JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Community Hospital of the Monterey Peninsula

4 / 5

At a glance

Community Hospital of the Monterey Peninsula carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.011Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.083Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5618Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.552Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.220Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.013Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.324Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4405Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.726Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.268Same as national
SSI - Colon Surgery: Lower Confidence Limit0.090Same as national
SSI - Colon Surgery: Upper Confidence Limit1.764Same as national
SSI - Colon Surgery: Number of Procedures150Same as national
SSI - Colon Surgery: Predicted Cases3.745Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.534Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures50Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.392Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.133Same as national
MRSA Bacteremia: Upper Confidence Limit2.625Same as national
MRSA Bacteremia: Patient Days60459Same as national
MRSA Bacteremia: Predicted Cases2.517Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.795Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.225Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.675Better than national
Clostridium Difficile (C.Diff): Patient Days58259Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.098Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.405Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients4.8Same as national266
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.7Better than national2583
Death rate for heart attack patients10.3Same as national193
Death rate for CABG surgery patients1.7Same as national81
Death rate for COPD patients8.4Same as national100
Death rate for heart failure patients9.2Better than national659
Death rate for pneumonia patients17.1Same as national910
Death rate for stroke patients12.2Same as national362
Pressure ulcer rate0.61Same as national8715
Death rate among surgical inpatients with serious treatable complications158.20Same as national140
Iatrogenic pneumothorax rate0.29Same as national10234
In-hospital fall-associated fracture rate0.28Same as national10572
Postoperative hemorrhage or hematoma rate2.37Same as national2519
Postoperative acute kidney injury requiring dialysis rate3.12Worse than national1095
Postoperative respiratory failure rate19.24Worse than national1118
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national2617
Postoperative sepsis rate9.62Worse than national1086
Postoperative wound dehiscence rate2.21Same as national744
Abdominopelvic accidental puncture or laceration rate1.27Same as national1873
CMS Medicare PSI 90: Patient safety and adverse events composite1.48Worse than national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-7.1Not available207
Hospital return days for heart failure patients4.7Not available718
Hospital return days for pneumonia patients3Not available910
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national4451
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.2Same as national711
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.5Same as national224
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4Same as national224
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national746
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national207
Rate of readmission for CABG9.9Same as national81
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national113
Heart failure (HF) 30-Day Readmission Rate19.1Same as national718
Rate of readmission after hip/knee replacement5.4Same as national237
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national910

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4507
Doctor communication - star rating4507
Communication about medicines - star rating3507
Discharge information - star rating3507
Cleanliness - star rating4507
Quietness - star rating3507
Overall hospital rating - star rating4507
Recommend hospital - star rating5507
Summary star rating4507

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumevery high
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia316739
Hospital Harm - Severe Hypoglycemia13550
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination753618
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 better173383
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 better171357
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23725
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen060673
Head CT results7114
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing233587
Appropriate care for severe sepsis and septic shock55136
Septic Shock 3-Hour Bundle5650
Septic Shock 6-Hour Bundle8621
Severe Sepsis 3-Hour Bundle75137
Severe Sepsis 6-Hour Bundle9652
Discharged on Antithrombotic Therapy99238
Anticoagulation Therapy for Atrial Fibrillation/Flutter5266
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Community Hospital of the Monterey Peninsula rated?
Community Hospital of the Monterey Peninsula has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Community Hospital of the Monterey Peninsula have emergency services?
Yes. Community Hospital of the Monterey Peninsula operates a 24/7 emergency department.
Where is Community Hospital of the Monterey Peninsula located?
Community Hospital of the Monterey Peninsula is located at 23625 W R Holman Highway, Monterey, CA 93940.
What type of hospital is Community Hospital of the Monterey Peninsula?
Community Hospital of the Monterey Peninsula is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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