JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Kaiser Foundation Hospital - West la

3 / 5

At a glance

Kaiser Foundation Hospital - West la carries a 3-star CMS overall rating — in line with 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 Limit0.014Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.415Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3261Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.486Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.287Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.076Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.507Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3511Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.385Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.456Same as national
SSI - Colon Surgery: Lower Confidence Limit0.180Same as national
SSI - Colon Surgery: Upper Confidence Limit1.926Same as national
SSI - Colon Surgery: Number of Procedures170Same as national
SSI - Colon Surgery: Predicted Cases4.239Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.708Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures30Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.269Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.017Same as national
MRSA Bacteremia: Upper Confidence Limit1.664Same as national
MRSA Bacteremia: Patient Days57176Same as national
MRSA Bacteremia: Predicted Cases2.964Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.337Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.161Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.533Better than national
Clostridium Difficile (C.Diff): Patient Days52814Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.896Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.306Better 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 Rate4.2Same as national170
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 patients9.9Same as national25
Death rate for pneumonia patients17.1Same as national35
Death rate for stroke patientsNot available
Pressure ulcer rate0.33Same as national804
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national945
In-hospital fall-associated fracture rate0.26Same as national992
Postoperative hemorrhage or hematoma rate2.90Same as national132
Postoperative acute kidney injury requiring dialysis rate1.66Same as national26
Postoperative respiratory failure rate8.50Same as national30
Perioperative pulmonary embolism or deep vein thrombosis rate3.73Same as national133
Postoperative sepsis rate5.12Same as national28
Postoperative wound dehiscence rate2.09Same as national36
Abdominopelvic accidental puncture or laceration rate1.31Same as national180
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patients90.4Not available30
Hospital return days for pneumonia patients-12.1Not available29
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national286
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 Rate20.1Same as national30
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national29

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 rating3392
Doctor communication - star rating4392
Communication about medicines - star rating2392
Discharge information - star rating4392
Cleanliness - star rating3392
Quietness - star rating2392
Overall hospital rating - star rating4392
Recommend hospital - star rating4392
Summary star rating3392

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 Hypoglycemia02818
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination543414
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 Prescribing102313
Appropriate care for severe sepsis and septic shock73215
Septic Shock 3-Hour Bundle7469
Septic Shock 6-Hour Bundle9144
Severe Sepsis 3-Hour Bundle87215
Severe Sepsis 6-Hour Bundle94122
Discharged on Antithrombotic Therapy88168
Anticoagulation Therapy for Atrial Fibrillation/Flutter8030
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 - West la rated?
Kaiser Foundation Hospital - West la has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Foundation Hospital - West la have emergency services?
According to CMS records, Kaiser Foundation Hospital - West la does not report a 24/7 emergency department.
Where is Kaiser Foundation Hospital - West la located?
Kaiser Foundation Hospital - West la is located at 6041 Cadillac Ave, Los Angeles, CA 90034.
What type of hospital is Kaiser Foundation Hospital - West la?
Kaiser Foundation Hospital - West la 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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