JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Winona Health Services

2 / 5

At a glance

Winona Health Services carries a 2-star CMS overall rating — below 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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days208Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.128Not 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 Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1190Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.655Not 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 Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures23Not available
SSI - Colon Surgery: Predicted Cases0.483Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures2Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.013Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days5360Not available
MRSA Bacteremia: Predicted Cases0.232Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.303Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit3.246Same as national
Clostridium Difficile (C.Diff): Patient Days4936Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.515Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)1.193Same 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national158
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients14Same as national64
Death rate for pneumonia patients19.8Same as national69
Death rate for stroke patients13.2Same as national28
Pressure ulcer rate0.54Same as national457
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.21Same as national660
In-hospital fall-associated fracture rate0.27Same as national650
Postoperative hemorrhage or hematoma rate2.31Same as national72
Postoperative acute kidney injury requiring dialysis rate1.65Same as national29
Postoperative respiratory failure rate11.39Same as national30
Perioperative pulmonary embolism or deep vein thrombosis rate3.42Same as national76
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate2.43Same as national30
Abdominopelvic accidental puncture or laceration rate1.03Same as national70
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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—Not available—
Hospital return days for heart failure patients-44.3Not available67
Hospital return days for pneumonia patients0.3Not available66
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national220
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national510
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national116
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate18.3Same as national67
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national66

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 rating4203
Doctor communication - star rating4203
Communication about medicines - star rating4203
Discharge information - star rating4203
Cleanliness - star rating2203
Quietness - star rating3203
Overall hospital rating - star rating3203
Recommend hospital - star rating3203
Summary star rating4203

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 vaccination791265
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 better156380
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 better149328
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19829
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25023
Left before being seen112175
Head CT results9315
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100171
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing14186
Appropriate care for severe sepsis and septic shock4342
Septic Shock 3-Hour Bundle5812
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle6742
Severe Sepsis 6-Hour Bundle8425
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 2——
Venous Thromboembolism Prophylaxis97353
Intensive Care Unit Venous Thromboembolism Prophylaxis99322

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 Winona Health Services rated?
Winona Health Services has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Winona Health Services have emergency services?
Yes. Winona Health Services operates a 24/7 emergency department.
Where is Winona Health Services located?
Winona Health Services is located at 855 Mankato Avenue, Winona, MN 55987.
What type of hospital is Winona Health Services?
Winona Health Services 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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