Aurora Health Care Southern Lakes, Inc.

Doing business as Aurora Medical Center Kenosha

Hospital in Kenosha, WI, Medicare certification number 520189. CMS publishes 62 quality measures for it.

Medicare certification

Provider of Services

CCN: 520189The 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: Apr 10, 1999
Last certification: Jun 12, 2004
Beds: 74
Overall star rating: 4 of 5Care Compare
Address: 10400 75TH St
Kenosha, WI 53142
(262) 948-5600

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

Aurora Health Care Southern Lakes, Inc.
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 4.01 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 3.58 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better5 of 5
- State average 4.14 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.68 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 4.22 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.88 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.95 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 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 4.04 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 724

Page 1 of 29Medicare Care Compare

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

Katherine M Abbo, MD FACC
- Cardiovascular Disease Physician
- Kenosha, WI
- NPI 1962488965
Amrou Abdelkader, MD
- Anatomic Pathology & Clinical Pathology Physician
- West Allis, WI
- NPI 1316364698
Abdulmoniem H Abdulmoniem, M.D.
- Emergency Medicine Physician
- Elkhorn, WI
- NPI 1194175042
Vanessa Layao Abejuela-Matt, D.O.
- Family Medicine Physician
- Mount Pleasant, WI
- NPI 1558687749
Syed Abutalib
- Hematology & Oncology Physician
- Milwaukee, WI
- NPI 1114183290
John M Agaiby, MD
- Family Medicine Physician
- Kenosha, WI
- NPI 1235147877
Subhashish Agarwal, MD
- Cardiovascular Disease Physician
- Brookfield, WI
- NPI 1134173875
Omar N Ahmad, MD
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1801002209
Imran Ahmed Moinuddin, MD
- Family Medicine Physician
- Kenosha, WI
- NPI 1528717808
Aasifuddin Ahmed
- Neurology Physician
- Milwaukee, WI
- NPI 1417481508
Waseem Ahmed
- Hospitalist Physician
- Milwaukee, WI
- NPI 1497276091
Arvind Ahuja, M.D.
- Neurological Surgery Physician
- Franklin, WI
- NPI 1801857297
Joe S Al-Ramahi
- Hematology & Oncology Physician
- Milwaukee, WI
- NPI 1295312387
Thomas Michael Albert, D.C., M.D.
- Internal Medicine Physician
- Oak Park, IL
- NPI 1457465098
Nicholas Michael Alessi, NP
- Nurse Practitioner
- Kenosha, WI
- NPI 1427714773
Mahmoud Ali
- Clinical Cardiac Electrophysiology Physician
- Libertyville, IL
- NPI 1366837635
Syed Imran Ali, M.D.
- Hospitalist Physician
- Burlington, WI
- NPI 1952519142
Motasem Mohd F Ghazi Alkhasoneh
- Nephrology Physician
- Milwaukee, WI
- NPI 1023533403
Ali Hussein Alrefai, MD
- Neurology Physician
- South Milwaukee, WI
- NPI 1386081800
Laith Alsayegh, MD
- Cardiovascular Disease Physician
- Milwaukee, WI
- NPI 1093721847
Nawras Alshoubaki, MD
- Nephrology Physician
- Oak Creek, WI
- NPI 1003290586
Marwan Aly, M.D., MPAS, PA-C
- Physician Assistant
- Milwaukee, WI
- NPI 1609124189
Altaf Aman, M.D.
- Hospitalist Physician
- McHenry, IL
- NPI 1942381132
Dennis J. Andersen, M.D.
- Orthopaedic Hand Surgery Physician
- Franklin, WI
- NPI 1831123249
Kelly E Anderson, PA
- Physician Assistant
- Greenfield, WI
- NPI 1588119135

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.35
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 848 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.2
- State average 1.02 (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 expected145.21
- State average 168.21 (computed here)
- National average 173.3
- No different than the national rate
- 30 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.4
- State average 8.59 (computed here)
- National average 8.6
- No different than the national rate
- 90 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.7
- State average 11.65 (computed here)
- National average 11.9
- No different than the national rate
- 71 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.1
- State average 12.02 (computed here)
- National average 11.1
- No different than the national rate
- 265 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.2
- State average 15.15 (computed here)
- National average 15.2
- No different than the national rate
- 394 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.7
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 175 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.2
- State average 3.88 (computed here)
- National average 3.9
- No different than the national rate
- 2,231 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 3,776 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 3,771 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.75
- State average 3.5 (computed here)
- National average 3.52
- No different than the national rate
- 588 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.52
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 140 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.87
- State average 2.45 (computed here)
- National average 2.34
- No different than the national rate
- 538 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.09
- State average 8.39 (computed here)
- National average 9.42
- No different than the national rate
- 154 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.58
- State average 4.94 (computed here)
- National average 5.27
- No different than the national rate
- 133 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.62
- State average 1.81 (computed here)
- National average 1.77
- No different than the national rate
- 185 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.49
- State average 0.76 (computed here)
- National average 0.63
- Worse than the national rate
- 2,718 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (2)

Death rate for CABG surgery patients — 5
Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.75
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.42
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.13
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.58
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.97
- State average 0.98
- 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 4.6
- State average 4.55 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.8
- State average 5.62 (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) 0.94
- State average 0.9
- 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 74
- State average 72
- National average 65
- 359 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 181
- State average 144
- National average 168
- 799 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 179
- State average 137
- National average 162
- 771 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 257
- State average 203
- National average 257
- 22 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 100
- State average 98.07 (computed here)
- National average 96.1 (computed here)
- 151 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 92
- State average 97
- National average 93
- 195 patients
- Period from 01/01/2024
Head CT results 92
- State average 74
- National average 69
- 24 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 93
- State average 85
- National average 78
- 2,204 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 98
- State average 95.78 (computed here)
- National average 93.49 (computed here)
- 1,306 patients
- Period from 01/01/2024
Left before being seen 3
- State average 2
- National average 2
- 60,413 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 14
- National average 15
- 2,034 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 75
- State average 77
- National average 73
- 104 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 80
- State average 88
- National average 87
- 59 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 88
- State average 85
- National average 81
- 365 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 94
- National average 93
- 214 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 94
- State average 88.48 (computed here)
- National average 82.23 (computed here)
- 4,162 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 11

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.3
- State average 14.09 (computed here)
- National average 14.4
- No different than the national rate
- 96 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.6
- State average 21.16 (computed here)
- National average 21.3
- No different than the national rate
- 503 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -34.8
- State average 9.95 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 56 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -21.7
- State average -5.03 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 297 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -10.8
- State average -3.39 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 424 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.7
- State average 17.04 (computed here)
- National average 17.3
- No different than the national rate
- 722 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 27 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.7
- State average 10.67 (computed here)
- National average 10.7
- No different than the national rate
- 27 patients
- Period from 01/01/2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.8
- State average 19.79 (computed here)
- National average 20
- No different than the national rate
- 189 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.7
- State average 13.21 (computed here)
- National average 13
- No different than the national rate
- 1,416 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
- 463 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (3)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1
Rate of readmission for CABG — 5

Other hospitals in Kenosha, WI

Children's Hospital of Wi--Kenosha 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.