JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Honorhealth Four Peaks Medical Center

2 / 5

At a glance

Honorhealth Four Peaks Medical Center carries a 2-star CMS overall rating — below 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.575Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2331Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.902Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.024Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.359Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2631Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.091Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.478Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures22Not available
SSI - Colon Surgery: Predicted Cases0.578Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures101Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.838Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.332Same as national
MRSA Bacteremia: Upper Confidence Limit6.549Same as national
MRSA Bacteremia: Patient Days22475Same as national
MRSA Bacteremia: Predicted Cases1.009Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.982Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.335Better than national
Clostridium Difficile (C.Diff): Patient Days21666Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.946Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients4.9Same as national109
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national579
Death rate for heart attack patients15Same as national122
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national31
Death rate for heart failure patients10.3Same as national122
Death rate for pneumonia patients16Same as national172
Death rate for stroke patients13.4Same as national124
Pressure ulcer rate0.33Same as national1426
Death rate among surgical inpatients with serious treatable complications150.30Same as national37
Iatrogenic pneumothorax rate0.18Same as national2183
In-hospital fall-associated fracture rate0.25Same as national2093
Postoperative hemorrhage or hematoma rate2.37Same as national659
Postoperative acute kidney injury requiring dialysis rate2.05Same as national256
Postoperative respiratory failure rate7.36Same as national256
Perioperative pulmonary embolism or deep vein thrombosis rate2.64Same as national678
Postoperative sepsis rate4.51Same as national236
Postoperative wound dehiscence rate1.72Same as national96
Abdominopelvic accidental puncture or laceration rate0.97Same as national289
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same as 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-6.2Not available118
Hospital return days for heart failure patients-11.4Not available138
Hospital return days for pneumonia patients13.4Not available184
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national808
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national240
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national118
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.5Same as national118
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national35
Heart failure (HF) 30-Day Readmission Rate18.6Same as national138
Rate of readmission after hip/knee replacement5.4Same as national109
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national184

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 rating2622
Doctor communication - star rating2622
Communication about medicines - star rating1622
Discharge information - star rating2622
Cleanliness - star rating2622
Quietness - star rating3622
Overall hospital rating - star rating2622
Recommend hospital - star rating2622
Summary star rating2622

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 volumemedium
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 Hyperglycemia104970
Hospital Harm - Severe Hypoglycemia11092
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination382882
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 better190652
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 better186590
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21725
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better34038
Left before being seen533417
Head CT results7240
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8075
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91321
Appropriate care for severe sepsis and septic shock5374
Septic Shock 3-Hour Bundle5618
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7774
Severe Sepsis 6-Hour Bundle8752
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29291
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 Honorhealth Four Peaks Medical Center rated?
Honorhealth Four Peaks Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Honorhealth Four Peaks Medical Center have emergency services?
Yes. Honorhealth Four Peaks Medical Center operates a 24/7 emergency department.
Where is Honorhealth Four Peaks Medical Center located?
Honorhealth Four Peaks Medical Center is located at 1301 South Crismon Road, Mesa, AZ 85209.
What type of hospital is Honorhealth Four Peaks Medical Center?
Honorhealth Four Peaks Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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