JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Methodist Jennie Edmundson

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At a glance

Methodist Jennie Edmundson carries a 3-star CMS overall rating — in line with 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 Limit0.473Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.059Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1736Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.614Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.859Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.023Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.286Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2110Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.157Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.464Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures32Not available
SSI - Colon Surgery: Predicted Cases0.853Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures48Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.387Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.342Same as national
MRSA Bacteremia: Patient Days36652Same as national
MRSA Bacteremia: Predicted Cases1.279Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.325Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.020Same as national
Clostridium Difficile (C.Diff): Patient Days35018Same as national
Clostridium Difficile (C.Diff): Predicted Cases19.994Same as national
Clostridium Difficile (C.Diff): Observed Cases12Same as national
Clostridium Difficile (C.Diff)0.600Same 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 patients3.6Same as national80
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national701
Death rate for heart attack patients10.7Same as national119
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national86
Death rate for heart failure patients13.8Same as national236
Death rate for pneumonia patients15.1Same as national209
Death rate for stroke patients14.2Same as national87
Pressure ulcer rate0.63Same as national2720
Death rate among surgical inpatients with serious treatable complications155.69Same as national28
Iatrogenic pneumothorax rate0.18Same as national3444
In-hospital fall-associated fracture rate0.24Same as national3414
Postoperative hemorrhage or hematoma rate2.09Same as national517
Postoperative acute kidney injury requiring dialysis rate1.61Same as national153
Postoperative respiratory failure rate9.56Same as national161
Perioperative pulmonary embolism or deep vein thrombosis rate4.33Same as national549
Postoperative sepsis rate8.19Same as national144
Postoperative wound dehiscence rate2.04Same as national134
Abdominopelvic accidental puncture or laceration rate0.92Same as national521
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same 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 patients4.6Not available109
Hospital return days for heart failure patients1.6Not available266
Hospital return days for pneumonia patients1.7Not available247
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national1214
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.8Same as national1266
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 surgery1.1Same as national356
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national109
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national92
Heart failure (HF) 30-Day Readmission Rate19.8Same as national266
Rate of readmission after hip/knee replacement5Same as national82
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national247

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 rating4917
Doctor communication - star rating3917
Communication about medicines - star rating3917
Discharge information - star rating4917
Cleanliness - star rating4917
Quietness - star rating3917
Overall hospital rating - star rating4917
Recommend hospital - star rating4917
Summary star rating4917

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 vaccination751362
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 better148390
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 better149370
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14017
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 seen323247
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96223
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131393
Appropriate care for severe sepsis and septic shock6987
Septic Shock 3-Hour Bundle9341
Septic Shock 6-Hour Bundle9328
Severe Sepsis 3-Hour Bundle7587
Severe Sepsis 6-Hour Bundle10054
Discharged on Antithrombotic Therapy9683
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29463
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 Jennie Edmundson rated?
Methodist Jennie Edmundson has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Methodist Jennie Edmundson have emergency services?
Yes. Methodist Jennie Edmundson operates a 24/7 emergency department.
Where is Methodist Jennie Edmundson located?
Methodist Jennie Edmundson is located at 933 East Pierce Street, Council Bluffs, IA 51503.
What type of hospital is Methodist Jennie Edmundson?
Methodist Jennie Edmundson 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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