JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

North Hawaii Community Hospital, Inc

3 / 5

At a glance

North Hawaii Community Hospital, Inc carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1049Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.756Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days952Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.647Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures15Not available
SSI - Colon Surgery: Predicted Cases0.328Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.049Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days7767Not available
MRSA Bacteremia: Predicted Cases0.176Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.382Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit4.086Same as national
Clostridium Difficile (C.Diff): Patient Days7065Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.998Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)1.502Same 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 Rate4.3Same as national184
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 patients10.6Same as national39
Death rate for pneumonia patients13.1Same as national58
Death rate for stroke patients13.8Same as national40
Pressure ulcer rate0.48Same as national552
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national737
In-hospital fall-associated fracture rate0.27Same as national719
Postoperative hemorrhage or hematoma rate2.26Same as national145
Postoperative acute kidney injury requiring dialysis rate1.67Same as national36
Postoperative respiratory failure rate8.83Same as national39
Perioperative pulmonary embolism or deep vein thrombosis rate4.24Same as national151
Postoperative sepsis rate5.07Same as national37
Postoperative wound dehiscence rate1.75Same as national46
Abdominopelvic accidental puncture or laceration rate1.03Same as national130
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients-27.4Not available39
Hospital return days for pneumonia patients-80.7Not available54
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national264
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national256
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.5Same as national80
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national80
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national154
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 Rate18.8Same as national39
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national54

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 rating4315
Doctor communication - star rating3315
Communication about medicines - star rating2315
Discharge information - star rating3315
Cleanliness - star rating4315
Quietness - star rating3315
Overall hospital rating - star rating4315
Recommend hospital - star rating4315
Summary star rating3315

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 volumelow
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 vaccination67652
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 better137381
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 better135368
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 seen118493
Head CT results9212
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9466
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing10386
Appropriate care for severe sepsis and septic shock80107
Septic Shock 3-Hour Bundle10033
Septic Shock 6-Hour Bundle9520
Severe Sepsis 3-Hour Bundle88108
Severe Sepsis 6-Hour Bundle9073
Discharged on Antithrombotic Therapy9847
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29732
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis65285

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 North Hawaii Community Hospital, Inc rated?
North Hawaii Community Hospital, Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does North Hawaii Community Hospital, Inc have emergency services?
Yes. North Hawaii Community Hospital, Inc operates a 24/7 emergency department.
Where is North Hawaii Community Hospital, Inc located?
North Hawaii Community Hospital, Inc is located at 67 1125 Mamalahoa Highway, Kamuela, HI 96743.
What type of hospital is North Hawaii Community Hospital, Inc?
North Hawaii Community Hospital, Inc 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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