Complications & Deaths Measures
20
CMS-tracked
Nebraska · Acute Care
Faith Regional Health Services
Faith Regional Health Services holds a 4 of 5 CMS overall star rating - above the national average of 3.1 - in Norfolk, NE.
- 4★
- CMS overall rating
- 63th
- National percentile
- 20
- Quality measures
- 6
- Infection types
Data currency: Hospital quality, safety, and patient-experience measures from the CMS Care Compare program (published quarterly), last refreshed May 2026. See our methodology for source dates. Spot a figure that looks wrong? Report a correction.
2700 West Norfolk Ave, Norfolk, NE 68701 · Madison County · (402) 371-4880
The verdict
Faith Regional Health Services earns 4 of 5 stars from CMS - above the 3.1-star national average, and reports 1 quality measure better than the national benchmark.
- 4 / 5
- CMS overall star rating
- Higher than 63%
- of 2,866 rated US hospitals
- 1
- measures better than national of 19 compared
- Yes
- emergency department on site
Where Faith Regional Health Services sits among rated US hospitals
4 Top 37% higher than 63% of 2,866 rated hospitals
Each bar is a band; taller bars hold more rated hospitals. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Hospital Compare, overall hospital rating · 2026-05-15
Faith Regional Health Services vs. Nebraska and the nation
- Faith Regional Healt…
Faith Regional Health Services
4 stars
- Nebraska avg
Nebraska state average
3.3 stars
- US avg
National average
3.1 stars
What this shows At 4 stars, Faith Regional Health Services rates above the Nebraska average of 3.3 and above the national average of 3.1.
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Emergency Services
Yes
Birthing Friendly
Yes
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
CMS Overall Star Rating 80.0%
4 of 5 stars
Quality profile vs. the national benchmark
Mortality 7 measures
Safety of care 3 measures
Readmission 9 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 1.23 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.11 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | 190.62 | Same as National |
| Death rate for CABG surgery patients | 2.6 | Same as National |
| Death rate for COPD patients | 10.3 | Same as National |
| Death rate for heart attack patients | 12.5 | Same as National |
| Death rate for heart failure patients | 13.5 | Same as National |
| Death rate for pneumonia patients | 16 | Same as National |
| Death rate for stroke patients | 14.9 | Same as National |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.3 | Same as National |
| Iatrogenic pneumothorax rate | 0.29 | Same as National |
| In-hospital fall-associated fracture rate | 0.25 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.12 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | 2.03 | Same as National |
| Postoperative hemorrhage or hematoma rate | 2.44 | Same as National |
Patient Experience (HCAHPS)
Experience profile vs. the national average
Source: CMS Hospital Compare, HCAHPS patient survey star ratings.
| Survey Question | Star Rating |
|---|---|
| Cleanliness - linear mean score | N/A |
| Cleanliness - star rating | 4 |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | 4 |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | 4 |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | 3 |
| Nurse communication - linear mean score | N/A |
| Nurse communication - star rating | 5 |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | 4 |
| Quietness - linear mean score | N/A |
| Quietness - star rating | 4 |
| Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating | 4 |
| Summary star rating | 4 |
Safety & Infections
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | N/A | Not Available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | N/A | Not Available |
| Clostridium Difficile (C.Diff) | 0.362 | Same as National |
| MRSA Bacteremia | N/A | Not Available |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | N/A | Not Available |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.5 | Same as National |
| Heart failure (HF) 30-Day Readmission Rate | 18.4 | Same as National |
| Hospital return days for heart attack patients | 8.3 | Average Days per 100 Discharges |
| Hospital return days for heart failure patients | -33.9 | Fewer Days Than Average per 100 Discharges |
| Hospital return days for pneumonia patients | -1.1 | Average Days per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.8 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | 16.3 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of readmission after hip/knee replacement | N/A | Number of Cases Too Small |
| Rate of readmission for CABG | 11.4 | Same as National |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.6 | Same as National |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.7 | Same as National |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as National |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 0.98 |
Maternal Health
| Measure | Score |
|---|---|
| Cesarean Birth | N/A |
| Maternal Morbidity Structural Measure | N/A |
| Risk Adjusted Severe Obstetric Complications (All) | N/A |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | N/A |
Nearby Hospitals in Nebraska
Other Medicare-certified hospitals in Nebraska.
Annie Jeffrey Memorial County Health Center
Osceola, NE
No rating Critical Access Hospitals
Antelope Memorial Hospital
Neligh, NE
No rating Critical Access Hospitals
Avera Creighton Hospital
Creighton, NE
No rating Critical Access Hospitals
Avera St Anthony's Hospital
O' Neill, NE
No rating Critical Access Hospitals
Beatrice Community Hospital & Health Center, Inc
Beatrice, NE
3/5
Critical Access Hospitals
Bellevue Medical Center
Bellevue, NE
5/5
Acute Care Hospitals
Compare Faith Regional Health Services vs Annie Jeffrey Memorial County Health Center →
Hospital Quality Guides
Frequently Asked Questions
What is the CMS star rating for Faith Regional Health Services?
Faith Regional Health Services has an overall CMS star rating of 4 out of 5, above the 3.1-star national average.
How does Faith Regional Health Services perform on quality measures?
1 of 19 compared mortality, safety, and readmission measures rate better than the national average at Faith Regional Health Services; 0 rate worse.
What do patients say about Faith Regional Health Services?
Faith Regional Health Services reports 17 HCAHPS patient-experience domain scores. Star ratings range from 3 to 5 out of 5.
What are the infection rates at Faith Regional Health Services?
Faith Regional Health Services tracks 6 healthcare-associated infection types (CDC NHSN). 0 are better than the national benchmark, 0 are worse, and 1 are at the national average.
Does Faith Regional Health Services have emergency services?
Yes, Faith Regional Health Services provides emergency services.
What type of hospital is Faith Regional Health Services?
Faith Regional Health Services is a Acute Care Hospitals facility with Voluntary non-profit - Church ownership, located in Norfolk, NE. This facility has received the CMS Birthing-Friendly designation.
How much does Medicare spend at Faith Regional Health Services?
1 Medicare spending category is on file for Faith Regional Health Services, per episode vs. the national median.
Does Faith Regional Health Services offer maternal health services?
Yes, Faith Regional Health Services reports 4 maternal health measures. This facility has been designated as Birthing-Friendly by CMS.
Data Sources
Source: Centers for Medicare & Medicaid Services (CMS) Hospital Compare. Last refreshed from CMS: . About PlainHospital
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