Lakeland Hospitals at Niles and St Joseph Inc

Doing business as Lakeland Hospital, St Joseph

Hospital in St Joseph, MI, Medicare certification number 230021. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 230021The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Oct 1, 1977
Last certification: Jul 27, 2010
Beds: 313
Overall star rating: 4 of 5Care Compare
Most recent change of ownership: Oct 28, 1996 (1 total)
Address: 1234 Napier Avenue
St Joseph, MI 49085
(269) 983-8300

NPI records for this facility (CCN to NPI Mapping) 1

Lakeland Hospitals at Niles and St Joseph, Inc

dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
Medicare enrollment

Units certified under this facility 2

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Corewell Health Lakeland Hospitals Hospital, CCN 23S021
Lakeland Hospital, St. Joseph Inpatient rehabilitation facility, CCN 23T021

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 2.86 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.63 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.35 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.07 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.5 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.12 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.12 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.39 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.21 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 786

Page 1 of 32Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Shan E Abbas, M.D.
- Epilepsy Physician
- Grand Rapids, MI
- NPI 1730362674
Scott Richard Achramowicz, PA
- Physician Assistant
- Saint Joseph, MI
- NPI 1295244630
Eyoome K Agbley, PA-C
- Physician Assistant
- Grand Rapids, MI
- NPI 1457724965
Amanda Ahmed
- Physician Assistant
- South Bend, IN
- NPI 1578384673
Sara Akbar, MD
- Pulmonary Disease Physician
- Grand Rapids, MI
- NPI 1649756685
Mahrukh Fatima Akram, MD
- Cardiovascular Disease Physician
- Saint Joseph, MI
- NPI 1417442583
Thomas Gerard Akre, DO
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1235132903
Wajdi Al Shweiat
- Internal Medicine Physician
- Flint, MI
- NPI 1023493574
Sayf Al-Katib, M.D.
- Diagnostic Radiology Physician
- Royal Oak, MI
- NPI 1730491606
Salar Alam, MD
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1043705114
Abdul-Rahman Albeiruti, M.D.
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1255529285
Rachel Albertin, PA-C
- Physician Assistant
- Coloma, MI
- NPI 1104597665
Kristina Aleksoniene, MD
- Infectious Disease Physician
- Saint Joseph, MI
- NPI 1659545002
Nasam Alfraji
- Rheumatology Physician
- Saint Joseph, MI
- NPI 1124589254
Sigita Alimenti, M.D.
- Family Medicine Physician
- Saint Joseph, MI
- NPI 1053376202
Scott Thomas Allen, MD
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1912347725
Saeed Abedin Ally, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fargo, ND
- NPI 1609845460
Timothy Amborski, NP
- Nurse Practitioner
- Benton Harbor, MI
- NPI 1629578703
Alkesh Ashwinkumar Amin, M.D.
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1114242930
Marina Ivanovna Ananich, MD
- Neuroradiology Physician
- Grand Rapids, MI
- NPI 1588691950
John G Anderson, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Grand Rapids, MI
- NPI 1700874294
Debora Argetsinger
- Gerontology Nurse Practitioner
- Wyoming, MI
- NPI 1376931717
Fabian Jorge Arnaldo, MD
- Clinical Cardiac Electrophysiology Physician
- Saint Joseph, MI
- NPI 1245382852
Dilip S Arora, M.D.
- Interventional Cardiology Physician
- Saint Joseph, MI
- NPI 1225098114
Gregory James Artz, M.D.
- Otolaryngology Physician
- Wyoming, MI
- NPI 1962626671

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.08
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 877 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.79
- State average 1 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected168.86
- State average 177.85 (computed here)
- National average 173.3
- No different than the national rate
- 65 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.5
- State average 2.38 (computed here)
- National average 2.4
- No different than the national rate
- 37 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.8
- State average 8.58 (computed here)
- National average 8.6
- No different than the national rate
- 108 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13
- State average 12 (computed here)
- National average 11.9
- No different than the national rate
- 155 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12
- State average 11.26 (computed here)
- National average 11.1
- No different than the national rate
- 416 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.5
- State average 15.18 (computed here)
- National average 15.2
- No different than the national rate
- 397 patients
- Period from 07/01/2022
Death rate for stroke patients As expected14.4
- State average 11.95 (computed here)
- National average 11.9
- No different than the national rate
- 383 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.4
- State average 3.9 (computed here)
- National average 3.9
- No different than the national rate
- 3,319 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 5,013 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 5,039 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.21
- State average 3.55 (computed here)
- National average 3.52
- No different than the national rate
- 1,210 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.86
- State average 1.69 (computed here)
- National average 1.67
- No different than the national rate
- 307 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.46
- State average 2.38 (computed here)
- National average 2.34
- No different than the national rate
- 1,144 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.51
- State average 9.51 (computed here)
- National average 9.42
- No different than the national rate
- 293 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.42
- State average 5.25 (computed here)
- National average 5.27
- No different than the national rate
- 297 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.94
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 230 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.17
- State average 0.61 (computed here)
- National average 0.63
- No different than the national rate
- 4,213 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.4
- State average 4.19 (computed here)
- National average 4.1
- No different than the national rate
- 37 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.21
- State average 0.4
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.45
- State average 0.62
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.17
- State average 0.33
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.44
- State average 0.65
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.02
- State average 0.99
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.5
- State average 6.1 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 3.1
- State average 7.03 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.93
- State average 0.95
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 59
- State average 60
- National average 65
- 181 patients
- Period from 10/01/2024
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 better 156
- State average 166
- National average 168
- 412 patients
- Period from 10/01/2024
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 better 153
- State average 159
- National average 162
- 388 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 202
- State average 266
- National average 257
- 22 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 94.44 (computed here)
- National average 96.1 (computed here)
- 276 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 94
- National average 93
- 72 patients
- Period from 01/01/2024
Head CT results 86
- State average 72
- National average 69
- 43 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 79
- State average 80
- National average 78
- 3,404 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 93
- State average 91 (computed here)
- National average 93.49 (computed here)
- 1,375 patients
- Period from 01/01/2024
Left before being seen 2
- State average 3
- National average 2
- 73,694 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 16
- National average 15
- 3,248 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 70
- State average 71
- National average 73
- 84 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 70
- State average 86
- National average 87
- 46 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 86
- State average 77
- National average 81
- 182 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 93
- State average 91
- National average 93
- 115 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 87
- State average 82.06 (computed here)
- National average 82.23 (computed here)
- 5,920 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.1
- State average 14.28 (computed here)
- National average 14.4
- No different than the national rate
- 283 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.7
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 797 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -14.1
- State average 9.88 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 148 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 6.3
- State average 2.53 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 461 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -23.2
- State average 5.31 (computed here)
- National average 5.65 (computed here)
- Fewer days than average per 100 discharges
- 413 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.4
- State average 17.08 (computed here)
- National average 17.3
- No different than the national rate
- 680 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.8
- State average 5.33 (computed here)
- National average 5.4
- No different than the national rate
- 206 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.3
- State average 10.6 (computed here)
- National average 10.7
- No different than the national rate
- 206 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.4
- State average 5.98 (computed here)
- National average 5.8
- No different than the national rate
- 39 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.4
- State average 10.41 (computed here)
- National average 11
- No different than the national rate
- 56 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.1
- State average 19.73 (computed here)
- National average 20
- No different than the national rate
- 273 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.2
- State average 12.94 (computed here)
- National average 13
- No different than the national rate
- 1,088 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 0.99 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 425 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals near St Joseph, MI

No other hospitals are listed in St Joseph, MI; these share its ZIP code area (490xx).

Corewell Health Pennock Hospital Hastings
Corewell Health Watervliet Hospital Watervliet
Insight Hospital and Medical Center Coldwater Coldwater
Kalamazoo Behavioral Health Hospital Kalamazoo
Kalamazoo Regional Psychiatric Hospital Kalamazoo
Lakeview Community Hospital Paw Paw terminated
Oaklawn Hospital Marshall
Sempercare Hospital at Bronson Kalamazoo terminated
Southwest Regional Rehabilitation Center Battle Creek terminated
Sturgis Hospital Sturgis terminated

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.