JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

West Allis Memorial Hospital

4 / 5

At a glance

West Allis Memorial Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse 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 Limit0.263Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.993Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4662Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.841Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.826Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.365Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.210Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3966Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.015Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.997Same as national
SSI - Colon Surgery: Lower Confidence Limit0.796Same as national
SSI - Colon Surgery: Upper Confidence Limit6.045Same as national
SSI - Colon Surgery: Number of Procedures62Same as national
SSI - Colon Surgery: Predicted Cases1.596Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery2.506Same as national
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 Cases0.705Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.107Same as national
MRSA Bacteremia: Upper Confidence Limit2.104Same as national
MRSA Bacteremia: Patient Days64415Same as national
MRSA Bacteremia: Predicted Cases3.141Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.637Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.033Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.349Better than national
Clostridium Difficile (C.Diff): Patient Days52834Better than national
Clostridium Difficile (C.Diff): Predicted Cases23.390Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.128Better 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 patients3.8Same as national57
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national721
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.5Same as national77
Death rate for heart failure patients10.8Same as national224
Death rate for pneumonia patients11.9Better than national181
Death rate for stroke patients12.2Same as national58
Pressure ulcer rate0.92Same as national2039
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national3254
In-hospital fall-associated fracture rate0.24Same as national3174
Postoperative hemorrhage or hematoma rate2.40Same as national419
Postoperative acute kidney injury requiring dialysis rate1.48Same as national122
Postoperative respiratory failure rate7.13Same as national131
Perioperative pulmonary embolism or deep vein thrombosis rate4.39Same as national470
Postoperative sepsis rate4.62Same as national110
Postoperative wound dehiscence rate1.71Same as national93
Abdominopelvic accidental puncture or laceration rate1.21Same as national555
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients4.7Not available285
Hospital return days for pneumonia patients12Not available199
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1230
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national581
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 surgery0.9Same as national405
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 national82
Heart failure (HF) 30-Day Readmission Rate20.2Same as national285
Rate of readmission after hip/knee replacement5.5Same as national52
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national199

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 rating3906
Doctor communication - star rating3906
Communication about medicines - star rating2906
Discharge information - star rating4906
Cleanliness - star rating3906
Quietness - star rating3906
Overall hospital rating - star rating3906
Recommend hospital - star rating4906
Summary star rating3906

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination922352
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 better187375
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 better182358
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34315
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 seen343058
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10096
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing112445
Appropriate care for severe sepsis and septic shock78264
Septic Shock 3-Hour Bundle8267
Septic Shock 6-Hour Bundle8250
Severe Sepsis 3-Hour Bundle89266
Severe Sepsis 6-Hour Bundle98168
Discharged on Antithrombotic Therapy10070
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis883898
Intensive Care Unit Venous Thromboembolism Prophylaxis98803

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 West Allis Memorial Hospital rated?
West Allis Memorial Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does West Allis Memorial Hospital have emergency services?
Yes. West Allis Memorial Hospital operates a 24/7 emergency department.
Where is West Allis Memorial Hospital located?
West Allis Memorial Hospital is located at 8901 W Lincoln Ave, West Allis, WI 53227.
What type of hospital is West Allis Memorial Hospital?
West Allis Memorial 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