NPIMap

Kaiser Foundation Hospital

Hospital in San Rafael, CA, Medicare certification number 050510. CMS publishes 38 quality measures for it.

Medicare certification

Provider of Services
CCN
050510The 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
Dec 28, 1966
Last certification
Jun 9, 2025
Beds
120
Overall star rating
4 of 5Care Compare
Address
99 Montecillo Rd
San Rafael, CA 94903
(415) 444-2000

NPI records for this facility 1

Patient survey (HCAHPS) 9

Medicare Care Compare

Complications and deaths 10

Medicare Care Compare
Measures CMS does not publish for this facility (10)
  • Death rate among surgical inpatients with serious treatable complications — 7
  • Death rate for CABG surgery patients — 5
  • Death rate for COPD patients — 1
  • Death rate for heart attack patients — 1
  • Death rate for heart failure patients — 1
  • Death rate for pneumonia patients — 1
  • Postoperative acute kidney injury requiring dialysis rate — 1
  • Postoperative respiratory failure rate — 1
  • Postoperative sepsis rate — 1
  • Postoperative wound dehiscence rate — 1

Infections 4

Medicare Care Compare
Measures CMS does not publish for this facility (2)
  • MRSA Bacteremia — 13
  • SSI - Abdominal Hysterectomy — 13

Outpatient imaging 0

Medicare Care Compare
Measures CMS does not publish for this facility (2)
  • Abdomen CT Use of Contrast Material — 1
  • Breast Cancer Screening Recall Rates — 1

Spending per patient 1

Medicare Care Compare

Timely and effective care 10

Medicare Care Compare
Measures CMS does not publish for this facility (20)
  • Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
  • Antithrombotic Therapy by End of Hospital Day 2 — 5
  • 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 — 5
  • Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 5
  • 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 — 5
  • Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 5
  • Emergency department volume — 5
  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 5
  • 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
  • Head CT results — 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
  • Left before being seen — 5
  • ST-Segment Elevation Myocardial Infarction (STEMI) — 5
  • Venous Thromboembolism Prophylaxis — 5

Unplanned visits 4

Medicare Care Compare
Measures CMS does not publish for this facility (10)
  • Hospital return days for heart attack patients — 1
  • Hospital return days for heart failure patients — 1
  • Hospital return days for pneumonia patients — 1
  • 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 after hip/knee replacement — 1
  • Rate of readmission for CABG — 5
  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 1
  • Ratio of unplanned hospital visits after hospital outpatient surgery — 1

Sources for this page

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.