JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Methodist Fremont Health

2 / 5

At a glance

Methodist Fremont Health carries a 2-star CMS overall rating — below 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days596Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.364Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days765Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.390Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures7Not available
SSI - Colon Surgery: Predicted Cases0.173Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures69Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.542Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days13367Not available
MRSA Bacteremia: Predicted Cases0.630Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.008Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.830Better than national
Clostridium Difficile (C.Diff): Patient Days12691Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.942Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.168Better 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 patients4.8Same as national94
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national456
Death rate for heart attack patients12.7Same as national38
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.7Same as national62
Death rate for heart failure patients15.7Worse than national130
Death rate for pneumonia patients17.4Same as national151
Death rate for stroke patients12.2Same as national26
Pressure ulcer rate0.90Same as national1264
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1687
In-hospital fall-associated fracture rate0.30Same as national1607
Postoperative hemorrhage or hematoma rate2.54Same as national365
Postoperative acute kidney injury requiring dialysis rate1.60Same as national145
Postoperative respiratory failure rate7.89Same as national150
Perioperative pulmonary embolism or deep vein thrombosis rate3.40Same as national388
Postoperative sepsis rate6.67Same as national130
Postoperative wound dehiscence rate1.74Same as national60
Abdominopelvic accidental puncture or laceration rate1.00Same as national147
CMS Medicare PSI 90: Patient safety and adverse events composite1.08Same 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 patients2.4Not available148
Hospital return days for pneumonia patients-20.7Not available157
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national714
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.6Same as national899
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 national292
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national25
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national71
Heart failure (HF) 30-Day Readmission Rate20Same as national148
Rate of readmission after hip/knee replacement4.8Same as national90
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national157

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 rating3445
Doctor communication - star rating3445
Communication about medicines - star rating3445
Discharge information - star rating5445
Cleanliness - star rating4445
Quietness - star rating4445
Overall hospital rating - star rating4445
Recommend hospital - star rating4445
Summary star rating4445

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 vaccination661039
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 better142387
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 better133351
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24515
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25822
Left before being seen118897
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94209
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14688
Appropriate care for severe sepsis and septic shock68118
Septic Shock 3-Hour Bundle6972
Septic Shock 6-Hour Bundle9841
Severe Sepsis 3-Hour Bundle90118
Severe Sepsis 6-Hour Bundle9772
Discharged on Antithrombotic Therapy10027
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Methodist Fremont Health rated?
Methodist Fremont Health has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Methodist Fremont Health have emergency services?
Yes. Methodist Fremont Health operates a 24/7 emergency department.
Where is Methodist Fremont Health located?
Methodist Fremont Health is located at 450 East 23rd St, Fremont, NE 68025.
What type of hospital is Methodist Fremont Health?
Methodist Fremont Health 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.

Report an issue with this page