JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Northbay Medical Center

2 / 5

At a glance

Northbay 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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.184Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.966Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5981Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.154Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.722Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.104Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.046Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4568Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.230Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.619Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.143Same as national
SSI - Colon Surgery: Number of Procedures93Same as national
SSI - Colon Surgery: Predicted Cases2.621Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures24Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.203Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.162Same as national
MRSA Bacteremia: Upper Confidence Limit3.183Same as national
MRSA Bacteremia: Patient Days54679Same as national
MRSA Bacteremia: Predicted Cases2.076Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.963Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.317Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.851Better than national
Clostridium Difficile (C.Diff): Patient Days50194Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.876Better than national
Clostridium Difficile (C.Diff): Observed Cases16Better than national
Clostridium Difficile (C.Diff)0.536Better 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 patients3.2Same as national26
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1400
Death rate for heart attack patients12.7Same as national168
Death rate for CABG surgery patients4.9Same as national45
Death rate for COPD patients9.3Same as national167
Death rate for heart failure patients9.7Same as national385
Death rate for pneumonia patients15.5Same as national484
Death rate for stroke patients13.6Same as national220
Pressure ulcer rate0.34Same as national4549
Death rate among surgical inpatients with serious treatable complications180.67Same as national88
Iatrogenic pneumothorax rate0.20Same as national6261
In-hospital fall-associated fracture rate0.22Same as national6385
Postoperative hemorrhage or hematoma rate2.02Same as national1156
Postoperative acute kidney injury requiring dialysis rate1.89Same as national280
Postoperative respiratory failure rate12.55Same as national284
Perioperative pulmonary embolism or deep vein thrombosis rate4.02Same as national1179
Postoperative sepsis rate5.96Same as national276
Postoperative wound dehiscence rate1.96Same as national256
Abdominopelvic accidental puncture or laceration rate1.08Same as national1001
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patients22.5Not available193
Hospital return days for heart failure patients9.2Not available488
Hospital return days for pneumonia patients15.3Not available525
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2417
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national196
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.6Worse than national166
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national166
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national250
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national193
Rate of readmission for CABG10.9Same as national40
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national185
Heart failure (HF) 30-Day Readmission Rate21Same as national488
Rate of readmission after hip/knee replacement4.8Same as national25
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national525

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 rating21032
Doctor communication - star rating31032
Communication about medicines - star rating21032
Discharge information - star rating31032
Cleanliness - star rating31032
Quietness - star rating21032
Overall hospital rating - star rating31032
Recommend hospital - star rating31032
Summary star rating31032

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 volumevery high
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 Hyperglycemia916440
Hospital Harm - Severe Hypoglycemia22852
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination673790
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 better188487
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 better183453
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26731
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 seen275571
Head CT results8945
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)427
Safe Use of Opioids - Concurrent Prescribing142998
Appropriate care for severe sepsis and septic shock48137
Septic Shock 3-Hour Bundle5937
Septic Shock 6-Hour Bundle9417
Severe Sepsis 3-Hour Bundle77138
Severe Sepsis 6-Hour Bundle7571
Discharged on Antithrombotic Therapy94164
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 Northbay Medical Center rated?
Northbay Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Northbay Medical Center have emergency services?
Yes. Northbay Medical Center operates a 24/7 emergency department.
Where is Northbay Medical Center located?
Northbay Medical Center is located at 1200 B Gale Wilson Blvd, Fairfield, CA 94533.
What type of hospital is Northbay Medical Center?
Northbay Medical Center 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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