Quality & Outcomes

Quality you can check.

These results come from the Centers for Medicare & Medicaid Services (CMS) Care Compare program, published September 2026, plus our own internal reporting. Every hospital's results are public — you can verify ours.

View Lakeview on Medicare Care Compare

Publicly reported · CCN 522005

Long term acute care hospital — CMS results

22.0%

30-day potentially preventable readmissions, risk-adjusted. National rate: 22.4%.

Observed rate 17.1% — 7 readmissions after 41 Medicare discharges.

Measurement period: Oct 2023–Sep 2025. Source: CMS Care Compare · September 2026 refresh.

Wisconsin long term acute care hospitals (risk-adjusted)

Hospital	Rate
Lakeview	22.0%
Select Specialty Hospital–Milwaukee	25.5%
Select Specialty Hospital–Madison	21.3%
National	22.4%

Lower is better. CMS rates all three Wisconsin LTCHs as no different from the national rate.

Oct 2023–Sep 2025 · CMS Care Compare · September 2026 refresh

58.9%

of patients discharged at or above their expected ability to care for themselves and move around

National average: 48.2%

Highest of Wisconsin’s three LTCHs on this measure; the other two reported 28.5% and 41.7% (2025, CMS).

Measurement period: 2025

Source: CMS Care Compare · September 2026 refresh

Infection prevention

Fewer infections than predicted.

Standardized infection ratios (SIR; below 1.0 = fewer infections than CDC predicts for a hospital of our size and patient mix)

Measure	Lakeview	National
CAUTI	0.66	0.70
CLABSI	0.67	0.67
C. difficile	0.47	0.24

CMS rates Lakeview no different from the national benchmark on all three.

Measurement period: Oct 2024–Sep 2025. Source: CDC NHSN via CMS Care Compare · September 2026 refresh.

84.5%

of staff vaccinated against flu

National average: 69.4%

Measurement period: 2024–25 season

Source: CMS Care Compare · September 2026 refresh

98.9%

drug regimen review with follow-up

National average: 95.8%

Measurement period: 2025

Source: CMS Care Compare · September 2026 refresh

Safe care transitions

100% of patients had a current medication list sent to their next care provider — national average 83.0%.
Measurement period: 2025. Source: CMS Care Compare · September 2026 refresh.
100% of patients/families received a current medication list at discharge — national average 88.6%.
Measurement period: 2025. Source: CMS Care Compare · September 2026 refresh.

Inpatient rehabilitation

Our 30-bed rehabilitation hospital opened in April 2023. CMS public results are based on a small number of patients so far; we will report them here as our volume grows.

Internal QAPI reporting

Our own measures (internal QAPI reporting)

2023 patient satisfaction

% Always or Usually

Measure	Apr 2023	May 2023	Jun 2023
Call light response	100%	75%	100%
Quiet at night	100%	75%	100%
Doctors treated you with courtesy and respect	100%	100%	100%
Staff did everything they could to help with pain	100%	100%	100%

Source: Lakeview internal reporting, 2023. Updated results coming soon.

2023 quality

Discharge percentages and average weaning days

Measure	Mar 2023	Apr 2023	May 2023	Jun 2023
Discharged to home	10%	45%	67%	38%
Discharged to a lower level of care	90%	55%	33%	62%
Average days from ventilator to wean	10 days	15 days	9 days	14.6 days

Source: Lakeview internal reporting, 2023. Updated results coming soon.

CMS data: Long-Term Care Hospital Provider Data, Care Compare refresh September 2026 (data.cms.gov (opens in a new tab)). National averages are CMS national rates for the same periods.

Last updated: November 2026