Acute Care Hospitals · Voluntary non-profit - Private
Lakeland Hospital, St Joseph
- 1234 Napier Avenue, St Joseph, MI 49085
- (269) 983-8300
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Lakeland Hospital, St Joseph 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.
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 | 0.080 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.579 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 5313 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 4.184 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.478 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.011 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.102 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 5811 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 4.475 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 1 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.223 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.441 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.667 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 159 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.155 | Same as national |
| SSI - Colon Surgery: Observed Cases | 5 | Same as national |
| SSI - Colon Surgery | 1.203 | 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 | 95 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.867 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.325 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 3.473 | Same as national |
| MRSA Bacteremia: Patient Days | 59433 | Same as national |
| MRSA Bacteremia: Predicted Cases | 2.351 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 1.276 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.078 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.470 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 57474 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 23.576 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 5 | Better than national |
| Clostridium Difficile (C.Diff) | 0.212 | 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 | 4.2 | Same as national | 1271 |
| Death rate for heart attack patients | 12.8 | Same as national | 165 |
| Death rate for CABG surgery patients | 2.5 | Same as national | 38 |
| Death rate for COPD patients | 7.7 | Same as national | 109 |
| Death rate for heart failure patients | 11.7 | Same as national | 447 |
| Death rate for pneumonia patients | 15.8 | Same as national | 366 |
| Death rate for stroke patients | 12.5 | Same as national | 254 |
| Pressure ulcer rate | 0.17 | Same as national | 4213 |
| Death rate among surgical inpatients with serious treatable complications | 168.86 | Same as national | 65 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 5013 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 5039 |
| Postoperative hemorrhage or hematoma rate | 2.46 | Same as national | 1144 |
| Postoperative acute kidney injury requiring dialysis rate | 1.86 | Same as national | 307 |
| Postoperative respiratory failure rate | 6.51 | Same as national | 293 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.21 | Same as national | 1210 |
| Postoperative sepsis rate | 5.42 | Same as national | 297 |
| Postoperative wound dehiscence rate | 1.94 | Same as national | 230 |
| Abdominopelvic accidental puncture or laceration rate | 1.08 | Same as national | 877 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.79 | 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 | -15.2 | Not available | 157 |
| Hospital return days for heart failure patients | 21 | Not available | 498 |
| Hospital return days for pneumonia patients | -30.8 | Not available | 385 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14 | Same as national | 1985 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.2 | Same as national | 1088 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.3 | Same as national | 206 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.8 | Same as national | 206 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 425 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.7 | Same as national | 157 |
| Rate of readmission for CABG | 10.2 | Same as national | 36 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18 | Same as national | 114 |
| Heart failure (HF) 30-Day Readmission Rate | 20.3 | Same as national | 498 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 14.3 | Same as national | 385 |
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 | 3 | 824 |
| Doctor communication - star rating | 3 | 824 |
| Communication about medicines - star rating | 2 | 824 |
| Discharge information - star rating | 3 | 824 |
| Cleanliness - star rating | 3 | 824 |
| Quietness - star rating | 3 | 824 |
| Overall hospital rating - star rating | 3 | 824 |
| Recommend hospital - star rating | 3 | 824 |
| Summary star rating | 3 | 824 |
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 | — | — |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 79 | 3404 |
| 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 | 158 | 399 |
| 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 | 157 | 374 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 208 | 23 |
| 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 | 2 | 73694 |
| Head CT results | 89 | 37 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 72 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 16 | 3248 |
| Appropriate care for severe sepsis and septic shock | 53 | 184 |
| Septic Shock 3-Hour Bundle | 59 | 81 |
| Septic Shock 6-Hour Bundle | 72 | 39 |
| Severe Sepsis 3-Hour Bundle | 85 | 185 |
| Severe Sepsis 6-Hour Bundle | 91 | 111 |
| Discharged on Antithrombotic Therapy | 98 | 276 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 87 | 5920 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 93 | 1375 |
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 Lakeland Hospital, St Joseph rated?
- Lakeland Hospital, St Joseph has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Lakeland Hospital, St Joseph have emergency services?
- Yes. Lakeland Hospital, St Joseph operates a 24/7 emergency department.
- Where is Lakeland Hospital, St Joseph located?
- Lakeland Hospital, St Joseph is located at 1234 Napier Avenue, St Joseph, MI 49085.
- What type of hospital is Lakeland Hospital, St Joseph?
- Lakeland Hospital, St Joseph 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.