JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

Maui Memorial Medical Center

2 / 5

At a glance

Maui Memorial Medical Center 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 Limit0.284Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.042Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3923Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.684Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.118Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.101Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.990Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3983Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.321Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.602Same as national
SSI - Colon Surgery: Lower Confidence Limit0.299Same as national
SSI - Colon Surgery: Upper Confidence Limit3.201Same as national
SSI - Colon Surgery: Number of Procedures109Same as national
SSI - Colon Surgery: Predicted Cases2.551Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.176Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures16Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.130Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.094Same as national
MRSA Bacteremia: Upper Confidence Limit1.860Same as national
MRSA Bacteremia: Patient Days78783Same as national
MRSA Bacteremia: Predicted Cases3.553Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.563Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.152Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.478Better than national
Clostridium Difficile (C.Diff): Patient Days75153Better than national
Clostridium Difficile (C.Diff): Predicted Cases42.675Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.281Better 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 Rate4.4Same as national635
Death rate for heart attack patients11.7Same as national87
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.5Same as national33
Death rate for heart failure patients13.7Same as national150
Death rate for pneumonia patients21.9Worse than national206
Death rate for stroke patients18.1Worse than national99
Pressure ulcer rate1.33Same as national2156
Death rate among surgical inpatients with serious treatable complications191.23Same as national33
Iatrogenic pneumothorax rate0.18Same as national2439
In-hospital fall-associated fracture rate0.29Same as national2466
Postoperative hemorrhage or hematoma rate2.05Same as national486
Postoperative acute kidney injury requiring dialysis rate1.63Same as national91
Postoperative respiratory failure rate7.67Same as national97
Perioperative pulmonary embolism or deep vein thrombosis rate4.11Same as national523
Postoperative sepsis rate4.90Same as national92
Postoperative wound dehiscence rate1.69Same as national134
Abdominopelvic accidental puncture or laceration rate1.48Same as national496
CMS Medicare PSI 90: Patient safety and adverse events composite1.17Same 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 patients22.2Not available83
Hospital return days for heart failure patients-19.4Not available156
Hospital return days for pneumonia patients17.2Not available201
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national946
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national390
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.1Same as national72
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.6Same as national72
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national121
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national83
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national32
Heart failure (HF) 30-Day Readmission Rate18.7Same as national156
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national201

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 rating31308
Doctor communication - star rating31308
Communication about medicines - star rating21308
Discharge information - star rating31308
Cleanliness - star rating31308
Quietness - star rating21308
Overall hospital rating - star rating21308
Recommend hospital - star rating31308
Summary star rating31308

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 volumehigh
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 Hyperglycemia813098
Hospital Harm - Severe Hypoglycemia11978
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination571341
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 better148408
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 better144378
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22629
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 seen054775
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients70213
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142116
Appropriate care for severe sepsis and septic shock89257
Septic Shock 3-Hour Bundle90124
Septic Shock 6-Hour Bundle10080
Severe Sepsis 3-Hour Bundle94257
Severe Sepsis 6-Hour Bundle99165
Discharged on Antithrombotic Therapy97201
Anticoagulation Therapy for Atrial Fibrillation/Flutter5768
Antithrombotic Therapy by End of Hospital Day 290181
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 Maui Memorial Medical Center rated?
Maui Memorial Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Maui Memorial Medical Center have emergency services?
According to CMS records, Maui Memorial Medical Center does not report a 24/7 emergency department.
Where is Maui Memorial Medical Center located?
Maui Memorial Medical Center is located at 221 Mahalani Street, Wailuku, HI 96793.
What type of hospital is Maui Memorial Medical Center?
Maui Memorial Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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