JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Kaiser Foundation Hospital - Orange County - Anaheim

4 / 5

At a glance

Kaiser Foundation Hospital - Orange County - Anaheim 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 Limit0.265Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.362Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8207Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.165Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.655Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.476Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.670Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8666Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.675Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases10Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.937Same as national
SSI - Colon Surgery: Lower Confidence Limit0.897Same as national
SSI - Colon Surgery: Upper Confidence Limit2.690Same as national
SSI - Colon Surgery: Number of Procedures334Same as national
SSI - Colon Surgery: Predicted Cases8.057Same as national
SSI - Colon Surgery: Observed Cases13Same as national
SSI - Colon Surgery1.614Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.303Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.980Same as national
SSI - Abdominal Hysterectomy: Number of Procedures144Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.105Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.810Same as national
MRSA Bacteremia: Lower Confidence Limit0.289Same as national
MRSA Bacteremia: Upper Confidence Limit1.746Same as national
MRSA Bacteremia: Patient Days120824Same as national
MRSA Bacteremia: Predicted Cases6.347Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.788Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.256Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.539Better than national
Clostridium Difficile (C.Diff): Patient Days106132Better than national
Clostridium Difficile (C.Diff): Predicted Cases74.080Better than national
Clostridium Difficile (C.Diff): Observed Cases28Better than national
Clostridium Difficile (C.Diff)0.378Better 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 Rate4Same as national213
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 patientsNot available
Death rate for pneumonia patients15.8Same as national28
Death rate for stroke patientsNot available
Pressure ulcer rate0.36Same as national815
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national1022
In-hospital fall-associated fracture rate0.26Same as national1065
Postoperative hemorrhage or hematoma rate2.19Same as national220
Postoperative acute kidney injury requiring dialysis rate1.64Same as national81
Postoperative respiratory failure rate8.14Same as national87
Perioperative pulmonary embolism or deep vein thrombosis rate3.59Same as national235
Postoperative sepsis rate4.99Same as national81
Postoperative wound dehiscence rate1.74Same as national59
Abdominopelvic accidental puncture or laceration rate0.99Same as national243
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients-10.9Not available31
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national348
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 Rate16.1Same as national31

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 rating41782
Doctor communication - star rating41782
Communication about medicines - star rating31782
Discharge information - star rating41782
Cleanliness - star rating31782
Quietness - star rating41782
Overall hospital rating - star rating41782
Recommend hospital - star rating51782
Summary star rating41782

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia05652
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination696983
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 Prescribing117327
Appropriate care for severe sepsis and septic shock88295
Septic Shock 3-Hour Bundle9192
Septic Shock 6-Hour Bundle9462
Severe Sepsis 3-Hour Bundle93295
Severe Sepsis 6-Hour Bundle99176
Discharged on Antithrombotic Therapy90369
Anticoagulation Therapy for Atrial Fibrillation/Flutter69115
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 - Orange County - Anaheim rated?
Kaiser Foundation Hospital - Orange County - Anaheim has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Foundation Hospital - Orange County - Anaheim have emergency services?
Yes. Kaiser Foundation Hospital - Orange County - Anaheim operates a 24/7 emergency department.
Where is Kaiser Foundation Hospital - Orange County - Anaheim located?
Kaiser Foundation Hospital - Orange County - Anaheim is located at 3440 E la Palma Ave, Anaheim, CA 92806.
What type of hospital is Kaiser Foundation Hospital - Orange County - Anaheim?
Kaiser Foundation Hospital - Orange County - Anaheim 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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