USCareCheck

CMS certification 161316

Gundersen Palmer Lutheran Hospital and Clinics

112 Jefferson Street, West Union, IA 52175

Critical Access Hospitals Emergency services

Gundersen Palmer Lutheran Hospital and Clinics has a CMS overall rating of 5 out of 5 stars. 75% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. Of the 6 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 2 and worse on none. Emergency patients spend a median of 1 h 25 min in its emergency department before leaving (US median 2 h 42 min).

Every figure on this page is published by CMS; we arrange and explain it, and score nothing ourselves.

CMS overall rating 5/5 CMS summary of quality measures
Would definitely recommend 75% US average 71%
Patient survey rating Not rated 68 completed surveys
Compared with the nation 0 worse 2 better of 6 measures CMS could compare

What patients said

Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 68 completed surveys, 30% response rate, Oct 2024 – Sep 2025.

Fewer than 100 patients completed the CAHPS survey. Use these scores with caution, as the number of surveys may be too low to reliably assess facility performance.
Would definitely recommend the hospital
75%
IA 76% · US 71%
Rated the hospital 9 or 10 out of 10
83%
IA 78% · US 72%
Nurses always communicated well
86%
IA 83% · US 80%
Doctors always communicated well
84%
IA 82% · US 80%
Staff always explained new medicines
60%
IA 65% · US 62%
Given information about recovering at home
87%
IA 89% · US 86%
Room was always clean
84%
IA 78% · US 74%
Always quiet at night
67%
IA 65% · US 60%

This hospital Iowa average US average

Emergency department

How long emergency patients spent here and how some time-critical care went, from CMS's timely and effective care measures, Oct 2024 – Sep 2025. CMS classes this emergency department's patient volume as low; busier departments tend to have longer times, so the national median for departments of the same volume is shown too. These are medians over a year of visits, not a live wait time.

Measure This hospital IA US
Median time in the emergency department before leaving Lower is better · 297 visits sampled · US median for EDs of the same volume: 2 h 3 min 1 h 25 min 2 h 3 min 2 h 42 min
Median time for psychiatric and mental health patients Lower is better · 21 visits sampled 2 h 42 min 3 h 37 min 4 h 17 min
Left before being seen Lower is better · 3,500 patients 0% 3% 2%
Severe sepsis and septic shock: all recommended care given Higher is better · 14 patients 64% 63% 65%

How Gundersen Palmer Lutheran Hospital and Clinics compares with nearby hospitals

The closest hospitals of the same kind that CMS rates or surveys - the same city first, then the same county and ZIP area. Every figure is CMS's: the overall star rating, the share of patients who would definitely recommend the hospital, the median time emergency patients spent before leaving, and how many death, complication, infection and readmission measures CMS found better or worse than the national rate.

Hospital CMS stars Would recommend ER median time Vs the nation
Gundersen Palmer Lutheran Hospital and ClinicsThis hospital5/575%1 h 25 min2 better
Veterans Memorial HospitalSame ZIP area · WaukonNot rated84%1 h 37 minNo different
Regional Health Services of Howard CountySame ZIP area · Cresco4/567%1 h 31 min1 better
WinnmedSame ZIP area · Decorah4/579%1 h 54 minNo different

Hospitals differ in size and in how sick their patients are. CMS adjusts its outcome measures for that, but a star or a percentage is a starting point for questions, not a verdict.

Deaths

How many patients died within 30 days of admission, adjusted by CMS for how sick they were. Lower is better. Data from Jul 2022 – Jun 2025.

Measure CMS comparison This hospital National
All patients, hospital-wide 48 cases Too few cases 4.6% 3.9%

6 more measures had too few cases here to report.

Not reported for this hospital

CMS had too few cases here to publish results for complications, infections caught in the hospital, readmissions and return visits. That is common at small, rural and specialty hospitals, and says nothing either way about quality.

Clinicians registered at this address

51 clinicians give this hospital's street address as their practice location in NPPES, the federal provider registry. The same address can take in offices and clinics in the building, and a listing does not prove admitting privileges or current employment.

Specialty Clinicians
Family 7
Nurse Anesthetist, Certified Registered 6
Physical Therapist 6
Physical Therapy Assistant 6
Occupational Therapy Assistant 5
Clinical 3
Dietitian, Registered 3
Psychiatric/Mental Health 3
Speech-Language Pathologist 3
Emergency Medicine 2
Medical 2
Acute Care 1

First 12 alphabetically

How to read this page

  • Everything here is published by CMS on Care Compare. We arrange it and explain it; the star ratings and the better / worse verdicts are CMS's, not ours.
  • “No different” is the most common result on most measures at most hospitals. CMS only calls a result better or worse when the difference from the national rate is statistically clear.
  • Death, complication and readmission rates are adjusted by CMS for how sick patients were, so hospitals that treat sicker patients can be compared fairly.
  • Infection results are ratios: 1.0 means as many infections as CMS predicted for a hospital like this one, below 1.0 is fewer.
  • These are hospital-wide results. They do not rate an individual doctor, nurse or department, and they are not medical advice.

CMS Care Compare data retrieved 4 Oct 2026, refreshed weekly. Where this data comes from and how we handle it · Report an error

Common questions about Gundersen Palmer Lutheran Hospital and Clinics

Is Gundersen Palmer Lutheran Hospital and Clinics a good hospital?

Gundersen Palmer Lutheran Hospital and Clinics has a CMS overall rating of 5 out of 5 stars. Of the 6 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 2 and worse on none. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.

Would patients recommend Gundersen Palmer Lutheran Hospital and Clinics?

75% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 68 completed HCAHPS surveys.

How long is the wait in the Gundersen Palmer Lutheran Hospital and Clinics emergency room?

Emergency patients spend a median of 1 h 25 min in its emergency department before leaving (US median 2 h 42 min). Among US emergency departments with low patient volume, like this one, the median is 2 h 3 min. 0% of emergency patients left before being seen (US 2%). These are medians over a year of visits, not a live wait time.