Faith Health

Hospital in Norfolk, NE, Medicare certification number 280125. CMS publishes 57 quality measures for it.

Medicare certification

Provider of Services

CCN: 280125The 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 - Church
Control type: Church
Participating since: Oct 1, 1996
Last certification: Sep 27, 2018
Beds: 133
Overall star rating: 3 of 5Care Compare
Address: 2700 West Norfolk Ave
Norfolk, NE 68701
(402) 371-4880

NPI records for this facility 1

Faith Regional Health Services
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.75 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better4 of 5
- State average 3.25 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.97 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.75 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.92 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.92 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 4.11 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 4.14 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.89 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.23
- State average 1.07 (computed here)
- National average 1.06
- No different than the national rate
- 541 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.11
- 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 expected190.62
- State average 182.69 (computed here)
- National average 173.3
- No different than the national rate
- 38 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.5
- State average 2.64 (computed here)
- National average 2.4
- No different than the national rate
- 34 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.2
- State average 8.98 (computed here)
- National average 8.6
- No different than the national rate
- 40 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.8
- State average 11.83 (computed here)
- National average 11.9
- No different than the national rate
- 123 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11
- State average 12.39 (computed here)
- National average 11.1
- No different than the national rate
- 169 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.5
- State average 16.76 (computed here)
- National average 15.2
- No different than the national rate
- 206 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.3
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 74 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
- State average 4.26 (computed here)
- National average 3.9
- No different than the national rate
- 1,087 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.29
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 2,607 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 2,601 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.12
- State average 3.44 (computed here)
- National average 3.52
- No different than the national rate
- 558 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.03
- State average 1.68 (computed here)
- National average 1.67
- No different than the national rate
- 126 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.44
- State average 2.47 (computed here)
- National average 2.34
- No different than the national rate
- 454 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected12.46
- State average 8.76 (computed here)
- National average 9.42
- No different than the national rate
- 133 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.64
- State average 5.26 (computed here)
- National average 5.27
- No different than the national rate
- 118 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.74
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 71 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.65
- State average 0.54 (computed here)
- National average 0.63
- No different than the national rate
- 2,105 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 2

Medicare Care Compare

Clostridium Difficile (C.Diff) Better0.18
- State average 0.31
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.48
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (4)

Catheter Associated Urinary Tract Infections (ICU + select Wards) — 13
Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
SSI - Abdominal Hysterectomy — 13
SSI - Colon Surgery — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4.9
- State average 7.9 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 4
- State average 8.16 (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) 0.98
- State average 0.95
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 14

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 74
- State average 64
- National average 65
- 491 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 105
- State average 119
- National average 168
- 403 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 168
- State average 206
- National average 287
- 13 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 101
- State average 113
- National average 162
- 382 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 94
- State average 98.6 (computed here)
- National average 96.1 (computed here)
- 50 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 93
- State average 74
- National average 78
- 1,591 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 97
- State average 96.46 (computed here)
- National average 93.49 (computed here)
- 1,308 patients
- Period from 01/01/2024
Left before being seen 0
- State average 1
- National average 2
- 14,407 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 21
- State average 17
- National average 15
- 895 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 84
- State average 77
- National average 73
- 184 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 88
- National average 87
- 114 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 87
- State average 79
- National average 81
- 491 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 91
- National average 93
- 298 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 95
- State average 79.98 (computed here)
- National average 82.23 (computed here)
- 1,156 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (16)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Emergency department volume — low
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 1
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
Head CT results — 1
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 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14
- State average 14.31 (computed here)
- National average 14.4
- No different than the national rate
- 128 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.6
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 213 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 10.6
- State average -2.73 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 134 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -52.5
- State average -7.02 (computed here)
- National average 4.02 (computed here)
- Fewer days than average per 100 discharges
- 187 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -17.8
- State average -2.28 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 216 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.9
- State average 17.31 (computed here)
- National average 17.3
- No different than the national rate
- 231 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.7
- State average 10.94 (computed here)
- National average 11
- No different than the national rate
- 27 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.7
- State average 19.8 (computed here)
- National average 20
- No different than the national rate
- 29 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.7
- State average 12.92 (computed here)
- National average 13
- No different than the national rate
- 49 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 270 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission after hip/knee replacement — 1

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.
NPPES NPI Registry: the NPI records connected to this certification.

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.