St Joseph Health Northern California LLC

Doing business as Providence Santa Rosa Memorial Hospital

Hospital in Santa Rosa, CA, Medicare certification number 050174. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 050174The 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: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Dec 5, 2024
Beds: 346
Overall star rating: 3 of 5Care Compare
Most recent change of ownership: Apr 1, 2018 (2 total)
Address: 1165 Montgomery Dr
Santa Rosa, CA 95405
(707) 525-5300

NPI records for this facility (CCN to NPI Mapping) 1

St. Joseph Health Northern California, LLC

dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Santa Rosa Memorial Hospital Inpatient rehabilitation facility, CCN 05T174, 18 measures, 7 providers

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.51 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.45 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.08 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.69 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 2.86 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.05 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse1 of 5
- State average 2.2 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.43 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 2.86 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 828

Page 1 of 34Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Sundas Abbas, MD
- Internal Medicine Physician
- Richmond Heights, MO
- NPI 1649790486
Sherwin Abdoli, MD
- Surgery Physician
- Petaluma, CA
- NPI 1508386442
Rami Y Abdou, M.D.
- Otolaryngology Physician
- Santa Rosa, CA
- NPI 1700143013
Katharina Abernethy, PA, PTA
- Physician Assistant
- Windsor, CA
- NPI 1518039536
Gregory T. Ackroyd, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Santa Rosa, CA
- NPI 1538192984
Amy Adams, M.D.
- Emergency Medicine Physician
- Petaluma, CA
- NPI 1700976610
Jake M Adkins, M.D.
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1750743951
Ty Preston Affleck, MD
- Sports Medicine (Family Medicine) Physician
- Santa Rosa, CA
- NPI 1306941083
Anu Agarwal, M.D.
- Cardiovascular Disease Physician
- Santa Rosa, CA
- NPI 1639345481
Johnathan Emad Agil, MD
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1700413002
Harsh Agrawal, M.D
- Interventional Cardiology Physician
- San Francisco, CA
- NPI 1629397674
Bianka J Aguilar, MD
- Family Medicine Physician
- Santa Rosa, CA
- NPI 1033786694
Aditi Ahlawat, M.D.
- Neurology Physician
- Sausalito, CA
- NPI 1104207901
Robina Ahmad, MD
- Family Medicine Physician
- San Diego, CA
- NPI 1003265745
Shea Aiken, M.D.
- Anesthesiology Physician
- Stanford, CA
- NPI 1629266671
Daniel Aine, DO
- Student in an Organized Health Care Education/Training Program
- Gainesville, FL
- NPI 1215565361
Hamza Aksu, MD
- Hospitalist Physician
- Brookline, MA
- NPI 1902442635
Katherine Aldrich, NP
- Adult Health Nurse Practitioner
- Santa Rosa, CA
- NPI 1194995563
Jonathan E. Alfert, M.D.
- Diagnostic Radiology Physician
- Fairfax, VA
- NPI 1932133832
Robert M Allen, M.D.
- Hospitalist Physician
- Sacramento, CA
- NPI 1558586503
David E Almond, M.D.
- Internal Medicine Physician
- Redwood Valley, CA
- NPI 1295703833
Haitham Alsahli, MD
- Diagnostic Radiology Physician
- Ann Arbor, MI
- NPI 1801039219
Arwa Alsamarae, M.D.
- Ophthalmology Physician
- Santa Rosa, CA
- NPI 1487072534
Mujeeb Altaf, MBBS.,MRCP(UK)
- Hospitalist Physician
- Santa Rosa, CA
- NPI 1316125941
Sarah Fearing Alvord, M.D.
- Internal Medicine Physician
- Ukiah, CA
- NPI 1831402619

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.19
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 1,736 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.76
- State average 0.96 (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 expected181.27
- State average 170.51 (computed here)
- National average 173.3
- No different than the national rate
- 109 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.1
- State average 2.38 (computed here)
- National average 2.4
- No different than the national rate
- 72 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.8
- State average 8.24 (computed here)
- National average 8.6
- No different than the national rate
- 129 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.3
- State average 11.57 (computed here)
- National average 11.9
- No different than the national rate
- 226 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.2
- State average 10.29 (computed here)
- National average 11.1
- No different than the national rate
- 530 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.2
- State average 14.49 (computed here)
- National average 15.2
- No different than the national rate
- 448 patients
- Period from 07/01/2022
Death rate for stroke patients Better8.3
- State average 11.57 (computed here)
- National average 11.9
- Better than the national rate
- 245 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.2
- State average 3.81 (computed here)
- National average 3.9
- Better than the national rate
- 2,733 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 8,115 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.23
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 8,057 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.37
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 2,186 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.59
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 772 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.27
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 1,999 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected5.74
- State average 9.56 (computed here)
- National average 9.42
- No different than the national rate
- 810 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.04
- State average 5.5 (computed here)
- National average 5.27
- No different than the national rate
- 768 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.8
- State average 1.8 (computed here)
- National average 1.77
- No different than the national rate
- 401 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.46
- State average 0.48 (computed here)
- National average 0.63
- No different than the national rate
- 7,051 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.3
- State average 4.07 (computed here)
- National average 4.1
- No different than the national rate
- 77 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.92
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.55
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.38
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.3
- State average 0.7
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.35
- State average 0.79
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4
- State average 4.96 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 4.2
- State average 8.42 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.04
- State average 1.02
- 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 88
- State average 89.93 (computed here)
- National average 92.79 (computed here)
- 156 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 69
- State average 70
- National average 65
- 198 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 164
- State average 180
- National average 168
- 380 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 163
- State average 174
- National average 162
- 349 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 227
- State average 260
- National average 257
- 27 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 93.4 (computed here)
- National average 96.1 (computed here)
- 168 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 93
- National average 93
- 88 patients
- Period from 01/01/2024
Head CT results 71
- State average 74
- National average 69
- 24 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 75
- State average 72
- National average 78
- 2,501 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 100
- State average 94.78 (computed here)
- National average 93.49 (computed here)
- 1,055 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 52,273 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 13
- National average 15
- 2,886 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 77
- State average 77
- National average 73
- 66 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 91
- State average 88
- National average 87
- 43 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 80
- State average 84
- National average 81
- 198 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 95
- National average 93
- 105 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — high
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
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.1
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 288 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.5
- State average 21.41 (computed here)
- National average 21.3
- No different than the national rate
- 489 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 0.4
- State average 11.09 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 259 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -0.4
- State average 7.9 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 580 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 7.5
- State average 16.67 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 456 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.2
- State average 17.7 (computed here)
- National average 17.3
- No different than the national rate
- 431 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected6.4
- State average 5.55 (computed here)
- National average 5.4
- No different than the national rate
- 584 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.3
- State average 11.39 (computed here)
- National average 10.7
- No different than the national rate
- 584 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.1
- State average 5.61 (computed here)
- National average 5.8
- No different than the national rate
- 72 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected9.4
- State average 11.19 (computed here)
- National average 11
- No different than the national rate
- 64 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.2
- State average 19.94 (computed here)
- National average 20
- No different than the national rate
- 133 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.5
- State average 12.91 (computed here)
- National average 13
- No different than the national rate
- 2,810 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 780 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in Santa Rosa, CA

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, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

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.