JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Kaiser Foundation Hospital - San Diego

4 / 5

At a glance

Kaiser Foundation Hospital - San Diego carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.078Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.834Better than national
Central Line Associated Bloodstream Infection: Number of Device Days8578Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.795Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.306Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.460Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.732Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8387Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.535Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.944Same as national
SSI - Colon Surgery: Lower Confidence Limit0.502Same as national
SSI - Colon Surgery: Upper Confidence Limit2.269Same as national
SSI - Colon Surgery: Number of Procedures253Same as national
SSI - Colon Surgery: Predicted Cases6.102Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.147Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures94Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.718Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.008Better than national
MRSA Bacteremia: Upper Confidence Limit0.780Better than national
MRSA Bacteremia: Patient Days118974Better than national
MRSA Bacteremia: Predicted Cases6.326Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.158Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.347Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.689Better than national
Clostridium Difficile (C.Diff): Patient Days106194Better than national
Clostridium Difficile (C.Diff): Predicted Cases66.484Better than national
Clostridium Difficile (C.Diff): Observed Cases33Better than national
Clostridium Difficile (C.Diff)0.496Better 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 Rate4.3Same as national402
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 patients12.9Same as national27
Death rate for pneumonia patientsNot available
Death rate for stroke patientsNot available
Pressure ulcer rate0.61Same as national1270
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1732
In-hospital fall-associated fracture rate0.25Same as national1721
Postoperative hemorrhage or hematoma rate2.35Same as national421
Postoperative acute kidney injury requiring dialysis rate1.61Same as national186
Postoperative respiratory failure rate9.39Same as national181
Perioperative pulmonary embolism or deep vein thrombosis rate3.73Same as national434
Postoperative sepsis rate5.41Same as national179
Postoperative wound dehiscence rate1.69Same as national115
Abdominopelvic accidental puncture or laceration rate1.50Same as national400
CMS Medicare PSI 90: Patient safety and adverse events composite1.01Same 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 patients3.3Not available25
Hospital return days for pneumonia patientsNot available
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Same as national585
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 Rate19.1Same as national25
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission RateNot available

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 rating41428
Doctor communication - star rating41428
Communication about medicines - star rating41428
Discharge information - star rating51428
Cleanliness - star rating31428
Quietness - star rating31428
Overall hospital rating - star rating41428
Recommend hospital - star rating41428
Summary star rating41428

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 Hypoglycemia05997
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination776867
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 Prescribing97174
Appropriate care for severe sepsis and septic shock86321
Septic Shock 3-Hour Bundle8677
Septic Shock 6-Hour Bundle9252
Severe Sepsis 3-Hour Bundle93322
Severe Sepsis 6-Hour Bundle99160
Discharged on Antithrombotic Therapy94278
Anticoagulation Therapy for Atrial Fibrillation/Flutter7276
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 - San Diego rated?
Kaiser Foundation Hospital - San Diego has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Foundation Hospital - San Diego have emergency services?
Yes. Kaiser Foundation Hospital - San Diego operates a 24/7 emergency department.
Where is Kaiser Foundation Hospital - San Diego located?
Kaiser Foundation Hospital - San Diego is located at 4647 Zion Ave, San Diego, CA 92120.
What type of hospital is Kaiser Foundation Hospital - San Diego?
Kaiser Foundation Hospital - San Diego 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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