VA MONTANA HEALTHCARE SYSTEM
3687 VETERANS DRIVE, FORT HARRISON, MT, 59636 · (406) 447-7900
CMS facility ID 27003F
How this hospital compares, by group
Counts published by CMS: how many of its measures were better, no different, or worse than the national average.
| Group | Better | No different | Worse | Measures reported |
|---|---|---|---|---|
| Mortality | 0 | 3 | 0 | 3 |
| Safety | 0 | 2 | 0 | 2 |
| Readmission | 1 | 4 | 0 | 5 |
"Compared to National" labels are published by CMS itself. This site displays them as issued and does not derive or re-rank them.
Healthcare-associated infections
Infections patients acquired while in hospital. 36 measures.
| Measure | Compared to national | Score | 95% interval | Cases | Period |
|---|---|---|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | — | 801 | — | — | 2024-10-01 → 2025-09-30 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | — | 1 | — | — | 2024-10-01 → 2025-09-30 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | — | 0.498 | — | — | 2024-10-01 → 2025-09-30 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | — | 0 | — | — | 2024-10-01 → 2025-09-30 |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | — | 0.375 | — | — | 2024-10-01 → 2025-09-30 |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Central Line Associated Bloodstream Infection: Number of Device Days | — | 468 | — | — | 2024-10-01 → 2025-09-30 |
| Clostridium Difficile (C.Diff) | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Clostridium Difficile (C.Diff): Observed Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Clostridium Difficile (C.Diff): Patient Days | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Clostridium Difficile (C.Diff): Predicted Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| MRSA Bacteremia | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| MRSA Bacteremia: Lower Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| MRSA Bacteremia: Observed Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| MRSA Bacteremia: Patient Days | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| MRSA Bacteremia: Predicted Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| MRSA Bacteremia: Upper Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Abdominal Hysterectomy | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Abdominal Hysterectomy: Number of Procedures | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Abdominal Hysterectomy: Observed Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Abdominal Hysterectomy: Predicted Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Colon Surgery | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Colon Surgery: Lower Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Colon Surgery: Number of Procedures | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Colon Surgery: Observed Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Colon Surgery: Predicted Cases | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
| SSI - Colon Surgery: Upper Confidence Limit | — | Not reported | — | — | 2024-10-01 → 2025-09-30 |
Complications and deaths
Rates of death and serious complications for common conditions, compared with the national average. 20 measures.
| Measure | Compared to national | Score | 95% interval | Cases | Period |
|---|---|---|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | No different from national | 1.06 | 0 – 2.15 | 44 | 2022-07-01 → 2024-06-30 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | No different from national | 0.95 | 0.47 – 1.44 | — | 2022-07-01 → 2024-06-30 |
| Death rate among surgical inpatients with serious treatable complications | — | Not reported | — | — | 2022-07-01 → 2024-06-30 |
| Death rate for CABG surgery patients | — | Not reported | — | — | 2022-07-01 → 2025-06-30 |
| Death rate for COPD patients | No different from national | 9.6 | 5.7 – 15.9 | 64 | 2022-07-01 → 2025-06-30 |
| Death rate for heart attack patients | Number of Cases Too Small | Not reported | — | — | 2022-07-01 → 2025-06-30 |
| Death rate for heart failure patients | No different from national | 10.4 | 6.6 – 15.8 | 39 | 2022-07-01 → 2025-06-30 |
| Death rate for pneumonia patients | No different from national | 12.8 | 8.4 – 18.2 | 57 | 2022-07-01 → 2025-06-30 |
| Death rate for stroke patients | — | Not reported | — | — | 2023-07-01 → 2025-06-30 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | No different from national | 3.6 | 2.8 – 4.7 | 268 | 2024-07-01 → 2025-06-30 |
| Iatrogenic pneumothorax rate | No different from national | 0.21 | 0 – 0.44 | 1,064 | 2022-07-01 → 2024-06-30 |
| In-hospital fall-associated fracture rate | No different from national | 0.31 | 0.09 – 0.52 | 1,176 | 2022-07-01 → 2024-06-30 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | No different from national | 3.46 | 0.83 – 6.09 | 46 | 2022-07-01 → 2024-06-30 |
| Postoperative acute kidney injury requiring dialysis rate | No different from national | 1.67 | 0 – 3.4 | 25 | 2022-07-01 → 2024-06-30 |
| Postoperative hemorrhage or hematoma rate | No different from national | 2.33 | 0.59 – 4.06 | 43 | 2022-07-01 → 2024-06-30 |
| Postoperative respiratory failure rate | No different from national | 9.25 | 0 – 19.36 | 26 | 2022-07-01 → 2024-06-30 |
| Postoperative sepsis rate | Number of Cases Too Small | Not reported | — | — | 2022-07-01 → 2024-06-30 |
| Postoperative wound dehiscence rate | — | Not reported | — | — | 2022-07-01 → 2024-06-30 |
| Pressure ulcer rate | No different from national | 0.48 | 0 – 1.66 | 837 | 2022-07-01 → 2024-06-30 |
| Rate of complications for hip/knee replacement patients | Number of Cases Too Small | Not reported | — | — | 2023-04-01 → 2025-03-31 |
Unplanned hospital visits
How often patients came back to hospital unexpectedly after discharge. 14 measures.
| Measure | Compared to national | Score | 95% interval | Cases | Period |
|---|---|---|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | Number of Cases Too Small | Not reported | — | — | 2023-07-01 → 2025-06-30 |
| Heart failure (HF) 30-Day Readmission Rate | No different from national | 20.9 | 17.5 – 24.8 | 35 | 2023-07-01 → 2025-06-30 |
| Hospital return days for heart attack patients | Number of Cases Too Small | Not reported | — | — | 2022-07-01 → 2025-06-30 |
| Hospital return days for heart failure patients | Average Days per 100 Discharges | -23.4 | -49.2 – 8.2 | 46 | 2022-07-01 → 2025-06-30 |
| Hospital return days for pneumonia patients | Fewer Days Than Average per 100 Discharges | -26.5 | -39.3 – -12.1 | 64 | 2022-07-01 → 2025-06-30 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | — | Not reported | — | — | 2024-07-01 → 2025-06-30 |
| Pneumonia (PN) 30-Day Readmission Rate | No different from national | 16.9 | 13.9 – 20.6 | 40 | 2023-07-01 → 2025-06-30 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not reported | — | — | 2024-01-01 → 2024-12-31 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not reported | — | — | 2024-01-01 → 2024-12-31 |
| Rate of readmission after hip/knee replacement | Number of Cases Too Small | Not reported | — | — | 2023-07-01 → 2025-06-30 |
| Rate of readmission for CABG | — | Not reported | — | — | 2023-07-01 → 2025-06-30 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | No different from national | 19.4 | 16 – 23.4 | 51 | 2023-07-01 → 2025-06-30 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | — | Not reported | — | — | 2022-01-01 → 2024-12-31 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | — | Not reported | — | — | 2024-01-01 → 2024-12-31 |
Score units differ between measures (rates, ratios, and Medicare dollars per beneficiary). Each measure is shown with its own name and reporting period; do not compare scores across measures.
Patient experience (HCAHPS)
Survey responses from patients, as published by CMS. Star ratings are 1–5; a blank means CMS withheld it.
Patients who reported that their room and bathroom were "Always" clean
Not rated| Room was "always" clean | 76% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean
Not rated| Room was "sometimes" or "never" clean | 5% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their room and bathroom were "Usually" clean
Not rated| Room was "usually" clean | 19% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Cleanliness - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Cleanliness - star rating
4 / 5 — Rating 4 of 5No answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Always" communicated well
Not rated| Nurses "always" communicated well | 86% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Nurse communication - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Sometimes" or "Never" communicated well
Not rated| Nurses "sometimes" or "never" communicated well | 2% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Nurse communication - star rating
5 / 5 — HighestNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Usually" communicated well
Not rated| Nurses "usually" communicated well | 12% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Always" communicated well
Not rated| Doctors "always" communicated well | 88% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Doctor communication - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Sometimes" or "Never" communicated well
Not rated| Doctors "sometimes" or "never" communicated well | 2% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Doctor communication - star rating
5 / 5 — HighestNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Usually" communicated well
Not rated| Doctors "usually" communicated well | 10% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that staff "Always" explained about medicines before giving it to them
Not rated| Staff "always" explained | 81% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Communication about medicines - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them
Not rated| Staff "sometimes" or "never" explained | 7% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Communication about medicines - star rating
5 / 5 — HighestNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that staff "Usually" explained about medicines before giving it to them
Not rated| Staff "usually" explained | 12% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Discharge information - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that NO, they were not given information about what to do during their recovery at home
Not rated| No, staff "did not" give patients this information | 7% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Discharge information - star rating
5 / 5 — HighestNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that YES, they were given information about what to do during their recovery at home
Not rated| Yes, staff "did" give patients this information | 93% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that NO, they did not discuss whether they would need help after discharge
Not rated| No, staff "did not" give patients information about help after discharge | 9% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that YES, they did discuss whether they would need help after discharge
Not rated| Yes, staff "did" give patients information about help after discharge | 91% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Always" explained things in a way they could understand
Not rated| Doctors "always" explained things so they could understand | 82% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand
Not rated| Doctors "sometimes" or "never" explained things so they could understand | 5% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Usually" explained things in a way they could understand
Not rated| Doctors "usually" explained things so they could understand | 13% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Always" listened carefully to them
Not rated| Doctors "always" listened carefully | 83% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them
Not rated| Doctors "sometimes" or "never" listened carefully | 3% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Usually" listened carefully to them
Not rated| Doctors "usually" listened carefully | 14% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Always" treated them with courtesy and respect
Not rated| Doctors "always" treated them with courtesy and respect | 90% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect
Not rated| Doctors "sometimes" or "never" treated them with courtesy and respect | 2% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their doctors "Usually" treated them with courtesy and respect
Not rated| Doctors "usually" treated them with courtesy and respect | 8% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)
Not rated| Patients who gave a rating of "6" or lower (low) | 3% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)
Not rated| Patients who gave a rating of "7" or "8" (medium) | 14% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)
Not rated| Patients who gave a rating of "9" or "10" (high) | 83% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Overall hospital rating - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Overall hospital rating - star rating
5 / 5 — HighestNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for
Not rated| Staff "always" explained new medications | 86% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for
Not rated| Staff "sometimes" or "never" explained new medications | 5% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.
Not rated| Staff "usually" explained new medications | 9% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Always" explained things in a way they could understand
Not rated| Nurses "always" explained things so they could understand | 81% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand
Not rated| Nurses "sometimes" or "never" explained things so they could understand | 4% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Usually" explained things in a way they could understand
Not rated| Nurses "usually" explained things so they could understand | 15% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Always" listened carefully to them
Not rated| Nurses "always" listened carefully | 81% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them
Not rated| Nurses "sometimes" or "never" listened carefully | 4% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Usually" listened carefully to them
Not rated| Nurses "usually" listened carefully | 15% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Always" treated them with courtesy and respect
Not rated| Nurses "always" treated them with courtesy and respect | 88% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect
Not rated| Nurses "sometimes" or "never" treated them with courtesy and respect | 1% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that their nurses "Usually" treated them with courtesy and respect
Not rated| Nurses "usually" treated them with courtesy and respect | 11% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that the area around their room was "Always" quiet at night
Not rated| "Always" quiet at night | 65% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night
Not rated| "Sometimes" or "never" quiet at night | 7% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that the area around their room was "Usually" quiet at night
Not rated| "Usually" quiet at night | 28% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Quietness - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Quietness - star rating
4 / 5 — Rating 4 of 5No answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported NO, they would probably not or definitely not recommend the hospital
Not rated| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) | 2% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported YES, they would definitely recommend the hospital
Not rated| "YES", patients would definitely recommend the hospital | 86% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Recommend hospital - linear mean score
Not ratedNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported YES, they would probably recommend the hospital
Not rated| "YES", patients would probably recommend the hospital | 12% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Recommend hospital - star rating
5 / 5 — HighestNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects
Not rated| Staff "always" explained possible side effects | 62% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects
Not rated| Staff "sometimes" or "never" explained possible side effects | 16% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects
Not rated| Staff "usually" explained possible side effects | 22% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Summary star rating
5 / 5 — HighestNo answer breakdown reported.
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge
Not rated| No, staff "did not" give patients information about possible symptoms | 8% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge
Not rated| Yes, staff "did" give patients information about possible symptoms | 92% |
|---|
180 completed surveys · response rate 38% · 2024-10-01 → 2025-09-30
Missing measures are not poor results
CMS suppresses a measure when too few cases were reported for the result to be reliable — common for smaller hospitals. A blank means not reported, which is different from a poor result. Hospitals with more blanks are not necessarily worse.
This is not medical advice
These are historical, aggregate measures about an institution. They do not describe the care any individual will receive, and they cannot account for your condition.
Talk to a clinician about your own care. In an emergency, call your local emergency number.
Source: Centers for Medicare & Medicaid Services (CMS), Provider Data Catalog (data updated 2026-07-22) — https://data.cms.gov/provider-data/ · Data last updated 2026-09-27