OBJECTIVES: Congestive heart failure (CHF) is the most frequent reason for hospital admissions and readmissions. Healthcare providers are striving to identify ways to reduce readmission rates to improve patient’s health outcomes and avoid penalties. We investigated the trend over time in all cause 30-day readmission rates among patients with CHF in a large, single healthcare organization with 11 hospitals. METHODS: Patients with primary diagnosis of CHF admitted between 2008 and 2016, ≥18 years and discharged to home, home health, or home infusion were included for analysis. Logistic regression model with Generalized Estimating Equations (GEE) was utilized to account for clustering of repeated admissions within patients adjusted for age, gender, race, insurance, length of hospital stay, and discharge disposition. RESULTS: The records of 29,107 CHF patients were reviewed with 14% of these patients having a 30-day readmission. Demographic characteristics define the population as primarily White (49%), more males (52%) and with an average age of 70.5 years (±14.5). The majority of patients had public insurance (77%) and were discharged to home (60%). Readmitted patients were younger (69 vs 71) and had longer length of hospital stay (5.4 vs 4.5 days). Males were more likely to be readmitted (14.5% vs 13.7%) and so were patients on public insurance (14.7% vs 12.5% for public vs private, respectively). Patients discharged to home health were more likely to be readmitted compared to those discharged to home (15.1% vs 13.5%). A significant downward trend over time was observed in 30-day readmission rates in the fully adjusted model (OR = .96; CI = .94-.97) for this patient population. CONCLUSIONS: In an attempt to explore 30-day readmission rates over time in the CHF patient population, we found a steady reduction in 30-day readmission rates over time between the years 2008 and 2016, an encouraging finding from both medical and economic perspectives.