Complications & Deaths Measures
20
CMS-tracked
Wisconsin · Acute Care
Thedacare Regional Med Ctr - Neenah
Thedacare Regional Med Ctr - Neenah holds a 5 of 5 CMS overall star rating - above the national average of 3.1 - in Neenah, WI.
- 5★
- CMS overall rating
- 90th
- 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.
130 2nd St, Neenah, WI 54956 · Winnebago County · (920) 729-3100
The verdict
Thedacare Regional Med Ctr - Neenah earns 5 of 5 stars from CMS - above the 3.1-star national average, and reports 0 quality measures better than the national benchmark.
- 5 / 5
- CMS overall star rating
- Higher than 90%
- of 2,866 rated US hospitals
- 0
- measures better than national of 18 compared
- Yes
- emergency department on site
Where Thedacare Regional Med Ctr - Neenah sits among rated US hospitals
5 Top 10% higher than 90% 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
Thedacare Regional Med Ctr - Neenah vs. Wisconsin and the nation
- Thedacare Regional M…
Thedacare Regional Med Ctr - Neenah
5 stars
- Wisconsin avg
Wisconsin state average
3.8 stars
- US avg
National average
3.1 stars
What this shows At 5 stars, Thedacare Regional Med Ctr - Neenah rates above the Wisconsin average of 3.8 and above the national average of 3.1.
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Emergency Services
Yes
Birthing Friendly
Yes
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
CMS Overall Star Rating 100.0%
5 of 5 stars
Quality profile vs. the national benchmark
Mortality 5 measures
Safety of care 6 measures
Readmission 7 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 1.15 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.08 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | 138.8 | Same as National |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | N/A | Number of Cases Too Small |
| Death rate for heart attack patients | 14.1 | Same as National |
| Death rate for heart failure patients | 13.8 | Same as National |
| Death rate for pneumonia patients | 19.1 | Same as National |
| Death rate for stroke patients | 12.8 | Same as National |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.4 | Same as National |
| Iatrogenic pneumothorax rate | 0.31 | Same as National |
| In-hospital fall-associated fracture rate | 0.24 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.36 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | 1.57 | Same as National |
| Postoperative hemorrhage or hematoma rate | 1.93 | 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 | 3 |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | 3 |
| 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 | 4 |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | 3 |
| Quietness - linear mean score | N/A |
| Quietness - star rating | 3 |
| Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating | 4 |
| Summary star rating | 3 |
Safety & Infections
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0 | Better than National |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0 | Better than National |
| Clostridium Difficile (C.Diff) | 0.598 | Same as National |
| MRSA Bacteremia | 0 | Same as National |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | 0.425 | Same as National |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.9 | Same as National |
| Heart failure (HF) 30-Day Readmission Rate | 18.5 | Same as National |
| Hospital return days for heart attack patients | N/A | Number of Cases Too Small |
| Hospital return days for heart failure patients | -55.1 | Fewer Days Than Average per 100 Discharges |
| Hospital return days for pneumonia patients | -44.1 | Fewer Days Than Average per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.8 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | 14.3 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.7 | Same as National |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.6 | Same as National |
| Rate of readmission after hip/knee replacement | N/A | Number of Cases Too Small |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | N/A | Number of Cases Too Small |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.1 | Same as National |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as National |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 0.95 |
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 Wisconsin
Other Medicare-certified hospitals in Wisconsin.
Amery Hospital & Clinic
Amery, WI
3/5
Critical Access Hospitals
Ascension All Saints Hospital
Racine, WI
3/5
Acute Care Hospitals
Ascension Calumet Hospital
Chilton, WI
No rating Critical Access Hospitals
Ascension Columbia St Marys Hospital Milwaukee
Milwaukee, WI
2/5
Acute Care Hospitals
Ascension NE Wisconsin - St Elizabeth Campus
Appleton, WI
4/5
Acute Care Hospitals
Ascension SE Wisconsin Hospital
Milwaukee, WI
4/5
Acute Care Hospitals
Compare Thedacare Regional Med Ctr - Neenah vs Amery Hospital & Clinic →
Hospital Quality Guides
Frequently Asked Questions
What is the CMS star rating for Thedacare Regional Med Ctr - Neenah?
Thedacare Regional Med Ctr - Neenah has an overall CMS star rating of 5 out of 5, above the 3.1-star national average.
How does Thedacare Regional Med Ctr - Neenah perform on quality measures?
0 of 18 compared mortality, safety, and readmission measures rate better than the national average at Thedacare Regional Med Ctr - Neenah; 0 rate worse.
What do patients say about Thedacare Regional Med Ctr - Neenah?
Thedacare Regional Med Ctr - Neenah reports 17 HCAHPS patient-experience domain scores. Star ratings range from 3 to 4 out of 5.
What are the infection rates at Thedacare Regional Med Ctr - Neenah?
Thedacare Regional Med Ctr - Neenah tracks 6 healthcare-associated infection types (CDC NHSN). 2 are better than the national benchmark, 0 are worse, and 3 are at the national average.
Does Thedacare Regional Med Ctr - Neenah have emergency services?
Yes, Thedacare Regional Med Ctr - Neenah provides emergency services.
What type of hospital is Thedacare Regional Med Ctr - Neenah?
Thedacare Regional Med Ctr - Neenah is a Acute Care Hospitals facility with Voluntary non-profit - Private ownership, located in Neenah, WI. This facility has received the CMS Birthing-Friendly designation.
How much does Medicare spend at Thedacare Regional Med Ctr - Neenah?
1 Medicare spending category is on file for Thedacare Regional Med Ctr - Neenah, per episode vs. the national median.
Does Thedacare Regional Med Ctr - Neenah offer maternal health services?
Yes, Thedacare Regional Med Ctr - Neenah 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
Read our methodology & full data source list
Every figure on PlainHospital is rendered directly from federal source data, no number is typed in by an editor. This page draws directly on federal source data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.