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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum, Inc. All rights reserved.

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Fonteum Care Compare · Critical Access Hospitals · CCN 521304

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI

Entity nameGundersen St Josephs Hospital And Clinics
CMS Complications and Deaths 2026-04-28 · 2026-05-07
CCN521304
CMS Complications and Deaths 2026-04-28 · 2026-05-07
TypeCritical Access Hospitals
CMS Complications and Deaths 2026-04-28 · 2026-05-07
LocationHillsboro, WI
CMS Complications and Deaths 2026-04-28 · 2026-05-07
OwnershipVoluntary non-profit - Private
CMS Hospital General Info · 2026-05-07
Emergency servicesYes
CMS Hospital General Info · 2026-05-07
CCN 521304Critical Access HospitalsUpdated 2026-05-07
CMS-attested · 521304See the proof → Differ

Gundersen St Josephs Hospital And Clinics is a Medicare-certified hospital (Critical Access Hospitals) in Hillsboro, WI, identified by CMS Certification Number 521304. CMS has not assigned an overall star rating in the current snapshot. Fonteum publishes 81 provenance-tracked CMS quality measures for this hospital, each signed to its primary federal dataset as of Q2 2026.

Fonteum is a US healthcare provenance registry that publishes signed, chain-of-custody-attested research and data pages on Medicare, Medicaid, and federal regulator datasets, drawing from 23 federal source families across CMS, OIG, HRSA, AHRQ, and HHS.

Data last updated: 2026-05-07 · Source: Multiple CMS Care Compare datasets · View on Medicare.gov

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer. Last reviewed: June 2026 · Next review: December 2026. This page is data-led and informational; it reports CMS measures and their provenance, not clinical guidance.

How do patients rate Gundersen St Josephs Hospital And Clinics?

CMS publishes 51 patient experience (hcahps) measures for Gundersen St Josephs Hospital And Clinics, each chained to its source row and reporting period Q2 2026.

Communication about medicines — always (%)83%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Communication about medicines — sometimes or never (%)7%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Communication about medicines — usually (%)10%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Discharge information — no (%)13%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Discharge information — yes (%)87%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — always (%)84%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — sometimes or never (%)2%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctor communication — usually (%)14%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors explained things clearly — always (%)78%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors explained things clearly — sometimes or never (%)1%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors explained things clearly — usually (%)21%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors listened carefully — always (%)81%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors listened carefully — sometimes or never (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors listened carefully — usually (%)16%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors treated patients with courtesy and respect — always (%)92%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors treated patients with courtesy and respect — sometimes or never (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Doctors treated patients with courtesy and respect — usually (%)5%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — always (%)84%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — sometimes or never (%)0%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurse communication — usually (%)16%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses explained things clearly — always (%)83%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses explained things clearly — sometimes or never (%)1%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses explained things clearly — usually (%)16%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses listened carefully — always (%)75%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses listened carefully — sometimes or never (%)0%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses listened carefully — usually (%)25%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses treated patients with courtesy and respect — always (%)92%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses treated patients with courtesy and respect — sometimes or never (%)0%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Nurses treated patients with courtesy and respect — usually (%)8%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 0–6 (%)8%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 7–8 (%)12%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Overall hospital rating — rated 9–10 (%)80%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — always (%)66%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — sometimes or never (%)5%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Quietness at night — usually (%)29%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery symptoms information at discharge — no (%)20%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery symptoms information at discharge — yes (%)80%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery-at-home information at discharge — no (%)7%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Recovery-at-home information at discharge — yes (%)93%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — always (%)94%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — sometimes or never (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Room and bathroom cleanliness — usually (%)3%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff described medication side effects — always (%)74%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff described medication side effects — sometimes or never (%)9%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff described medication side effects — usually (%)17%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff explained new medicines — always (%)89%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff explained new medicines — sometimes or never (%)6%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Staff explained new medicines — usually (%)5%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — definitely no (%)4%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — definitely yes (%)80%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07
Would recommend the hospital — probably yes (%)16%
CMS HCAHPS Patient Survey 2026-04-28 · 2026-05-07

What are the mortality rates at Gundersen St Josephs Hospital And Clinics?

CMS publishes 1 mortality measures for Gundersen St Josephs Hospital And Clinics, each chained to its source row and reporting period Q2 2026.

Mortality — Gundersen St Josephs Hospital And Clinics · CCN 521304 · 2026-05-07
MeasureValueCompared to nationalSource
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4%→ No Different Than the National RateCMS Complications and Deaths 2026-04-28 · 2026-05-07

How often are patients readmitted to Gundersen St Josephs Hospital And Clinics?

CMS publishes 1 readmissions measures for Gundersen St Josephs Hospital And Clinics, each chained to its source row and reporting period Q2 2026.

Readmissions — Gundersen St Josephs Hospital And Clinics · CCN 521304 · 2026-05-07
MeasureValueCompared to nationalSource
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8%→ No Different Than the National RateCMS Unplanned Hospital Visits 2026-04-28 · 2026-05-07

What are the infection rates at Gundersen St Josephs Hospital And Clinics?

CMS publishes 12 healthcare-associated infections measures for Gundersen St Josephs Hospital And Clinics, each chained to its source row and reporting period Q2 2026.

Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days104
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.068
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.049
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Central Line Associated Bloodstream Infection: Number of Device Days178
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Observed Cases0
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Patient Days2,882
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
Clostridium Difficile (C.Diff): Predicted Cases0.637
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Observed Cases0
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Patient Days2,882
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07
MRSA Bacteremia: Predicted Cases0.06
CMS Healthcare Associated Infections 2026-04-28 · 2026-05-07

How timely and effective is care at Gundersen St Josephs Hospital And Clinics?

CMS publishes 11 timely and effective care measures for Gundersen St Josephs Hospital And Clinics, each chained to its source row and reporting period Q2 2026.

Appropriate care for severe sepsis and septic shock85%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
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 better130
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better264
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
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 better116
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Emergency department volumelow
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Healthcare workers given influenza vaccination85%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Hospital Harm - Severe Hyperglycemia12%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Hospital Harm - Severe Hypoglycemia0%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Left before being seen0%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Severe Sepsis 3-Hour Bundle85%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07
Venous Thromboembolism Prophylaxis92%
CMS Timely and Effective Care 2026-04-28 · 2026-05-07

How does Fonteum cover hospital quality data?

Fonteum indexes quality data from 23 federal source families, including all six CMS Care Compare facility programs. Each CCN is keyed to its primary CMS dataset — every field traced to a source row and reporting period.

Facility typeCCNsSource
Hospitals6,019CMS Care Compare
Home Health12,392CMS hah8-mnua
Hospice6,943CMS yc9t-dgbk
Dialysis7,557CMS 23ew-n7w9
ASC5,611CMS 4jcv-atw7
IRF / LTACH1,538CMS CC (data-only)
40,060 total CCN-keyed facilities (6 program types) · CMS Care CompareCMS Care Compare →

CMS Care Compare · 6 facility types · data.cms.gov · US Government Work

How does Fonteum connect this hospital to its sources?

Gundersen St Josephs Hospital And Clinics (CCN 521304) is identified across 6 CMS Care Compare datasets published on data.cms.gov. Every field on this page is chained to its source dataset and row.

521304CMS Complicadata.cms.gov

Trace this CCN across 23 federal datasets →

How is this hospital’s data sourced and attested?

Each field on this page is sourced from 6 CMS Care Compare datasets published on data.cms.gov — US Government Works. Fonteum re-publishes each value with a provenance record identifying the federal source, release date, and redistribution basis.

  1. Source acquisition — download the CMS Care Compare files (6 datasets) from data.cms.gov.
  2. Entity resolution — key every row to the hospital’s CMS Certification Number (CCN 521304).
  3. Field projection — extract the fields shown on this page.
  4. Quality checks — drop rows CMS suppresses or marks not available.
  5. Chain attestation — sign each field into the Fonteum provenance graph.
Source: CMS Complications and Deaths 2026-04-28·Snapshot: 2026-05-07·Method: hospital-detail/v1·ID: CCN 521304

Read the full Fonteum provenance methodology or browse the 23 federal source families behind every page.

Which CMS datasets back this page?

  • CMS Complications and Deaths 2026-04-28 · archived copy
    Centers for Medicare & Medicaid Services · US Government Work
  • Medicare.gov Care Compare — Gundersen St Josephs Hospital And Clinics
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS HCAHPS Patient Survey 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Healthcare Associated Infections 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Hospital General Information 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Timely and Effective Care 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work
  • CMS Unplanned Hospital Visits 2026-04-28
    Centers for Medicare & Medicaid Services · US Government Work

Frequently asked questions

What is the CMS overall star rating for Gundersen St Josephs Hospital And Clinics?
CMS has not published an overall star rating for Gundersen St Josephs Hospital And Clinics in the current Care Compare snapshot. A rating is assigned only when a hospital reports enough measures across the five CMS measure groups to be scored, so smaller or specialty facilities are often unrated.
Who owns Gundersen St Josephs Hospital And Clinics?
Gundersen St Josephs Hospital And Clinics is classified by CMS as "Voluntary non-profit - Private". Ownership type is reported by the hospital to CMS and published in the Hospital General Information dataset; it describes the controlling entity, not the quality of care, which Fonteum reports separately and traces to each source row.
How many CMS quality measures does Fonteum track for Gundersen St Josephs Hospital And Clinics?
Fonteum publishes 81 CMS quality measures for Gundersen St Josephs Hospital And Clinics across 5 groups — patient experience (hcahps), mortality, readmissions, healthcare-associated infections, timely and effective care. Every measure is a separate provenance claim signed to the CMS dataset, reporting period, and source row it was asserted from, and is hover-traceable on this page.
Where does Gundersen St Josephs Hospital And Clinics's quality data come from?
Gundersen St Josephs Hospital And Clinics's data is drawn directly from 6 primary CMS Care Compare datasets published on data.cms.gov, including patient survey, mortality, readmission, complication, infection, and timely-care files. Fonteum re-publishes each value with a chained 14-field provenance record rather than an aggregated score.
What does CMS Certification Number 521304 identify?
The CMS Certification Number (CCN) 521304 is the federal identifier Medicare assigns to Gundersen St Josephs Hospital And Clinics. It is unique, dated, and federally issued, and it links this hospital across every CMS dataset — cost reports, Care Compare quality files, and the Provider of Services file — which is how Fonteum joins Gundersen St Josephs Hospital And Clinics's records.
Does Gundersen St Josephs Hospital And Clinics provide emergency services?
Yes. CMS records that Gundersen St Josephs Hospital And Clinics provides emergency services, per the Hospital General Information dataset as of Q2 2026. Emergency-service status indicates the hospital operates an emergency department; it is reported by the hospital to CMS and chained to its source row on this page.

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Gundersen St Josephs Hospital And Clinics is a Medicare-certified hospital identified by CMS Certification Number 521304. Data sourced from the CMS Complications and Deaths 2026-04-28 (data.cms.gov), a US Government Work. Methodology · Report an error · Medicare.gov

Compliance posture

Methodology · Corrections log · Editorial policy