JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Kaiser Foundation Hospital - Antioch

1 / 5

At a glance

Kaiser Foundation Hospital - Antioch carries a 1-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 Limit0.131Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.575Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3350Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.566Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.779Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.267Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3106Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.364Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.474Same as national
SSI - Colon Surgery: Upper Confidence Limit2.431Same as national
SSI - Colon Surgery: Number of Procedures202Same as national
SSI - Colon Surgery: Predicted Cases5.134Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.169Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures38Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.332Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.027Same as national
MRSA Bacteremia: Upper Confidence Limit2.670Same as national
MRSA Bacteremia: Patient Days40057Same as national
MRSA Bacteremia: Predicted Cases1.847Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.541Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.261Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.818Better than national
Clostridium Difficile (C.Diff): Patient Days37275Better than national
Clostridium Difficile (C.Diff): Predicted Cases24.941Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.481Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national145
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients12.4Same as national27
Death rate for pneumonia patients16.2Same as national29
Death rate for stroke patients13Same as national62
Pressure ulcer rate0.89Same as national730
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national935
In-hospital fall-associated fracture rate0.31Same as national954
Postoperative hemorrhage or hematoma rate2.29Same as national83
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.84Same as national93
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate2.09Same as national35
Abdominopelvic accidental puncture or laceration rate1.02Same as national144
CMS Medicare PSI 90: Patient safety and adverse events composite1.14Same 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 patientsNot available
Hospital return days for pneumonia patients143.5Not available33
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national229
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgeryNot available
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 RateNot available
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.1Same as national33

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 rating21175
Doctor communication - star rating31175
Communication about medicines - star rating21175
Discharge information - star rating31175
Cleanliness - star rating31175
Quietness - star rating21175
Overall hospital rating - star rating31175
Recommend hospital - star rating41175
Summary star rating31175

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 volume
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 Hyperglycemia811643
Hospital Harm - Severe Hypoglycemia22970
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination503239
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 better
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 better
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen
Head CT results
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 Prescribing142810
Appropriate care for severe sepsis and septic shock76182
Septic Shock 3-Hour Bundle7752
Septic Shock 6-Hour Bundle8025
Severe Sepsis 3-Hour Bundle86182
Severe Sepsis 6-Hour Bundle9984
Discharged on Antithrombotic Therapy93202
Anticoagulation Therapy for Atrial Fibrillation/Flutter
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 Kaiser Foundation Hospital - Antioch rated?
Kaiser Foundation Hospital - Antioch has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Foundation Hospital - Antioch have emergency services?
Yes. Kaiser Foundation Hospital - Antioch operates a 24/7 emergency department.
Where is Kaiser Foundation Hospital - Antioch located?
Kaiser Foundation Hospital - Antioch is located at 4501 Sand Creek Road, Antioch, CA 94531.
What type of hospital is Kaiser Foundation Hospital - Antioch?
Kaiser Foundation Hospital - Antioch 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.

Report an issue with this page