Acute Care Hospitals · Voluntary non-profit - Private
Providence Mission Hospital
- 27700 Medical Center Rd, Mission Viejo, CA 92691
- (949) 364-1400
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Providence Mission Hospital carries a 5-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. For 30-day readmissions, it beats the national rate on 2 measures and trails 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.225 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.157 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 10189 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 10.785 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 6 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.556 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.145 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.743 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 9305 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 16.807 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.357 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.007 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.707 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 279 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 6.980 | Better than national |
| SSI - Colon Surgery: Observed Cases | 1 | Better than national |
| SSI - Colon Surgery | 0.143 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 110 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.824 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.012 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.140 | Same as national |
| MRSA Bacteremia: Patient Days | 89152 | Same as national |
| MRSA Bacteremia: Predicted Cases | 4.326 | Same as national |
| MRSA Bacteremia: Observed Cases | 1 | Same as national |
| MRSA Bacteremia | 0.231 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.206 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.593 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 86073 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 38.662 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 14 | Better than national |
| Clostridium Difficile (C.Diff) | 0.362 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 2.7 | Same as national | 63 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as national | 2527 |
| Death rate for heart attack patients | 12 | Same as national | 265 |
| Death rate for CABG surgery patients | 2 | Same as national | 54 |
| Death rate for COPD patients | 10.2 | Same as national | 79 |
| Death rate for heart failure patients | 10.3 | Same as national | 417 |
| Death rate for pneumonia patients | 15.2 | Same as national | 759 |
| Death rate for stroke patients | 13 | Same as national | 333 |
| Pressure ulcer rate | 0.21 | Same as national | 7316 |
| Death rate among surgical inpatients with serious treatable complications | 163.98 | Same as national | 165 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 8625 |
| In-hospital fall-associated fracture rate | 0.29 | Same as national | 8755 |
| Postoperative hemorrhage or hematoma rate | 2.26 | Same as national | 2222 |
| Postoperative acute kidney injury requiring dialysis rate | 2.24 | Same as national | 932 |
| Postoperative respiratory failure rate | 10.47 | Same as national | 872 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.82 | Same as national | 2413 |
| Postoperative sepsis rate | 5.72 | Same as national | 861 |
| Postoperative wound dehiscence rate | 1.57 | Same as national | 610 |
| Abdominopelvic accidental puncture or laceration rate | 1.29 | Same as national | 1814 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.92 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 3.4 | Not available | 253 |
| Hospital return days for heart failure patients | 9.9 | Not available | 458 |
| Hospital return days for pneumonia patients | 4.4 | Not available | 761 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14 | Better than national | 4080 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 10.4 | Better than national | 3901 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.1 | Same as national | 209 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.8 | Same as national | 209 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 791 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.3 | Same as national | 253 |
| Rate of readmission for CABG | 9.2 | Same as national | 54 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.5 | Same as national | 80 |
| Heart failure (HF) 30-Day Readmission Rate | 19.7 | Same as national | 458 |
| Rate of readmission after hip/knee replacement | 4.9 | Same as national | 65 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.5 | Same as national | 761 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 443 |
| Doctor communication - star rating | 3 | 443 |
| Communication about medicines - star rating | 2 | 443 |
| Discharge information - star rating | 3 | 443 |
| Cleanliness - star rating | 3 | 443 |
| Quietness - star rating | 2 | 443 |
| Overall hospital rating - star rating | 4 | 443 |
| Recommend hospital - star rating | 4 | 443 |
| Summary star rating | 3 | 443 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 Hyperglycemia | — | — |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 75 | 4889 |
| 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 | 238 | 403 |
| 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 | 228 | 370 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 408 | 29 |
| 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 | 1 | 90220 |
| Head CT results | 65 | 20 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 94 | 69 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 19 | 4292 |
| Appropriate care for severe sepsis and septic shock | 82 | 283 |
| Septic Shock 3-Hour Bundle | 87 | 84 |
| Septic Shock 6-Hour Bundle | 97 | 67 |
| Severe Sepsis 3-Hour Bundle | 90 | 284 |
| Severe Sepsis 6-Hour Bundle | 95 | 174 |
| Discharged on Antithrombotic Therapy | 95 | 328 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 296 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 98 | 2335 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Providence Mission Hospital rated?
- Providence Mission Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
- Does Providence Mission Hospital have emergency services?
- Yes. Providence Mission Hospital operates a 24/7 emergency department.
- Where is Providence Mission Hospital located?
- Providence Mission Hospital is located at 27700 Medical Center Rd, Mission Viejo, CA 92691.
- What type of hospital is Providence Mission Hospital?
- Providence Mission Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.