Honorhealth Four Peaks Medical Center

Hospital in Mesa, AZ, Medicare certification number 030121. CMS publishes 60 quality measures for it.

Medicare certification

Provider of Services

CCN: 030121The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Proprietary
Control type: Private (for profit)
Participating since: Aug 3, 2007
Last certification: May 15, 2018
Beds: 178
Overall star rating: 2 of 5Care Compare
Most recent change of ownership: Oct 3, 2024 (2 total)
Address: 1301 South Crismon Road
Mesa, AZ 85209
(480) 358-6100

NPI records for this facility 3

Honorhealth
- General Acute Care Hospital
- Mesa, AZ
- NPI 1427875061
Medicare enrollment
Honorhealth
- General Acute Care Hospital
- Florence, AZ
- NPI 1497572036
Medicare enrollment
Honorhealth
- General Acute Care Hospital
- Mesa, AZ
- NPI 1861219404
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 2.91 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse1 of 5
- State average 2.38 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse2 of 5
- State average 2.86 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.43 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 2.97 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 2.97 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.88 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse2 of 5
- State average 3.22 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 2.77 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.97
- State average 1.16 (computed here)
- National average 1.06
- No different than the national rate
- 289 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.8
- State average 1.02 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected150.3
- State average 172.34 (computed here)
- National average 173.3
- No different than the national rate
- 37 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected14.4
- State average 11.88 (computed here)
- National average 11.9
- No different than the national rate
- 102 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.8
- State average 10.37 (computed here)
- National average 11.1
- No different than the national rate
- 107 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14
- State average 14.87 (computed here)
- National average 15.2
- No different than the national rate
- 154 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12
- State average 11.95 (computed here)
- National average 11.9
- No different than the national rate
- 168 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.2
- State average 3.86 (computed here)
- National average 3.9
- No different than the national rate
- 1,215 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 2,183 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 2,093 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.64
- State average 3.62 (computed here)
- National average 3.52
- No different than the national rate
- 678 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.05
- State average 1.89 (computed here)
- National average 1.67
- No different than the national rate
- 256 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.37
- State average 2.36 (computed here)
- National average 2.34
- No different than the national rate
- 659 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected7.36
- State average 9.81 (computed here)
- National average 9.42
- No different than the national rate
- 256 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.51
- State average 5.34 (computed here)
- National average 5.27
- No different than the national rate
- 236 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.72
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 96 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.33
- State average 0.62 (computed here)
- National average 0.63
- No different than the national rate
- 1,426 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.8
- State average 4.19 (computed here)
- National average 4.1
- No different than the national rate
- 85 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (2)

Death rate for CABG surgery patients — 1
Death rate for COPD patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.39
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.97
- State average 0.53
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.1
- State average 0.38
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.59
- State average 0.52
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0
- State average 0.88
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Colon Surgery — 13

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 0.7
- State average 3.6 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 1

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.96
- State average 0.94
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 92
- State average 93.08 (computed here)
- National average 92.79 (computed here)
- 91 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 51
- State average 59
- National average 65
- 67 patients
- Period from 10/01/2024
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 186
- State average 183
- National average 168
- 758 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 335
- State average 350
- National average 287
- 41 patients
- Period from 10/01/2024
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 180
- State average 176
- National average 162
- 682 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 194
- State average 273
- National average 257
- 36 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 80
- State average 91
- National average 93
- 75 patients
- Period from 01/01/2024
Head CT results 71
- State average 70
- National average 69
- 42 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 38
- State average 81
- National average 78
- 2,882 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 10
- State average 7.23 (computed here)
- National average 8.08 (computed here)
- 4,970 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.04 (computed here)
- National average 1.09 (computed here)
- 1,092 patients
- Period from 01/01/2024
Left before being seen 5
- State average 2
- National average 2
- 33,417 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 9
- State average 11
- National average 15
- 1,321 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 59
- State average 65
- National average 73
- 17 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 75
- State average 78
- National average 81
- 67 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 87
- State average 90
- National average 93
- 45 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — medium
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Septic Shock 6-Hour Bundle — 1, 2, 3
ST-Segment Elevation Myocardial Infarction (STEMI) — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.5
- State average 14.41 (computed here)
- National average 14.4
- No different than the national rate
- 160 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.9
- State average 20.91 (computed here)
- National average 21.3
- No different than the national rate
- 202 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -6.6
- State average 8.42 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 95 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -44
- State average 0.64 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 125 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 15.6
- State average 3.74 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 166 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.8
- State average 17.18 (computed here)
- National average 17.3
- No different than the national rate
- 274 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected5.8
- State average 5.8 (computed here)
- National average 5.8
- No different than the national rate
- 80 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.8
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 72 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14
- State average 13.22 (computed here)
- National average 13
- No different than the national rate
- 240 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.04 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 118 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 5
Rate of readmission for CABG — 1

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.