JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Peninsula Medical Center

5 / 5

At a glance

Peninsula Medical Center carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.011Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.057Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4496Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.667Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.214Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.007Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.669Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5811Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.367Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.136Better than national
SSI - Colon Surgery: Lower Confidence Limit0.177Same as national
SSI - Colon Surgery: Upper Confidence Limit1.891Same as national
SSI - Colon Surgery: Number of Procedures181Same as national
SSI - Colon Surgery: Predicted Cases4.318Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.695Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures51Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.368Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.014Same as national
MRSA Bacteremia: Upper Confidence Limit1.364Same as national
MRSA Bacteremia: Patient Days62982Same as national
MRSA Bacteremia: Predicted Cases3.616Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.277Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.123Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.385Better than national
Clostridium Difficile (C.Diff): Patient Days59480Better than national
Clostridium Difficile (C.Diff): Predicted Cases52.992Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.226Better 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 patients3Same as national133
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national1940
Death rate for heart attack patients10.9Same as national181
Death rate for CABG surgery patients2.7Same as national34
Death rate for COPD patients6.8Same as national76
Death rate for heart failure patients8.5Better than national495
Death rate for pneumonia patients14.6Same as national259
Death rate for stroke patients11.4Same as national371
Pressure ulcer rate0.14Same as national5539
Death rate among surgical inpatients with serious treatable complications155.44Same as national90
Iatrogenic pneumothorax rate0.20Same as national6904
In-hospital fall-associated fracture rate0.21Same as national7052
Postoperative hemorrhage or hematoma rate2.11Same as national1545
Postoperative acute kidney injury requiring dialysis rate1.72Same as national665
Postoperative respiratory failure rate7.10Same as national670
Perioperative pulmonary embolism or deep vein thrombosis rate3.41Same as national1695
Postoperative sepsis rate5.96Same as national653
Postoperative wound dehiscence rate1.61Same as national418
Abdominopelvic accidental puncture or laceration rate1.21Same as national1258
CMS Medicare PSI 90: Patient safety and adverse events composite0.81Same 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 patients1.2Not available202
Hospital return days for heart failure patients-8.3Not available555
Hospital return days for pneumonia patients12.7Not available253
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national3122
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national584
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national85
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.5Same as national85
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national764
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national202
Rate of readmission for CABG10.9Same as national33
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national87
Heart failure (HF) 30-Day Readmission Rate19.5Same as national555
Rate of readmission after hip/knee replacement3.8Same as national132
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national253

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 rating4528
Doctor communication - star rating3528
Communication about medicines - star rating3528
Discharge information - star rating4528
Cleanliness - star rating4528
Quietness - star rating3528
Overall hospital rating - star rating4528
Recommend hospital - star rating5528
Summary star rating4528

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia13336
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination773396
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 better179407
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 better178382
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27224
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 seen255193
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9977
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142589
Appropriate care for severe sepsis and septic shock76232
Septic Shock 3-Hour Bundle7565
Septic Shock 6-Hour Bundle9040
Severe Sepsis 3-Hour Bundle88233
Severe Sepsis 6-Hour Bundle99162
Discharged on Antithrombotic Therapy97332
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis981273

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 Peninsula Medical Center rated?
Peninsula Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Peninsula Medical Center have emergency services?
Yes. Peninsula Medical Center operates a 24/7 emergency department.
Where is Peninsula Medical Center located?
Peninsula Medical Center is located at 1501 Trousdale Drive, Burlingame, CA 94010.
What type of hospital is Peninsula Medical Center?
Peninsula 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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