JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

M Health Fairview Woodwinds Hospital

4 / 5

At a glance

M Health Fairview Woodwinds Hospital 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.

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 Limit2.372Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1876Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.263Same 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 Limit0.569Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit6.093Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2088Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.340Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.239Same as national
SSI - Colon Surgery: Lower Confidence Limit0.290Same as national
SSI - Colon Surgery: Upper Confidence Limit5.721Same as national
SSI - Colon Surgery: Number of Procedures46Same as national
SSI - Colon Surgery: Predicted Cases1.155Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.732Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures50Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.426Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.656Same as national
MRSA Bacteremia: Patient Days31104Same as national
MRSA Bacteremia: Predicted Cases1.128Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.124Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.945Better than national
Clostridium Difficile (C.Diff): Patient Days27171Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.214Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.392Better 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 patients3.8Same as national60
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Same as national569
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national38
Death rate for heart failure patients9.2Same as national190
Death rate for pneumonia patients12.9Same as national157
Death rate for stroke patients12.8Same as national33
Pressure ulcer rate0.33Same as national1752
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2274
In-hospital fall-associated fracture rate0.25Same as national2219
Postoperative hemorrhage or hematoma rate2.17Same as national359
Postoperative acute kidney injury requiring dialysis rate1.55Same as national397
Postoperative respiratory failure rate5.90Same as national405
Perioperative pulmonary embolism or deep vein thrombosis rate4.05Same as national653
Postoperative sepsis rate4.95Same as national387
Postoperative wound dehiscence rate1.73Same as national196
Abdominopelvic accidental puncture or laceration rate0.98Same as national427
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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 patients26.8Not available189
Hospital return days for pneumonia patients-10.6Not available153
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national826
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.3Same as national282
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 national344
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national41
Heart failure (HF) 30-Day Readmission Rate19.7Same as national189
Rate of readmission after hip/knee replacement4.7Same as national59
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national153

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 rating3489
Doctor communication - star rating3489
Communication about medicines - star rating2489
Discharge information - star rating3489
Cleanliness - star rating2489
Quietness - star rating3489
Overall hospital rating - star rating3489
Recommend hospital - star rating3489
Summary star rating3489

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 Hypoglycemia11384
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination811427
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 better172403
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 better170381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20414
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 seen236982
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9730
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing122353
Appropriate care for severe sepsis and septic shock5791
Septic Shock 3-Hour Bundle7330
Septic Shock 6-Hour Bundle8919
Severe Sepsis 3-Hour Bundle7891
Severe Sepsis 6-Hour Bundle8250
Discharged on Antithrombotic Therapy9881
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29559
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 M Health Fairview Woodwinds Hospital rated?
M Health Fairview Woodwinds Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does M Health Fairview Woodwinds Hospital have emergency services?
Yes. M Health Fairview Woodwinds Hospital operates a 24/7 emergency department.
Where is M Health Fairview Woodwinds Hospital located?
M Health Fairview Woodwinds Hospital is located at 1925 Woodwinds Drive, Woodbury, MN 55125.
What type of hospital is M Health Fairview Woodwinds Hospital?
M Health Fairview Woodwinds 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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