JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Lake Regional Health System

3 / 5

At a glance

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

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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.877Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2484Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.596Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.453Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3728Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.062Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures24Not available
SSI - Colon Surgery: Predicted Cases0.580Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.048Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days16706Not available
MRSA Bacteremia: Predicted Cases0.615Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.099Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.056Same as national
Clostridium Difficile (C.Diff): Patient Days16706Same as national
Clostridium Difficile (C.Diff): Predicted Cases7.734Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.388Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.1Same as national721
Death rate for heart attack patients12.7Same as national186
Death rate for CABG surgery patients2Same as national38
Death rate for COPD patients11.4Same as national102
Death rate for heart failure patients19.4Worse than national195
Death rate for pneumonia patients18.8Same as national230
Death rate for stroke patients14Same as national147
Pressure ulcer rate0.33Same as national1849
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.36Same as national2726
In-hospital fall-associated fracture rate0.25Same as national2720
Postoperative hemorrhage or hematoma rate2.63Same as national560
Postoperative acute kidney injury requiring dialysis rate1.54Same as national140
Postoperative respiratory failure rate7.58Same as national140
Perioperative pulmonary embolism or deep vein thrombosis rate3.27Same as national573
Postoperative sepsis rate4.50Same as national141
Postoperative wound dehiscence rate1.70Same as national85
Abdominopelvic accidental puncture or laceration rate0.97Same as national371
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patients16.6Not available204
Hospital return days for heart failure patients-2.6Not available225
Hospital return days for pneumonia patients-7.8Not available257
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national1081
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.6Same as national1716
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.3Same as national137
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national137
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national538
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national204
Rate of readmission for CABG10.2Same as national38
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national108
Heart failure (HF) 30-Day Readmission Rate19.3Same as national225
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national257

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 rating4728
Doctor communication - star rating4728
Communication about medicines - star rating3728
Discharge information - star rating4728
Cleanliness - star rating3728
Quietness - star rating3728
Overall hospital rating - star rating4728
Recommend hospital - star rating4728
Summary star rating4728

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 Events
Healthcare workers given influenza vaccination901729
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 better170383
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 better164353
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better74215
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25815
Left before being seen439772
Head CT results8534
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10088
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131115
Appropriate care for severe sepsis and septic shock68380
Septic Shock 3-Hour Bundle77141
Septic Shock 6-Hour Bundle8974
Severe Sepsis 3-Hour Bundle83380
Severe Sepsis 6-Hour Bundle91215
Discharged on Antithrombotic Therapy9790
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis982189
Intensive Care Unit Venous Thromboembolism Prophylaxis98696

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 Lake Regional Health System rated?
Lake Regional Health System has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Lake Regional Health System have emergency services?
Yes. Lake Regional Health System operates a 24/7 emergency department.
Where is Lake Regional Health System located?
Lake Regional Health System is located at 54 Hospital Drive, Osage Beach, MO 65065.
What type of hospital is Lake Regional Health System?
Lake Regional Health System is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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