JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

West Kendall Baptist Hospital

5 / 5

At a glance

West Kendall Baptist 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 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.024Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3455Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.925Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.014Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.380Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3568Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.574Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.280Same as national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.495Better than national
SSI - Colon Surgery: Number of Procedures235Better than national
SSI - Colon Surgery: Predicted Cases6.051Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.283Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.576Same as national
SSI - Abdominal Hysterectomy: Number of Procedures162Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.185Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.688Same as national
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.499Same as national
MRSA Bacteremia: Patient Days51006Same as national
MRSA Bacteremia: Predicted Cases1.998Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.132Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.677Better than national
Clostridium Difficile (C.Diff): Patient Days48106Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.431Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.326Better 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 Rate3.1Better than national540
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national50
Death rate for heart failure patients9.6Same as national157
Death rate for pneumonia patients12Better than national251
Death rate for stroke patients11.4Same as national54
Pressure ulcer rate0.28Same as national2311
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.31Same as national2513
In-hospital fall-associated fracture rate0.29Same as national2605
Postoperative hemorrhage or hematoma rate2.78Same as national324
Postoperative acute kidney injury requiring dialysis rate1.65Same as national63
Postoperative respiratory failure rate8.46Same as national55
Perioperative pulmonary embolism or deep vein thrombosis rate3.42Same as national345
Postoperative sepsis rate4.91Same as national56
Postoperative wound dehiscence rate1.72Same as national109
Abdominopelvic accidental puncture or laceration rate0.96Same as national346
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients49.2Not available174
Hospital return days for pneumonia patients-19.8Not available273
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national883
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national43
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national74
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national57
Heart failure (HF) 30-Day Readmission Rate21.3Same as national174
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.5Same as national273

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 rating3713
Doctor communication - star rating3713
Communication about medicines - star rating2713
Discharge information - star rating3713
Cleanliness - star rating4713
Quietness - star rating4713
Overall hospital rating - star rating3713
Recommend hospital - star rating4713
Summary star rating3713

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination852344
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 better187387
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 better186370
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 seen1114857
Head CT results9020
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10062
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing101836
Appropriate care for severe sepsis and septic shock90436
Septic Shock 3-Hour Bundle91141
Septic Shock 6-Hour Bundle99113
Severe Sepsis 3-Hour Bundle95437
Severe Sepsis 6-Hour Bundle98317
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296189
Venous Thromboembolism Prophylaxis996815
Intensive Care Unit Venous Thromboembolism Prophylaxis100774

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 West Kendall Baptist Hospital rated?
West Kendall Baptist Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does West Kendall Baptist Hospital have emergency services?
Yes. West Kendall Baptist Hospital operates a 24/7 emergency department.
Where is West Kendall Baptist Hospital located?
West Kendall Baptist Hospital is located at 9555 Sw 162 Ave, Miami, FL 33196.
What type of hospital is West Kendall Baptist Hospital?
West Kendall Baptist Hospital 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.

Report an issue with this page