JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Trinity Health Muskegon Hospital

3 / 5

At a glance

Trinity Health Muskegon Hospital 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 3 measures and trails 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 Limit0.056Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.099Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6365Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.013Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.333Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.581Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.673Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13883Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.710Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases14Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.021Same as national
SSI - Colon Surgery: Lower Confidence Limit0.666Same as national
SSI - Colon Surgery: Upper Confidence Limit3.012Same as national
SSI - Colon Surgery: Number of Procedures179Same as national
SSI - Colon Surgery: Predicted Cases4.597Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.523Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures21Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.202Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.427Same as national
MRSA Bacteremia: Upper Confidence Limit2.582Same as national
MRSA Bacteremia: Patient Days78734Same as national
MRSA Bacteremia: Predicted Cases4.292Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.165Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.243Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.616Better than national
Clostridium Difficile (C.Diff): Patient Days74897Better than national
Clostridium Difficile (C.Diff): Predicted Cases45.269Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.398Better 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 patients4.8Same as national67
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1209
Death rate for heart attack patients12.4Same as national166
Death rate for CABG surgery patients2.6Same as national67
Death rate for COPD patients8.5Same as national109
Death rate for heart failure patients13.6Same as national415
Death rate for pneumonia patients14.7Same as national317
Death rate for stroke patients12.5Same as national207
Pressure ulcer rate0.15Same as national4533
Death rate among surgical inpatients with serious treatable complications210.72Same as national95
Iatrogenic pneumothorax rate0.33Same as national5279
In-hospital fall-associated fracture rate0.32Same as national5378
Postoperative hemorrhage or hematoma rate2.68Same as national1586
Postoperative acute kidney injury requiring dialysis rate1.68Same as national731
Postoperative respiratory failure rate9.83Same as national735
Perioperative pulmonary embolism or deep vein thrombosis rate3.26Same as national1785
Postoperative sepsis rate3.88Same as national695
Postoperative wound dehiscence rate1.98Same as national296
Abdominopelvic accidental puncture or laceration rate1.09Same as national998
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-32.5Not available163
Hospital return days for heart failure patients-39Not available444
Hospital return days for pneumonia patients-30.2Not available330
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)12.9Better than national1837
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national1098
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national569
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.1Same as national163
Rate of readmission for CABG9.9Same as national64
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17Same as national117
Heart failure (HF) 30-Day Readmission Rate16.6Better than national444
Rate of readmission after hip/knee replacement5.4Same as national65
Pneumonia (PN) 30-Day Readmission Rate13.1Better than national330

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 rating3648
Doctor communication - star rating3648
Communication about medicines - star rating2648
Discharge information - star rating3648
Cleanliness - star rating2648
Quietness - star rating2648
Overall hospital rating - star rating2648
Recommend hospital - star rating3648
Summary star rating3648

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 vaccination245420
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 better209420
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 better208396
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32824
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 seen382464
Head CT results8834
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97116
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing124905
Appropriate care for severe sepsis and septic shock64194
Septic Shock 3-Hour Bundle6363
Septic Shock 6-Hour Bundle10029
Severe Sepsis 3-Hour Bundle80194
Severe Sepsis 6-Hour Bundle93108
Discharged on Antithrombotic Therapy98294
Anticoagulation Therapy for Atrial Fibrillation/Flutter6579
Antithrombotic Therapy by End of Hospital Day 298225
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 Trinity Health Muskegon Hospital rated?
Trinity Health Muskegon Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Trinity Health Muskegon Hospital have emergency services?
Yes. Trinity Health Muskegon Hospital operates a 24/7 emergency department.
Where is Trinity Health Muskegon Hospital located?
Trinity Health Muskegon Hospital is located at 1500 E Sherman Blvd, Muskegon, MI 49441.
What type of hospital is Trinity Health Muskegon Hospital?
Trinity Health Muskegon Hospital 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.

Report an issue with this page