JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Island Hospital

4 / 5

At a glance

Island Hospital carries a 4-star CMS overall rating — above the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days494Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.302Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1379Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.692Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures38Not available
SSI - Colon Surgery: Predicted Cases0.960Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures43Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.385Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days8480Not available
MRSA Bacteremia: Predicted Cases0.201Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.097Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.913Same as national
Clostridium Difficile (C.Diff): Patient Days7903Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.454Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.579Same as 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 patients4.5Same as national39
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national481
Death rate for heart attack patients12.4Same as national31
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients13.6Same as national92
Death rate for pneumonia patients16.4Same as national100
Death rate for stroke patients14.7Same as national74
Pressure ulcer rate1.00Same as national865
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1515
In-hospital fall-associated fracture rate0.26Same as national1423
Postoperative hemorrhage or hematoma rate2.17Same as national468
Postoperative acute kidney injury requiring dialysis rate1.63Same as national300
Postoperative respiratory failure rate7.29Same as national306
Perioperative pulmonary embolism or deep vein thrombosis rate2.85Same as national487
Postoperative sepsis rate7.22Same as national285
Postoperative wound dehiscence rate1.71Same as national146
Abdominopelvic accidental puncture or laceration rate1.00Same as national292
CMS Medicare PSI 90: Patient safety and adverse events composite1.08Same 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 patientsNot available
Hospital return days for heart failure patients3.8Not available105
Hospital return days for pneumonia patients-42.5Not available115
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national617
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national1226
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.7Same as national59
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national59
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national343
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.6Same as national105
Rate of readmission after hip/knee replacement5.1Same as national37
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national115

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 rating4329
Doctor communication - star rating4329
Communication about medicines - star rating4329
Discharge information - star rating4329
Cleanliness - star rating4329
Quietness - star rating4329
Overall hospital rating - star rating4329
Recommend hospital - star rating5329
Summary star rating4329

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 volumelow
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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia1294
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination801048
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 better200596
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 better193550
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29622
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better39025
Left before being seen317614
Head CT results8513
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients90140
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing20698
Appropriate care for severe sepsis and septic shock65111
Septic Shock 3-Hour Bundle9341
Septic Shock 6-Hour Bundle5728
Severe Sepsis 3-Hour Bundle79112
Severe Sepsis 6-Hour Bundle10060
Discharged on Antithrombotic Therapy8833
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29031
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 Island Hospital rated?
Island Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Island Hospital have emergency services?
Yes. Island Hospital operates a 24/7 emergency department.
Where is Island Hospital located?
Island Hospital is located at 1211 24th Street, Anacortes, WA 98221.
What type of hospital is Island Hospital?
Island Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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