JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Our Lady of the Lake Regional Medical Center

3 / 5

At a glance

Our Lady of the Lake Regional Medical Center 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 18 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 Limit0.608Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.469Same as national
Central Line Associated Bloodstream Infection: Number of Device Days18618Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases20.647Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases20Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.969Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.163Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.511Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days23599Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases39.907Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.301Better than national
SSI - Colon Surgery: Lower Confidence Limit0.263Better than national
SSI - Colon Surgery: Upper Confidence Limit0.990Better than national
SSI - Colon Surgery: Number of Procedures597Better than national
SSI - Colon Surgery: Predicted Cases16.687Better than national
SSI - Colon Surgery: Observed Cases9Better than national
SSI - Colon Surgery0.539Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.063Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.430Same as national
MRSA Bacteremia: Upper Confidence Limit1.290Same as national
MRSA Bacteremia: Patient Days204952Same as national
MRSA Bacteremia: Predicted Cases16.805Same as national
MRSA Bacteremia: Observed Cases13Same as national
MRSA Bacteremia0.774Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.213Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.441Better than national
Clostridium Difficile (C.Diff): Patient Days201915Better than national
Clostridium Difficile (C.Diff): Predicted Cases93.126Better than national
Clostridium Difficile (C.Diff): Observed Cases29Better than national
Clostridium Difficile (C.Diff)0.311Better 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 Rate4.7Same as national2273
Death rate for heart attack patients13.5Same as national163
Death rate for CABG surgery patients1.8Same as national145
Death rate for COPD patients11.8Same as national122
Death rate for heart failure patients12.1Same as national551
Death rate for pneumonia patients20.1Worse than national418
Death rate for stroke patients14.5Same as national394
Pressure ulcer rate0.18Same as national7739
Death rate among surgical inpatients with serious treatable complications201.44Same as national146
Iatrogenic pneumothorax rate0.22Same as national9517
In-hospital fall-associated fracture rate0.19Same as national9665
Postoperative hemorrhage or hematoma rate3.47Same as national3130
Postoperative acute kidney injury requiring dialysis rate0.97Same as national1609
Postoperative respiratory failure rate9.27Same as national1556
Perioperative pulmonary embolism or deep vein thrombosis rate4.54Same as national3319
Postoperative sepsis rate4.60Same as national1555
Postoperative wound dehiscence rate1.47Same as national614
Abdominopelvic accidental puncture or laceration rate0.80Same as national1976
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients-5.3Not available182
Hospital return days for heart failure patients-7.3Not available643
Hospital return days for pneumonia patients-4.6Not available441
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national3690
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national645
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.1Same as national208
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.3Same as national208
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national746
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national182
Rate of readmission for CABG8.6Same as national144
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national134
Heart failure (HF) 30-Day Readmission Rate18.9Same as national643
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national441

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 rating4583
Doctor communication - star rating4583
Communication about medicines - star rating2583
Discharge information - star rating3583
Cleanliness - star rating3583
Quietness - star rating4583
Overall hospital rating - star rating3583
Recommend hospital - star rating4583
Summary star rating3583

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 volumevery high
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 vaccination7611938
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 better167400
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 better164381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30719
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 seen1210156
Head CT results7928
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94109
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6942
Safe Use of Opioids - Concurrent Prescribing1811199
Appropriate care for severe sepsis and septic shock75700
Septic Shock 3-Hour Bundle86235
Septic Shock 6-Hour Bundle90146
Severe Sepsis 3-Hour Bundle85701
Severe Sepsis 6-Hour Bundle95331
Discharged on Antithrombotic Therapy97954
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9416474
Intensive Care Unit Venous Thromboembolism Prophylaxis986298

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Our Lady of the Lake Regional Medical Center rated?
Our Lady of the Lake Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Our Lady of the Lake Regional Medical Center have emergency services?
Yes. Our Lady of the Lake Regional Medical Center operates a 24/7 emergency department.
Where is Our Lady of the Lake Regional Medical Center located?
Our Lady of the Lake Regional Medical Center is located at 5000 Hennessy Blvd, Baton Rouge, LA 70808.
What type of hospital is Our Lady of the Lake Regional Medical Center?
Our Lady of the Lake Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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