Acute Care Hospital

Fort Memorial Hospital

611 Sherman Ave E, Fort Atkinson, WI 53538
24/7 Emergency Services

Quality measures

Mortality

Same as National Average

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 No Different Than the National Rate Hospital score: 4.70 95% interval: 3.70 – 5.80 Sample size: 195 Reporting period: 07/01/2023 – 06/30/2024 CMS measure id: Hybrid_HWM Death rate for COPD patients No Different Than the National Rate Hospital score: 8.90 95% interval: 5.40 – 14.30 Sample size: 27 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_COPD Death rate for heart failure patients No Different Than the National Rate Hospital score: 13.50 95% interval: 9.10 – 19.90 Sample size: 67 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_HF Death rate for pneumonia patients No Different Than the National Rate Hospital score: 15.60 95% interval: 10.90 – 21.70 Sample size: 63 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_PN 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 heart attack patients Number of Cases Too Small Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_AMI Death rate for stroke patients Number of Cases Too Small Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_STK

Safety of Care

Same as National Average

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 No Different Than the National Rate Hospital score: 1.01 95% interval: 0.00 – 2.08 Sample size: 95 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_15 Clostridium Difficile (C.Diff) No Different than National Benchmark Hospital score: 0.59 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_6_SIR Iatrogenic pneumothorax rate No Different Than the National Rate Hospital score: 0.21 95% interval: 0.00 – 0.44 Sample size: 710 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_06 In-hospital fall-associated fracture rate No Different Than the National Rate Hospital score: 0.27 95% interval: 0.05 – 0.48 Sample size: 673 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_08 Postoperative hemorrhage or hematoma rate No Different Than the National Rate Hospital score: 2.29 95% interval: 0.57 – 4.01 Sample size: 137 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_09 Perioperative pulmonary embolism or deep vein thrombosis rate No Different Than the National Rate Hospital score: 4.22 95% interval: 1.67 – 6.77 Sample size: 146 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_12 Postoperative acute kidney injury requiring dialysis rate No Different Than the National Rate Hospital score: 1.66 95% interval: 0.00 – 3.40 Sample size: 31 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_10 Postoperative respiratory failure rate No Different Than the National Rate Hospital score: 8.98 95% interval: 0.00 – 18.94 Sample size: 31 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_11 Postoperative sepsis rate No Different Than the National Rate Hospital score: 5.12 95% interval: 0.83 – 9.41 Sample size: 25 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_13 Pressure ulcer rate No Different Than the National Rate Hospital score: 0.50 95% interval: 0.00 – 1.69 Sample size: 567 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_03 CMS Medicare PSI 90: Patient safety and adverse events composite No Different Than the National Value Hospital score: 0.97 95% interval: 0.49 – 1.45 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_90 Postoperative wound dehiscence rate No Different Than the National Rate Hospital score: 1.73 95% interval: 0.21 – 3.24 Sample size: 51 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_14 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 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 MRSA Bacteremia Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_5_SIR 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 Number of Cases Too Small Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_04

Readmissions

Better than National Average

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, Heart Failure Better than expected Hospital score: 0.95 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HF-HRRP 30-day Readmission, Pneumonia Better than expected Hospital score: 0.93 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-PN-HRRP 30-day Readmission, COPD As expected Hospital score: 0.95 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-COPD-HRRP 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, Heart Attack Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-AMI-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

Patient Experience

Same as National Average

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 Fort'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 83%
  • Communication with Doctors 80%
  • Hospital Cleanliness 69%
  • Hospital Quietness 57%
  • Staff Responsiveness N/A
  • Discharge Information 89%
  • Overall Hospital Rating (9 or 10) 73%
  • Would Recommend Hospital 68%

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: Safe Use of Opioids - Concurrent Prescribing Better than ~75% of hospitals Hospital score: 7.00 % National median: 15.00 % (lower is better) Sample size: 348 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: SAFE_USE_OF_OPIOIDS Left before being seen Better than ~75% of hospitals Hospital score: 1.00 % National median: 1.00 % (lower is better) Sample size: 16,622 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_22 Appropriate care for severe sepsis and septic shock Better than ~75% of hospitals Hospital score: 78.00 % National median: 64.00 % (higher is better) Sample size: 180 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_1 Severe Sepsis 3-Hour Bundle Better than ~75% of hospitals Hospital score: 88.00 % National median: 81.00 % (higher is better) Sample size: 181 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_3HR Severe Sepsis 6-Hour Bundle Better than ~75% of hospitals Hospital score: 98.00 % National median: 94.00 % (higher is better) Sample size: 135 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_6HR Healthcare workers given influenza vaccination Better than ~75% of hospitals Hospital score: 96.00 % National median: 79.00 % (higher is better) Sample size: 1,299 Reporting period: 10/01/2024 – 03/31/2025 CMS measure id: IMM_3 Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients Near the national median Hospital score: 96.00 % National median: 97.00 % (higher is better) Sample size: 223 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_29 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 Near the national median Hospital score: 165.00 min National median: 148.00 min (lower is better) Sample size: 391 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 Near the national median Hospital score: 361.00 min National median: 294.00 min (lower is better) Sample size: 29 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 Near the national median Hospital score: 174.00 min National median: 154.00 min (lower is better) Sample size: 436 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18a Septic Shock 3-Hour Bundle Near the national median Hospital score: 78.00 % National median: 72.00 % (higher is better) Sample size: 54 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_SH_3HR Septic Shock 6-Hour Bundle Near the national median Hospital score: 89.00 % National median: 89.00 % (higher is better) Sample size: 27 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_SH_6HR Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better Worse than ~75% of hospitals Hospital score: 410.00 min National median: 248.00 min (lower is better) Sample size: 19 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18c Head CT results Worse than ~75% of hospitals Hospital score: 58.00 % National median: 74.00 % (higher is better) Sample size: 19 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_23

Clinical Staff

Fort Memorial Hospital has 285 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

  • Diagnostic Radiology 39
  • Nurse Practitioner 31
  • Family Practice 23
  • Physician Assistant 22
  • Emergency Medicine 22
  • Hospitalist 17
  • Internal Medicine 15
  • Certified Registered Nurse Anesthetist (Crna) 12

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

Practice characteristics

Accept Medicare assignment
280 (98%)

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

Offer telehealth
68 (24%)

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

Medicare quality scoring (MIPS)

38 of these clinicians have a published Merit-based Incentive Payment System (MIPS) final score. Of those, 14 (37%) score above the national median of 85.5.

MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores are not a reliable consumer signal. We surface roster-level coverage and the share above the national median instead.

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 285 clinicians affiliated with Fort Memorial 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 30 of 285 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

This hospital participates in price transparency under the federal Hospital Price Transparency Rule. View 771 published procedures — gross charges, cash prices, and per-payer negotiated rates where available.

View full pricing →

Facility Information

Facility type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Emergency services
Yes — 24/7

Nearby Hospitals

Critical Access

Edgerton Hospital and Health Services

Edgerton, WI

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
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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