Acute Care Hospital

Twelve Clans Unity Hospital

225 S Bluff Street, Winnebago, NE 68071
24/7 Emergency Services

Quality measures

Mortality

Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.

Underlying measures: Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Number of Cases Too Small Hospital score: — Reporting period: 07/01/2023 – 06/30/2024 CMS measure id: Hybrid_HWM Death rate for CABG surgery patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_CABG Death rate for COPD patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_COPD Death rate for heart attack patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_AMI Death rate for heart failure patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_HF Death rate for pneumonia patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_PN Death rate for stroke patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_STK

Safety of Care

Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.

Underlying measures: Abdominopelvic accidental puncture or laceration rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_15 Clostridium Difficile (C.Diff) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_6_SIR Catheter Associated Urinary Tract Infections (ICU + select Wards) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_2_SIR Central Line Associated Bloodstream Infection (ICU + select Wards) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_1_SIR Iatrogenic pneumothorax rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_06 Rate of complications for hip/knee replacement patients Not Available Hospital score: — Reporting period: 04/01/2021 – 03/31/2024 CMS measure id: COMP_HIP_KNEE In-hospital fall-associated fracture rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_08 MRSA Bacteremia Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_5_SIR Postoperative hemorrhage or hematoma rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_09 Perioperative pulmonary embolism or deep vein thrombosis rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_12 Postoperative acute kidney injury requiring dialysis rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_10 Postoperative respiratory failure rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_11 Postoperative sepsis rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_13 Pressure ulcer rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_03 CMS Medicare PSI 90: Patient safety and adverse events composite Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_90 SSI - Abdominal Hysterectomy Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_4_SIR SSI - Colon Surgery Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_3_SIR Death rate among surgical inpatients with serious treatable complications Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_04 Postoperative wound dehiscence rate Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_14

Readmissions

Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.

Underlying measures: 30-day Readmission, Bypass Surgery Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-CABG-HRRP 30-day Readmission, COPD Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-COPD-HRRP 30-day Readmission, Heart Attack Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-AMI-HRRP 30-day Readmission, Heart Failure Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HF-HRRP 30-day Readmission, Hip/Knee Replacement Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HIP-KNEE-HRRP 30-day Readmission, Pneumonia Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-PN-HRRP

Patient Experience

Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.

Patient survey detail — the questions feeding the Patient Experience domain above expand ↓

CMS computes the Patient Experience domain from the federal HCAHPS survey. Each bar below is one survey question; the percentage is the share of Twelve's recent patients who gave the most positive response. HCAHPS percentages aren't directly comparable across all measures — see the methodology page for how CMS weights them.

  • Communication with Nurses N/A
  • Communication with Doctors N/A
  • Hospital Cleanliness N/A
  • Hospital Quietness N/A
  • Staff Responsiveness N/A
  • Discharge Information N/A
  • Overall Hospital Rating (9 or 10) N/A
  • Would Recommend Hospital N/A

Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.

Timely & Effective Care

Better than National Average

Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.

Underlying measures: 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 Better than ~75% of hospitals Hospital score: 93.00 min National median: 148.00 min (lower is better) Sample size: 577 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18b Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better Better than ~75% of hospitals Hospital score: 212.00 min National median: 294.00 min (lower is better) Sample size: 23 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18d 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 Better than ~75% of hospitals Hospital score: 96.00 min National median: 154.00 min (lower is better) Sample size: 630 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18a Left before being seen Better than ~75% of hospitals Hospital score: 1.00 % National median: 1.00 % (lower is better) Sample size: 8,044 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_22 Healthcare workers given influenza vaccination Better than ~75% of hospitals Hospital score: 97.00 % National median: 79.00 % (higher is better) Sample size: 287 Reporting period: 10/01/2024 – 03/31/2025 CMS measure id: IMM_3 Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better Near the national median Hospital score: 258.00 min National median: 248.00 min (lower is better) Sample size: 31 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18c

Clinical Staff

Twelve Clans Unity Hospital has 13 CMS-affiliated clinicians on its roster — physicians, advanced practice providers, and other Medicare-enrolled professionals who list this hospital as an affiliated facility.

Top specialties

  • Nurse Practitioner 7
  • Family Practice 3
  • Physician Assistant 1
  • Emergency Medicine 1
  • Podiatry 1

Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.

Practice characteristics

Accept Medicare assignment
13 (100%)

Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.

Offer telehealth
0 (0%)

Indicated by the clinician in their CMS profile as routinely providing virtual visits.

Source: CMS Doctors and Clinicians (Care Compare) national downloadable file and MIPS Performance Year final scores, as of 2026-05-27. Affiliations from the CMS Facility Affiliations dataset. About 16% of small facilities (critical access, rural emergency, freestanding psych, IRF/LTCH) do not appear in the affiliations file and therefore have no panel.

Find a Doctor

Search the 13 clinicians affiliated with Twelve Clans Unity Hospital. Each name links to that clinician's official Medicare Care Compare profile, where you can see their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.

Showing 13 of 13 clinicians (alphabetical)

Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27. A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS profile, not that they exclusively work here.

Pricing & Costs

Facility Information

Facility type
Acute Care Hospitals
Ownership
Tribal
Emergency services
Yes — 24/7

Nearby Hospitals

Critical Access

Pender Community Hospital

Pender, NE

Not rated · CMS Overall Hospital Quality Star Rating Not enough data to calculate a star rating. Individual quality measures may be available.
24/7 ER
Pricing available
About this data

Quality and ratings data are sourced from the U.S. Centers for Medicare & Medicaid Services (CMS) Hospital Compare program. Star ratings are CMS's own calculation; CareRanks does not modify or re-weight them. Facility-level details (address, beds, ownership, teaching status) come from CMS provider files and the CMS Provider of Services file.

Pricing data, where shown, is drawn from the hospital's own Machine-Readable File (MRF) published under the federal Hospital Price Transparency Rule. See our methodology for the full update cadence and limitations.

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