USCareCheck

CMS certification 281329

Avera St Anthony's Hospital

300 North 2nd St, O' Neill, NE 68763

Critical Access Hospitals Emergency services

Avera St Anthony's Hospital has a CMS overall rating of 4 out of 5 stars. 82% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. On all 12 death, complication, infection and readmission measures CMS could compare, it is no different from the national rate. Emergency patients spend a median of 1 h 55 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 4/5 CMS summary of quality measures
Would definitely recommend 82% US average 71%
Patient survey rating 5/5 123 completed surveys
Compared with the nation 0 worse 0 better of 12 measures CMS could compare

What patients said

Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 123 completed surveys, 30% response rate, Oct 2024 – Sep 2025.

Would definitely recommend the hospital
82%
NE 78% · US 71% · 5 of 5 stars
Rated the hospital 9 or 10 out of 10
76%
NE 79% · US 72% · 4 of 5 stars
Nurses always communicated well
87%
NE 84% · US 80% · 5 of 5 stars
Doctors always communicated well
90%
NE 84% · US 80% · 5 of 5 stars
Staff always explained new medicines
61%
NE 66% · US 62% · 4 of 5 stars
Given information about recovering at home
89%
NE 89% · US 86% · 4 of 5 stars
Room was always clean
81%
NE 78% · US 74% · 5 of 5 stars
Always quiet at night
73%
NE 69% · US 60% · 5 of 5 stars

This hospital Nebraska 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. These are medians over a year of visits, not a live wait time.

Measure This hospital NE US
Median time in the emergency department before leaving Lower is better · 1,783 visits sampled 1 h 55 min 1 h 53 min 2 h 42 min
Median time for psychiatric and mental health patients Lower is better · 80 visits sampled 2 h 6 min 2 h 41 min 4 h 17 min

How Avera St Anthony's Hospital 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
Avera St Anthony's HospitalThis hospital4/582%1 h 55 minNo different
West Holt Memorial HospitalSame county · AtkinsonNot rated93%1 h 50 min1 better
Osmond General HospitalSame ZIP area · OsmondNot rated79%1 h 54 minNo different
Antelope Memorial HospitalSame ZIP area · NelighNot rated91%1 h 57 minNo different
Providence Medical CenterSame ZIP area · WayneNot rated78%2 h 1 min—
St Francis Memorial HospitalSame ZIP area · West Point2/584%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 151 cases Too few cases 5% 3.9%
Heart failure 37 cases Too few cases 12.5% 11.1%
Pneumonia 79 cases Too few cases 20.2% 15.2%

4 more measures had too few cases here to report.

Complications

How often patients had serious complications, most of them after surgery, adjusted for how sick they were. Lower is better. Data from Jul 2022 – Jun 2024.

Measure CMS comparison This hospital National
After hip or knee replacement 29 cases Too few cases 4.2% 4.1%

12 more measures had too few cases here to report.

Readmissions and return visits

How often patients had to come back to a hospital after going home. Lower is better. Data from Jul 2023 – Jun 2025.

3 no different
Measure CMS comparison This hospital National
Readmitted after heart failure 37 cases Too few cases 20.7% 21.3%
Readmitted after pneumonia 62 cases Too few cases 17.2% 17.3%
Days back in hospital after heart failure 44 cases Too few cases 4 days per 100 —
Days back in hospital after pneumonia 74 cases Too few cases -10.8 days per 100 —
Unplanned visits after an outpatient colonoscopy 62 cases No different 13.8 per 1,000 likely 10.1 per 1,000 – 19 per 1,000 13 per 1,000
Hospital admissions during outpatient chemotherapy 37 cases No different 12.4 per 100 likely 8.7 per 100 – 17.6 per 100 10.7 per 100
ER visits during outpatient chemotherapy 37 cases No different 5.8 per 100 likely 3.7 per 100 – 9 per 100 5.4 per 100

7 more measures had too few cases here to report.

Not reported for this hospital

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

Clinicians registered at this address

27 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 4
Nurse Practitioner 3
Physical Therapist 3
Physician Assistant 3
Family Medicine 2
Foot & Ankle Surgery 2
Occupational Therapist 2
Physical Therapy Assistant 2
Dietitian, Registered 1
Internal Medicine 1
Mental Health 1
Occupational Therapy Assistant 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 Avera St Anthony's Hospital

Is Avera St Anthony's Hospital a good hospital?

Avera St Anthony's Hospital has a CMS overall rating of 4 out of 5 stars. On all 12 death, complication, infection and readmission measures CMS could compare, it is no different from the national rate. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.

Would patients recommend Avera St Anthony's Hospital?

82% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 123 completed HCAHPS surveys.

How long is the wait in the Avera St Anthony's Hospital emergency room?

Emergency patients spend a median of 1 h 55 min in its emergency department before leaving (US median 2 h 42 min). These are medians over a year of visits, not a live wait time.