JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Spencer Municipal Hospital

4 / 5

At a glance

Spencer Municipal Hospital carries a 4-star CMS overall rating — above 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 Days303Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.185Not 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 Days1241Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.622Not 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 Procedures39Not available
SSI - Colon Surgery: Predicted Cases0.949Not 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 Procedures85Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.655Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days6092Not available
MRSA Bacteremia: Predicted Cases0.121Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.293Same as national
Clostridium Difficile (C.Diff): Patient Days5649Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.317Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same 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 patients3.4Same as national170
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national408
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national40
Death rate for heart failure patients12.5Same as national117
Death rate for pneumonia patients16Same as national183
Death rate for stroke patients14.9Same as national39
Pressure ulcer rate0.96Same as national1065
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1448
In-hospital fall-associated fracture rate0.26Same as national1275
Postoperative hemorrhage or hematoma rate2.25Same as national461
Postoperative acute kidney injury requiring dialysis rate1.62Same as national253
Postoperative respiratory failure rate9.58Same as national252
Perioperative pulmonary embolism or deep vein thrombosis rate4.13Same as national490
Postoperative sepsis rate5.57Same as national233
Postoperative wound dehiscence rate1.74Same as national65
Abdominopelvic accidental puncture or laceration rate1.01Same as national176
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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 patients24.7Not available123
Hospital return days for pneumonia patients4.1Not available177
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national591
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national850
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.9Same as national121
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.5Same as national121
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national668
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national41
Heart failure (HF) 30-Day Readmission Rate19.8Same as national123
Rate of readmission after hip/knee replacement4.7Same as national183
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national177

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 rating4285
Doctor communication - star rating4285
Communication about medicines - star rating4285
Discharge information - star rating5285
Cleanliness - star rating3285
Quietness - star rating4285
Overall hospital rating - star rating4285
Recommend hospital - star rating5285
Summary star rating4285

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 vaccination35907
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 better128381
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 better118344
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22824
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better34313
Left before being seen08567
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99196
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14346
Appropriate care for severe sepsis and septic shock8474
Septic Shock 3-Hour Bundle9539
Septic Shock 6-Hour Bundle9521
Severe Sepsis 3-Hour Bundle8974
Severe Sepsis 6-Hour Bundle9845
Discharged on Antithrombotic Therapy
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 Spencer Municipal Hospital rated?
Spencer Municipal Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Spencer Municipal Hospital have emergency services?
Yes. Spencer Municipal Hospital operates a 24/7 emergency department.
Where is Spencer Municipal Hospital located?
Spencer Municipal Hospital is located at 1200 1st Avenue East, Spencer, IA 51301.
What type of hospital is Spencer Municipal Hospital?
Spencer Municipal 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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