Acute Care Hospitals · Voluntary non-profit - Other
Promedica Monroe Regional Hospital
- 718 N Macomb St, Monroe, MI 48162
- (734) 240-8400
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Promedica Monroe Regional Hospital carries a 1-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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.192 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 3.778 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 2121 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 1.749 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 1.144 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.506 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 2296 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 1.989 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.333 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 3.559 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 83 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 2.294 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 1.308 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 19 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.178 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.035 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 3.446 | Same as national |
| MRSA Bacteremia: Patient Days | 30663 | Same as national |
| MRSA Bacteremia: Predicted Cases | 1.431 | Same as national |
| MRSA Bacteremia: Observed Cases | 1 | Same as national |
| MRSA Bacteremia | 0.699 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.127 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.654 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 29954 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 19.082 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 6 | Better than national |
| Clostridium Difficile (C.Diff) | 0.314 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.3 | Same as national | 488 |
| Death rate for heart attack patients | 13.8 | Same as national | 66 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10 | Same as national | 104 |
| Death rate for heart failure patients | 12.3 | Same as national | 195 |
| Death rate for pneumonia patients | 19.1 | Same as national | 207 |
| Death rate for stroke patients | 14.7 | Same as national | 55 |
| Pressure ulcer rate | 0.32 | Same as national | 2374 |
| Death rate among surgical inpatients with serious treatable complications | — | Not available | — |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 2758 |
| In-hospital fall-associated fracture rate | 0.33 | Same as national | 2862 |
| Postoperative hemorrhage or hematoma rate | 2.50 | Same as national | 303 |
| Postoperative acute kidney injury requiring dialysis rate | 1.65 | Same as national | 83 |
| Postoperative respiratory failure rate | 18.23 | Same as national | 88 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.98 | Same as national | 315 |
| Postoperative sepsis rate | 5.76 | Same as national | 81 |
| Postoperative wound dehiscence rate | 1.99 | Same as national | 99 |
| Abdominopelvic accidental puncture or laceration rate | 1.20 | Same as national | 391 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.19 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 21.1 | Not available | 58 |
| Hospital return days for heart failure patients | 28.2 | Not available | 218 |
| Hospital return days for pneumonia patients | 40.5 | Not available | 203 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.7 | Worse than national | 864 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.7 | Same as national | 276 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.4 | Same as national | 68 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.3 | Same as national | 68 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 125 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.6 | Same as national | 58 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.2 | Same as national | 117 |
| Heart failure (HF) 30-Day Readmission Rate | 22.5 | Same as national | 218 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 17.6 | Same as national | 203 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 441 |
| Doctor communication - star rating | 3 | 441 |
| Communication about medicines - star rating | 2 | 441 |
| Discharge information - star rating | 3 | 441 |
| Cleanliness - star rating | 1 | 441 |
| Quietness - star rating | 2 | 441 |
| Overall hospital rating - star rating | 2 | 441 |
| Recommend hospital - star rating | 2 | 441 |
| Summary star rating | 2 | 441 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 vaccination | 79 | 1372 |
| 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 better | 172 | 395 |
| 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 better | 162 | 356 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 280 | 23 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 299 | 19 |
| Left before being seen | 2 | 46990 |
| Head CT results | 80 | 25 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 85 | 110 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 1233 |
| Appropriate care for severe sepsis and septic shock | 50 | 98 |
| Septic Shock 3-Hour Bundle | 68 | 22 |
| Septic Shock 6-Hour Bundle | — | — |
| Severe Sepsis 3-Hour Bundle | 68 | 98 |
| Severe Sepsis 6-Hour Bundle | 76 | 41 |
| Discharged on Antithrombotic Therapy | 98 | 51 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 94 | 1548 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 600 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Promedica Monroe Regional Hospital rated?
- Promedica Monroe Regional Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
- Does Promedica Monroe Regional Hospital have emergency services?
- Yes. Promedica Monroe Regional Hospital operates a 24/7 emergency department.
- Where is Promedica Monroe Regional Hospital located?
- Promedica Monroe Regional Hospital is located at 718 N Macomb St, Monroe, MI 48162.
- What type of hospital is Promedica Monroe Regional Hospital?
- Promedica Monroe Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).
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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.