JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Kaiser Foundation Hospital - Vacaville

4 / 5

At a glance

Kaiser Foundation Hospital - Vacaville carries a 4-star CMS overall rating — above the national norm.

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 Limit0.023Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.250Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2405Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.192Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.456Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.095Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.872Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3509Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.529Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.567Same as national
SSI - Colon Surgery: Lower Confidence Limit0.501Same as national
SSI - Colon Surgery: Upper Confidence Limit5.361Same as national
SSI - Colon Surgery: Number of Procedures63Same as national
SSI - Colon Surgery: Predicted Cases1.523Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.970Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.031Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.332Same as national
MRSA Bacteremia: Patient Days43119Same as national
MRSA Bacteremia: Predicted Cases2.249Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.407Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.060Same as national
Clostridium Difficile (C.Diff): Patient Days40576Same as national
Clostridium Difficile (C.Diff): Predicted Cases25.159Same as national
Clostridium Difficile (C.Diff): Observed Cases17Same as national
Clostridium Difficile (C.Diff)0.676Same as 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 Rate4.2Same as national99
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 patientsNot available
Death rate for stroke patientsNot available
Pressure ulcer rate0.44Same as national508
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national535
In-hospital fall-associated fracture rate0.27Same as national517
Postoperative hemorrhage or hematoma rate2.55Same as national153
Postoperative acute kidney injury requiring dialysis rate1.67Same as national47
Postoperative respiratory failure rate8.91Same as national50
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national152
Postoperative sepsis rate5.15Same as national43
Postoperative wound dehiscence rate1.75Same as national30
Abdominopelvic accidental puncture or laceration rate1.03Same as national116
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national148
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 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 rating3976
Doctor communication - star rating4976
Communication about medicines - star rating2976
Discharge information - star rating4976
Cleanliness - star rating4976
Quietness - star rating2976
Overall hospital rating - star rating4976
Recommend hospital - star rating4976
Summary star rating3976

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 Hyperglycemia910808
Hospital Harm - Severe Hypoglycemia11856
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination543096
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 Prescribing62107
Appropriate care for severe sepsis and septic shock79123
Septic Shock 3-Hour Bundle8352
Septic Shock 6-Hour Bundle9434
Severe Sepsis 3-Hour Bundle89123
Severe Sepsis 6-Hour Bundle9776
Discharged on Antithrombotic Therapy8363
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 - Vacaville rated?
Kaiser Foundation Hospital - Vacaville has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Foundation Hospital - Vacaville have emergency services?
Yes. Kaiser Foundation Hospital - Vacaville operates a 24/7 emergency department.
Where is Kaiser Foundation Hospital - Vacaville located?
Kaiser Foundation Hospital - Vacaville is located at 1 Quality Drive, Vacaville, CA 95688.
What type of hospital is Kaiser Foundation Hospital - Vacaville?
Kaiser Foundation Hospital - Vacaville 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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