JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Sheridan Memorial Hospital

3 / 5

At a glance

Sheridan Memorial Hospital 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days112Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.071Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not 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 Days1463Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.993Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not 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 Procedures8Not available
SSI - Colon Surgery: Predicted Cases0.196Not 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 Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.007Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days12686Not available
MRSA Bacteremia: Predicted Cases0.427Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.122Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.309Same as national
Clostridium Difficile (C.Diff): Patient Days12220Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.239Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.481Same 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 patients3.5Same as national69
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national508
Death rate for heart attack patients11.9Same as national65
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national63
Death rate for heart failure patients13.5Same as national155
Death rate for pneumonia patients17.1Same as national235
Death rate for stroke patients14.9Same as national60
Pressure ulcer rate0.99Same as national1048
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1704
In-hospital fall-associated fracture rate0.30Same as national1658
Postoperative hemorrhage or hematoma rate2.20Same as national360
Postoperative acute kidney injury requiring dialysis rate1.64Same as national179
Postoperative respiratory failure rate7.94Same as national186
Perioperative pulmonary embolism or deep vein thrombosis rate3.06Same as national365
Postoperative sepsis rate5.79Same as national169
Postoperative wound dehiscence rate1.71Same as national78
Abdominopelvic accidental puncture or laceration rate1.28Same as national231
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same 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-11.4Not available76
Hospital return days for heart failure patients-8.9Not available173
Hospital return days for pneumonia patients-0.7Not available231
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national671
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national874
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national119
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national119
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national308
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.6Same as national76
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.9Same as national64
Heart failure (HF) 30-Day Readmission Rate19.4Same as national173
Rate of readmission after hip/knee replacement5.2Same as national71
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national231

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 rating3371
Doctor communication - star rating3371
Communication about medicines - star rating3371
Discharge information - star rating4371
Cleanliness - star rating4371
Quietness - star rating3371
Overall hospital rating - star rating4371
Recommend hospital - star rating4371
Summary star rating3371

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 vaccination381451
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 better115442
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 better110402
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better12624
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better21619
Left before being seen012237
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9982
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18413
Appropriate care for severe sepsis and septic shock57108
Septic Shock 3-Hour Bundle7141
Septic Shock 6-Hour Bundle8323
Severe Sepsis 3-Hour Bundle77111
Severe Sepsis 6-Hour Bundle9358
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis98674
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 MeasureNo

Frequently asked questions

How is Sheridan Memorial Hospital rated?
Sheridan Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Sheridan Memorial Hospital have emergency services?
Yes. Sheridan Memorial Hospital operates a 24/7 emergency department.
Where is Sheridan Memorial Hospital located?
Sheridan Memorial Hospital is located at 1401 W 5th St, Sheridan, WY 82801.
What type of hospital is Sheridan Memorial Hospital?
Sheridan Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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