JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Kaiser Foundation Hospital-Santa Clara

2 / 5

At a glance

Kaiser Foundation Hospital-Santa Clara carries a 2-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 Limit0.737Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.742Same as national
Central Line Associated Bloodstream Infection: Number of Device Days18544Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases18.111Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases21Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.160Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.742Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.993Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12848Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.761Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases16Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.254Same as national
SSI - Colon Surgery: Lower Confidence Limit0.375Same as national
SSI - Colon Surgery: Upper Confidence Limit2.844Same as national
SSI - Colon Surgery: Number of Procedures126Same as national
SSI - Colon Surgery: Predicted Cases3.392Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.179Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures69Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.672Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit0.053Same as national
MRSA Bacteremia: Upper Confidence Limit1.042Same as national
MRSA Bacteremia: Patient Days108292Same as national
MRSA Bacteremia: Predicted Cases6.339Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.316Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.240Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.545Better than national
Clostridium Difficile (C.Diff): Patient Days96167Better than national
Clostridium Difficile (C.Diff): Predicted Cases62.309Better than national
Clostridium Difficile (C.Diff): Observed Cases23Better than national
Clostridium Difficile (C.Diff)0.369Better 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national170
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients—Not available—
Death rate for pneumonia patients17.9Same as national25
Death rate for stroke patients11.5Same as national25
Pressure ulcer rate0.34Same as national819
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national910
In-hospital fall-associated fracture rate0.26Same as national1036
Postoperative hemorrhage or hematoma rate2.50Same as national178
Postoperative acute kidney injury requiring dialysis rate1.57Same as national83
Postoperative respiratory failure rate11.73Same as national74
Perioperative pulmonary embolism or deep vein thrombosis rate4.53Same as national235
Postoperative sepsis rate5.31Same as national94
Postoperative wound dehiscence rate1.75Same as national37
Abdominopelvic accidental puncture or laceration rate1.01Same as national181
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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 patients—Not available—
Hospital return days for heart failure patients86.7Not available28
Hospital return days for pneumonia patients—Not available—
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national275
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)—Not available—
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery—Not available—
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national29
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate21Same as national28
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate—Not 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 rating3546
Doctor communication - star rating4546
Communication about medicines - star rating2546
Discharge information - star rating4546
Cleanliness - star rating3546
Quietness - star rating2546
Overall hospital rating - star rating3546
Recommend hospital - star rating4546
Summary star rating3546

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 Hyperglycemia629705
Hospital Harm - Severe Hypoglycemia15146
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination686935
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 Prescribing43827
Appropriate care for severe sepsis and septic shock77170
Septic Shock 3-Hour Bundle6357
Septic Shock 6-Hour Bundle9029
Severe Sepsis 3-Hour Bundle93170
Severe Sepsis 6-Hour Bundle9787
Discharged on Antithrombotic Therapy94253
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-Santa Clara rated?
Kaiser Foundation Hospital-Santa Clara has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Foundation Hospital-Santa Clara have emergency services?
Yes. Kaiser Foundation Hospital-Santa Clara operates a 24/7 emergency department.
Where is Kaiser Foundation Hospital-Santa Clara located?
Kaiser Foundation Hospital-Santa Clara is located at 700 Lawrence Expressway, Santa Clara, CA 95051.
What type of hospital is Kaiser Foundation Hospital-Santa Clara?
Kaiser Foundation Hospital-Santa Clara 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