JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Kaiser Foundation Hospital

4 / 5

At a glance

Kaiser Foundation Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.117Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.248Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5893Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.543Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.459Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.125Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.336Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4900Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.110Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.491Same as national
SSI - Colon Surgery: Lower Confidence Limit0.254Same as national
SSI - Colon Surgery: Upper Confidence Limit2.720Same as national
SSI - Colon Surgery: Number of Procedures123Same as national
SSI - Colon Surgery: Predicted Cases3.002Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.999Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures86Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.666Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.919Better than national
MRSA Bacteremia: Patient Days51501Better than national
MRSA Bacteremia: Predicted Cases3.261Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.170Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.694Better than national
Clostridium Difficile (C.Diff): Patient Days44965Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.904Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.365Better 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 Rate3.8Same as national298
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 patients10.7Same as national34
Death rate for pneumonia patients12.8Same as national40
Death rate for stroke patientsNot available
Pressure ulcer rate0.79Same as national929
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1204
In-hospital fall-associated fracture rate0.26Same as national1271
Postoperative hemorrhage or hematoma rate2.10Same as national298
Postoperative acute kidney injury requiring dialysis rate1.58Same as national126
Postoperative respiratory failure rate9.17Same as national136
Perioperative pulmonary embolism or deep vein thrombosis rate3.52Same as national310
Postoperative sepsis rate4.66Same as national128
Postoperative wound dehiscence rate1.70Same as national75
Abdominopelvic accidental puncture or laceration rate0.99Same as national263
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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 patients32.2Not available41
Hospital return days for pneumonia patients121Not available42
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national454
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national61
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 national30
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 national41
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national42

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 rating4426
Doctor communication - star rating4426
Communication about medicines - star rating4426
Discharge information - star rating4426
Cleanliness - star rating4426
Quietness - star rating3426
Overall hospital rating - star rating4426
Recommend hospital - star rating5426
Summary star rating4426

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 Hyperglycemia116129
Hospital Harm - Severe Hypoglycemia03585
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination632885
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 Prescribing62383
Appropriate care for severe sepsis and septic shock85906
Septic Shock 3-Hour Bundle92284
Septic Shock 6-Hour Bundle93179
Severe Sepsis 3-Hour Bundle93910
Severe Sepsis 6-Hour Bundle95521
Discharged on Antithrombotic Therapy92218
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 rated?
Kaiser Foundation Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Foundation Hospital have emergency services?
Yes. Kaiser Foundation Hospital operates a 24/7 emergency department.
Where is Kaiser Foundation Hospital located?
Kaiser Foundation Hospital is located at 3288 Moanalua Rd, Honolulu, HI 96819.
What type of hospital is Kaiser Foundation Hospital?
Kaiser Foundation Hospital 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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