JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Kaiser Sunnyside Medical Center

4 / 5

At a glance

Kaiser Sunnyside Medical Center 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 Limit0.008Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.822Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6493Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.002Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.167Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.558Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.959Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9372Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.101Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases10Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.099Same as national
SSI - Colon Surgery: Lower Confidence Limit0.753Same as national
SSI - Colon Surgery: Upper Confidence Limit3.080Same as national
SSI - Colon Surgery: Number of Procedures188Same as national
SSI - Colon Surgery: Predicted Cases4.932Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery1.622Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures86Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.721Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.705Better than national
MRSA Bacteremia: Patient Days90476Better than national
MRSA Bacteremia: Predicted Cases4.248Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.280Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.625Better than national
Clostridium Difficile (C.Diff): Patient Days82210Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.273Better than national
Clostridium Difficile (C.Diff): Observed Cases24Better than national
Clostridium Difficile (C.Diff)0.426Better 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 Rate3.8Same as national323
Death rate for heart attack patients12.2Same as national53
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11.6Same as national40
Death rate for pneumonia patients13.4Same as national38
Death rate for stroke patients12.3Same as national83
Pressure ulcer rate2.16Worse than national1198
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.31Same as national1542
In-hospital fall-associated fracture rate0.25Same as national1571
Postoperative hemorrhage or hematoma rate2.30Same as national396
Postoperative acute kidney injury requiring dialysis rate1.58Same as national137
Postoperative respiratory failure rate7.10Same as national130
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national422
Postoperative sepsis rate4.69Same as national136
Postoperative wound dehiscence rate1.72Same as national79
Abdominopelvic accidental puncture or laceration rate0.97Same as national315
CMS Medicare PSI 90: Patient safety and adverse events composite1.36Same 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-39.5Not available54
Hospital return days for heart failure patients-20.2Not available46
Hospital return days for pneumonia patients-5.6Not available39
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national529
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 Rate12.3Same as national54
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20Same as national46
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national39

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 rating33489
Doctor communication - star rating43489
Communication about medicines - star rating33489
Discharge information - star rating43489
Cleanliness - star rating23489
Quietness - star rating23489
Overall hospital rating - star rating33489
Recommend hospital - star rating43489
Summary star rating33489

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination613563
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 Prescribing105773
Appropriate care for severe sepsis and septic shock78656
Septic Shock 3-Hour Bundle91217
Septic Shock 6-Hour Bundle82119
Severe Sepsis 3-Hour Bundle91656
Severe Sepsis 6-Hour Bundle91478
Discharged on Antithrombotic Therapy99447
Anticoagulation Therapy for Atrial Fibrillation/Flutter90100
Antithrombotic Therapy by End of Hospital Day 291336
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 Sunnyside Medical Center rated?
Kaiser Sunnyside Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Kaiser Sunnyside Medical Center have emergency services?
Yes. Kaiser Sunnyside Medical Center operates a 24/7 emergency department.
Where is Kaiser Sunnyside Medical Center located?
Kaiser Sunnyside Medical Center is located at 10180 Se Sunnyside Road, Clackamas, OR 97015.
What type of hospital is Kaiser Sunnyside Medical Center?
Kaiser Sunnyside Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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