JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Lakeview Memorial Hospital

4 / 5

At a glance

Lakeview Memorial Hospital carries a 4-star CMS overall rating — above 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 Limit0.047Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.601Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1422Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.072Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.933Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.040Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.939Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1755Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.252Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.799Same as national
SSI - Colon Surgery: Lower Confidence Limit0.193Same as national
SSI - Colon Surgery: Upper Confidence Limit3.802Same as national
SSI - Colon Surgery: Number of Procedures71Same as national
SSI - Colon Surgery: Predicted Cases1.738Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.151Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures27Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.206Not 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 Days17419Not available
MRSA Bacteremia: Predicted Cases0.517Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.056Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.111Same as national
Clostridium Difficile (C.Diff): Patient Days16171Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.945Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.336Same 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 patients4.6Same as national79
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national503
Death rate for heart attack patients11.5Same as national30
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.8Same as national39
Death rate for heart failure patients13.3Same as national126
Death rate for pneumonia patients15.9Same as national102
Death rate for stroke patients13.1Same as national52
Pressure ulcer rate0.38Same as national1332
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1878
In-hospital fall-associated fracture rate0.30Same as national1717
Postoperative hemorrhage or hematoma rate2.17Same as national517
Postoperative acute kidney injury requiring dialysis rate1.59Same as national315
Postoperative respiratory failure rate10.43Same as national312
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national549
Postoperative sepsis rate5.17Same as national279
Postoperative wound dehiscence rate1.69Same as national107
Abdominopelvic accidental puncture or laceration rate0.97Same as national274
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patientsNot available
Hospital return days for heart failure patients4.1Not available144
Hospital return days for pneumonia patients-8.1Not available105
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national737
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national760
Rate of inpatient admissions for patients receiving outpatient chemotherapy9Same as national72
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6Same as national72
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Same as national346
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national27
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national39
Heart failure (HF) 30-Day Readmission Rate20Same as national144
Rate of readmission after hip/knee replacement5.3Same as national75
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national105

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 rating5934
Doctor communication - star rating5934
Communication about medicines - star rating4934
Discharge information - star rating5934
Cleanliness - star rating4934
Quietness - star rating4934
Overall hospital rating - star rating4934
Recommend hospital - star rating5934
Summary star rating5934

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 volumelow
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 Hypoglycemia1705
Hospital Harm - Opioid Related Adverse Events02580
Healthcare workers given influenza vaccination611272
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 better164407
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 better158366
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26414
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better28429
Left before being seen118561
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9264
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131027
Appropriate care for severe sepsis and septic shock53108
Septic Shock 3-Hour Bundle6534
Septic Shock 6-Hour Bundle3918
Severe Sepsis 3-Hour Bundle75108
Severe Sepsis 6-Hour Bundle9858
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis941478
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 Lakeview Memorial Hospital rated?
Lakeview Memorial Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Lakeview Memorial Hospital have emergency services?
Yes. Lakeview Memorial Hospital operates a 24/7 emergency department.
Where is Lakeview Memorial Hospital located?
Lakeview Memorial Hospital is located at 927 West Churchill Street, Stillwater, MN 55082.
What type of hospital is Lakeview Memorial Hospital?
Lakeview Memorial Hospital 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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