JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mclaren Bay Region

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At a glance

Mclaren Bay Region carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit1.263Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2462Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.371Same 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 LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.699Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4337Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.287Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.913Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.566Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.125Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.031Same as national
MRSA Bacteremia: Upper Confidence Limit3.016Same as national
MRSA Bacteremia: Patient Days45078Same as national
MRSA Bacteremia: Predicted Cases1.635Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.612Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.131Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.670Better than national
Clostridium Difficile (C.Diff): Patient Days44449Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.621Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.322Better 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 patients4.1Same as national162
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1346
Death rate for heart attack patients11.9Same as national342
Death rate for CABG surgery patients2.6Same as national105
Death rate for COPD patients8.7Same as national186
Death rate for heart failure patients10.3Same as national437
Death rate for pneumonia patients17Same as national294
Death rate for stroke patients14Same as national133
Pressure ulcer rate0.34Same as national4829
Death rate among surgical inpatients with serious treatable complications161.41Same as national58
Iatrogenic pneumothorax rate0.23Same as national5636
In-hospital fall-associated fracture rate0.26Same as national5789
Postoperative hemorrhage or hematoma rate2.27Same as national1559
Postoperative acute kidney injury requiring dialysis rate1.78Same as national585
Postoperative respiratory failure rate10.08Same as national596
Perioperative pulmonary embolism or deep vein thrombosis rate3.18Same as national1586
Postoperative sepsis rate5.39Same as national587
Postoperative wound dehiscence rate1.66Same as national196
Abdominopelvic accidental puncture or laceration rate1.38Same as national859
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients35.3Not available350
Hospital return days for heart failure patients19.5Not available506
Hospital return days for pneumonia patients26.5Not available298
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Worse than national2164
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national656
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.4Same as national70
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.5Same as national70
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national588
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.8Same as national350
Rate of readmission for CABG14.6Worse than national103
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.8Same as national212
Heart failure (HF) 30-Day Readmission Rate21.4Same as national506
Rate of readmission after hip/knee replacement5.6Same as national148
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national298

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 rating3428
Doctor communication - star rating2428
Communication about medicines - star rating2428
Discharge information - star rating3428
Cleanliness - star rating1428
Quietness - star rating2428
Overall hospital rating - star rating2428
Recommend hospital - star rating2428
Summary star rating2428

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 vaccination571828
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 better186366
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 better170314
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38239
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better23613
Left before being seen128588
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97116
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132187
Appropriate care for severe sepsis and septic shock55125
Septic Shock 3-Hour Bundle6838
Septic Shock 6-Hour Bundle10024
Severe Sepsis 3-Hour Bundle69125
Severe Sepsis 6-Hour Bundle9469
Discharged on Antithrombotic Therapy91158
Anticoagulation Therapy for Atrial Fibrillation/Flutter6042
Antithrombotic Therapy by End of Hospital Day 290144
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 Mclaren Bay Region rated?
Mclaren Bay Region has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Mclaren Bay Region have emergency services?
Yes. Mclaren Bay Region operates a 24/7 emergency department.
Where is Mclaren Bay Region located?
Mclaren Bay Region is located at 1900 Columbus Ave, Bay City, MI 48708.
What type of hospital is Mclaren Bay Region?
Mclaren Bay Region 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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