JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Marshfield Medical Center - Weston

3 / 5

At a glance

Marshfield Medical Center - Weston carries a 3-star CMS overall rating — in line with 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 Limit1.632Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2638Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.836Same 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 Limit0.835Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.049Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3090Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.195Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.278Same as national
SSI - Colon Surgery: Lower Confidence Limit0.023Same as national
SSI - Colon Surgery: Upper Confidence Limit2.306Same as national
SSI - Colon Surgery: Number of Procedures88Same as national
SSI - Colon Surgery: Predicted Cases2.139Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.468Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures35Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.258Not 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 Days16540Not available
MRSA Bacteremia: Predicted Cases0.597Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.054Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.582Better than national
Clostridium Difficile (C.Diff): Patient Days15799Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.022Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.214Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national524
Death rate for heart attack patients11.3Same as national171
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national44
Death rate for heart failure patients12.6Same as national156
Death rate for pneumonia patients18.7Same as national135
Death rate for stroke patients14.4Same as national51
Pressure ulcer rate0.29Same as national1528
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.17Same as national2055
In-hospital fall-associated fracture rate0.25Same as national2112
Postoperative hemorrhage or hematoma rate2.12Same as national402
Postoperative acute kidney injury requiring dialysis rate2.03Same as national165
Postoperative respiratory failure rate18.57Worse than national171
Perioperative pulmonary embolism or deep vein thrombosis rate4.29Same as national418
Postoperative sepsis rate4.66Same as national166
Postoperative wound dehiscence rate1.72Same as national80
Abdominopelvic accidental puncture or laceration rate0.97Same as national321
CMS Medicare PSI 90: Patient safety and adverse events composite1.15Same 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 patients6.3Not available195
Hospital return days for heart failure patients15.2Not available177
Hospital return days for pneumonia patients18.2Not available131
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national756
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15Same as national113
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national89
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national89
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national254
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national195
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national45
Heart failure (HF) 30-Day Readmission Rate20.4Same as national177
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national131

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 rating5866
Doctor communication - star rating4866
Communication about medicines - star rating3866
Discharge information - star rating4866
Cleanliness - star rating5866
Quietness - star rating4866
Overall hospital rating - star rating4866
Recommend hospital - star rating4866
Summary star rating4866

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination90999
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 better140411
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 better139385
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16223
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 seen216998
Head CT results6712
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing7457
Appropriate care for severe sepsis and septic shock72200
Septic Shock 3-Hour Bundle8673
Septic Shock 6-Hour Bundle9646
Severe Sepsis 3-Hour Bundle82200
Severe Sepsis 6-Hour Bundle94127
Discharged on Antithrombotic Therapy10027
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210028
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis95321

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 Marshfield Medical Center - Weston rated?
Marshfield Medical Center - Weston has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Marshfield Medical Center - Weston have emergency services?
Yes. Marshfield Medical Center - Weston operates a 24/7 emergency department.
Where is Marshfield Medical Center - Weston located?
Marshfield Medical Center - Weston is located at 3400 Ministry Parkway, Weston, WI 54476.
What type of hospital is Marshfield Medical Center - Weston?
Marshfield Medical Center - Weston 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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