JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

the Monroe Clinic

5 / 5

At a glance

the Monroe Clinic carries a 5-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 Days856Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.664Not 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 Days1202Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.888Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.042Same as national
SSI - Colon Surgery: Upper Confidence Limit4.158Same as national
SSI - Colon Surgery: Number of Procedures44Same as national
SSI - Colon Surgery: Predicted Cases1.186Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.843Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures35Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.292Not 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 Days11130Not available
MRSA Bacteremia: Predicted Cases0.263Not available
MRSA Bacteremia: Observed Cases2Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.064Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.259Same as national
Clostridium Difficile (C.Diff): Patient Days11124Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.247Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.381Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national462
Death rate for heart attack patients10.7Same as national67
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.3Same as national44
Death rate for heart failure patients12.1Same as national133
Death rate for pneumonia patients13.9Same as national128
Death rate for stroke patients14.9Same as national53
Pressure ulcer rate0.39Same as national1303
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national1712
In-hospital fall-associated fracture rate0.26Same as national1757
Postoperative hemorrhage or hematoma rate2.18Same as national222
Postoperative acute kidney injury requiring dialysis rate1.59Same as national82
Postoperative respiratory failure rate9.45Same as national83
Perioperative pulmonary embolism or deep vein thrombosis rate3.18Same as national232
Postoperative sepsis rate5.65Same as national70
Postoperative wound dehiscence rate1.70Same as national82
Abdominopelvic accidental puncture or laceration rate0.98Same as national234
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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-18.9Not available58
Hospital return days for heart failure patients3.1Not available151
Hospital return days for pneumonia patients-19.3Not available129
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national728
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national1127
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national102
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national102
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national283
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national58
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national44
Heart failure (HF) 30-Day Readmission Rate19.9Same as national151
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national129

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 rating4579
Doctor communication - star rating4579
Communication about medicines - star rating3579
Discharge information - star rating4579
Cleanliness - star rating3579
Quietness - star rating4579
Overall hospital rating - star rating4579
Recommend hospital - star rating4579
Summary star rating4579

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 volumehigh
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 Hypoglycemia1579
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination82908
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 better148403
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 better145375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14518
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25612
Left before being seen040482
Head CT results8715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10084
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16508
Appropriate care for severe sepsis and septic shock7092
Septic Shock 3-Hour Bundle6929
Septic Shock 6-Hour Bundle7315
Severe Sepsis 3-Hour Bundle8792
Severe Sepsis 6-Hour Bundle9857
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29625
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 the Monroe Clinic rated?
the Monroe Clinic has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does the Monroe Clinic have emergency services?
Yes. the Monroe Clinic operates a 24/7 emergency department.
Where is the Monroe Clinic located?
the Monroe Clinic is located at 515 22nd Ave, Monroe, WI 53566.
What type of hospital is the Monroe Clinic?
the Monroe Clinic 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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