Mayo Clinic Health System-Southwest Minnesota Region

Doing business as Mayo Clinic Health System - Mankato

Hospital in Mankato, MN, Medicare certification number 240093. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 240093The 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: Jan 1, 1969
Last certification: Dec 27, 1991
Beds: 272
Overall star rating: 5 of 5Care Compare
Address: 1025 Marsh Street
Mankato, MN 56001
(507) 594-2646

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

Mayo Clinic Health System-Southwest Minnesota Region

dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.44 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 3.2 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.93 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.74 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better5 of 5
- State average 4.13 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.67 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.89 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 4.11 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.83 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 863

Page 1 of 35Medicare Care Compare

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

Mohamed Abdulcadir Abdullahi, M.D.
- Pulmonary Disease Physician
- Mankato, MN
- NPI 1437475431
Omar F Abou Ezzeddine, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- Rochester, MN
- NPI 1740480391
Omar Mahmoud Mohammad Abu Saleh, MBBS
- Infectious Disease Physician
- Rochester, MN
- NPI 1134400534
Anila Adhami, M.D.
- Family Medicine Physician
- Mankato, MN
- NPI 1861781163
Shantosh Adhikari Sharma, M.D.
- Diagnostic Radiology Physician
- Galveston, TX
- NPI 1689036337
Niti R Aggarwal, MD
- Cardiovascular Disease Physician
- Franklin, TN
- NPI 1598962474
Upasana Agrawal, MBBS
- Rheumatology Physician
- Rochester, MN
- NPI 1417691932
Akochi O Agunwamba, MD
- Family Medicine Physician
- Rochester, MN
- NPI 1033404439
Kaitlin Ahlskog, PA-C
- Physician Assistant
- Mankato, MN
- NPI 1649638883
Abdifatah Abdullahi Ahmed, MD
- Family Medicine Physician
- North Mankato, MN
- NPI 1043892540
Kimberly A Aho, MD
- Neurology Physician
- Mankato, MN
- NPI 1154325173
Shada Ahrar, MD
- Family Medicine Physician
- Owatonna, MN
- NPI 1871156224
Ezzaddin Al Wahsh, M.D.
- Hospitalist Physician
- Parker, AZ
- NPI 1033525456
Michael Albosta, MD
- Cardiovascular Disease Physician
- Rochester, MN
- NPI 1750900361
Robert C Albright Jr., D.O.
- Nephrology Physician
- Rochester, MN
- NPI 1417934738
Sadik Ali, M.D.
- Internal Medicine Physician
- Rochester, MN
- NPI 1811377229
Syed Behzad Ali, MD
- Family Medicine Physician
- Mankato, MN
- NPI 1952568578
Mohamad Adnan Alkhouli, M.D.
- Cardiovascular Disease Physician
- Rochester, MN
- NPI 1720220536
Jonathan D Alleckson, CRNA
- Certified Registered Nurse Anesthetist
- Rochester, MN
- NPI 1346547445
Jessica Elizabeth Alm Martin, DO
- Physical Medicine & Rehabilitation Physician
- Mankato, MN
- NPI 1982996393
Ammar G Almorsy, MBBCH
- Psychiatry Physician
- Mankato, MN
- NPI 1699303909
Chatura Nagaradona Alur, MD
- Family Medicine Physician
- Mankato, MN
- NPI 1619466158
Susan Lea Andersen, CNP
- Nurse Practitioner
- Albert Lea, MN
- NPI 1689188351
Anita K. Anderson
- Medical Physician Assistant
- Mankato, MN
- NPI 1538573811
Daniel P Anderson, MD
- Family Medicine Physician
- North Mankato, MN
- NPI 1356320675

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.83
- State average 1.08 (computed here)
- National average 1.06
- No different than the national rate
- 847 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.93
- State average 0.96 (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 expected160.16
- State average 176.28 (computed here)
- National average 173.3
- No different than the national rate
- 57 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.9
- State average 7.92 (computed here)
- National average 8.6
- No different than the national rate
- 73 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected9.4
- State average 11.37 (computed here)
- National average 11.9
- No different than the national rate
- 217 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected7.2
- State average 10.72 (computed here)
- National average 11.1
- No different than the national rate
- 318 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.8
- State average 14.31 (computed here)
- National average 15.2
- No different than the national rate
- 370 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.9
- State average 11.08 (computed here)
- National average 11.9
- No different than the national rate
- 189 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.1
- State average 3.77 (computed here)
- National average 3.9
- No different than the national rate
- 2,512 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.17
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 3,835 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.27
- State average 0.29 (computed here)
- National average 0.27
- No different than the national rate
- 3,895 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.07
- State average 3.56 (computed here)
- National average 3.52
- No different than the national rate
- 1,011 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.52
- State average 1.66 (computed here)
- National average 1.67
- No different than the national rate
- 345 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.91
- State average 2.27 (computed here)
- National average 2.34
- No different than the national rate
- 923 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.86
- State average 8.45 (computed here)
- National average 9.42
- No different than the national rate
- 342 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.67
- State average 5.28 (computed here)
- National average 5.27
- No different than the national rate
- 301 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.62
- State average 1.83 (computed here)
- National average 1.77
- No different than the national rate
- 251 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.82
- State average 0.55 (computed here)
- National average 0.63
- No different than the national rate
- 3,502 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.9
- State average 4.24 (computed here)
- National average 4.1
- No different than the national rate
- 81 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.43
- State average 0.66
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.31
- State average 0.59
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.38
- State average 0.38
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.52
- State average 0.5
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.93
- State average 0.84
- 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 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 4.2
- State average 4.42 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.93
- State average 0.9
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 47
- State average 58
- National average 65
- 118 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 190
- State average 138
- National average 168
- 415 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 544
- State average 263
- National average 287
- 20 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 183
- State average 131
- National average 162
- 373 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 254
- State average 204
- National average 257
- 22 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 98.17 (computed here)
- National average 96.1 (computed here)
- 135 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 52
- State average 95
- National average 93
- 44 patients
- Period from 01/01/2024
Head CT results 90
- State average 73
- National average 69
- 21 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 51
- State average 66
- National average 78
- 2,999 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 1
- State average 0.21 (computed here)
- National average 0.18 (computed here)
- 3,530 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 97
- State average 96.75 (computed here)
- National average 93.49 (computed here)
- 1,717 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 37,182 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 13
- National average 15
- 1,996 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 57
- State average 65
- National average 73
- 61 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 61
- State average 76
- National average 87
- 23 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 79
- State average 76
- National average 81
- 119 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 94
- National average 93
- 70 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Emergency department volume — medium
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 - 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
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13
- State average 14.26 (computed here)
- National average 14.4
- No different than the national rate
- 294 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20
- State average 21.08 (computed here)
- National average 21.3
- No different than the national rate
- 446 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -11.9
- State average 3.54 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 195 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -12.1
- State average -6.6 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 356 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -13.2
- State average -1.93 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 370 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17
- State average 17.11 (computed here)
- National average 17.3
- No different than the national rate
- 574 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected6.1
- State average 5.83 (computed here)
- National average 5.4
- No different than the national rate
- 300 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.6
- State average 10.87 (computed here)
- National average 10.7
- No different than the national rate
- 300 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.6
- State average 5.8 (computed here)
- National average 5.8
- No different than the national rate
- 78 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.1
- State average 19.72 (computed here)
- National average 20
- No different than the national rate
- 134 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.4
- State average 13.16 (computed here)
- National average 13
- No different than the national rate
- 1,394 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.03 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 687 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals near Mankato, MN

No other hospitals are listed in Mankato, MN; these share its ZIP code area (560xx).

Comm Behavioral Health Hosp - St Peter Saint Peter terminated
Madelia Health Madelia
Mayo Clinic Health System - Albert Lea and Austin Albert Lea
Mayo Clinic Health System - Fairmont Fairmont
Mayo Clinic Health System - Waseca Waseca
Mayo Clinic Health System New Prague New Prague
Mayo Clinic Health System St. James St James
Mayo Clinic Health System-Fairmont Fairmont
Mayo Clinic Health System-Springfield Springfield 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.