate for pneumonia patients16.7Same as national432
Death rate for stroke patients13.3Same as national239
Pressure ulcer rate0.18Same as national4779
Death rate among surgical inpatients with serious treatable complications209.15Same as national39
Iatrogenic pneumothorax rate0.16Same as national5574
In-hospital fall-associated fracture rate0.34Same as national5606
Postoperative hemorrhage or hematoma rate1.82Same as national957
Postoperative acute kidney injury requiring dialysis rate1.95Same as national296
Postoperative respiratory failure rate5.69Same as national283
Perioperative pulmonary embolism or deep vein thrombosis rate2.42Same as national997
Postoperative sepsis rate4.18Same as national266
Postoperative wound dehiscence rate1.99Same as national211
Abdominopelvic accidental puncture or laceration rate0.89Same as national741
CMS Medicare PSI 90: Patient safety and adverse events composite0.69Same 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-0.1Not available185
Hospital return days for heart failure patients18.2Not available627
Hospital return days for pneumonia patients16.4Not available440
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.5Worse than national2087
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national191
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 surgery1Same as national351
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national185
Rate of readmission for CABG11.5Same as national40
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national208
Heart failure (HF) 30-Day Readmission Rate21.9Same as national627
Rate of readmission after hip/knee replacement4.6Same as national44
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national440

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 rating41819
Doctor communication - star rating31819
Communication about medicines - star rating21819
Discharge information - star rating31819
Cleanliness - star rating31819
Quietness - star rating21819
Overall hospital rating - star rating31819
Recommend hospital - star rating31819
Summary star rating31819

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 Events04603
Healthcare workers given influenza vaccination811787
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 better175845
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 better165763
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39056
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better28026
Left before being seen158092
Head CT results6445
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9177
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing112165
Appropriate care for severe sepsis and septic shock58153
Septic Shock 3-Hour Bundle6557
Septic Shock 6-Hour Bundle8330
Severe Sepsis 3-Hour Bundle81155
Severe Sepsis 6-Hour Bundle9586
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296201
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis84964

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Lake Health rated?
Lake Health has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Lake Health have emergency services?
Yes. Lake Health operates a 24/7 emergency department.
Where is Lake Health located?
Lake Health is located at 7590 Auburn Road, Concord, OH 44077.
What type of hospital is Lake Health?
Lake Health 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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