NPIMap

Kaiser Foundation Hospitals

Doing business as Kaiser Foundation Hospital - San Marcos

Hospital in San Marcos, CA, Medicare certification number 050855. CMS publishes 38 quality measures for it.

Medicare certification

Provider of Services
CCN
050855The 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
Oct 11, 2023
Last certification
Oct 11, 2023
Beds
168
Overall star rating
4 of 5Care Compare
Address
360 Rush Dr
San Marcos, CA 92078
(760) 528-6295

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

Patient survey (HCAHPS) 9

Medicare Care Compare

Affiliated providers 237

Page 8 of 10Medicare Care Compare

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

Complications and deaths 8

Medicare Care Compare
Measures CMS does not publish for this facility (12)
  • Death rate among surgical inpatients with serious treatable complications — 1
  • 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
  • Perioperative pulmonary embolism or deep vein thrombosis rate — 1
  • Postoperative acute kidney injury requiring dialysis rate — 1
  • Postoperative hemorrhage or hematoma rate — 1
  • Postoperative respiratory failure rate — 1
  • Postoperative sepsis rate — 1
  • Postoperative wound dehiscence rate — 1

Infections 5

Medicare Care Compare
Measures CMS does not publish for this facility (1)
  • SSI - Abdominal Hysterectomy — 13

Outpatient imaging 1

Medicare Care Compare
Measures CMS does not publish for this facility (1)
  • Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Timely and effective care 9

Medicare Care Compare
Measures CMS does not publish for this facility (21)
  • Anticoagulation Therapy for Atrial Fibrillation/Flutter — 1
  • 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
  • Hospital Harm - Severe Hyperglycemia — 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 5

Medicare Care Compare
Measures CMS does not publish for this facility (9)
  • 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 for CABG — 5
  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 5
  • Ratio of unplanned hospital visits after hospital outpatient surgery — 1

Other hospitals near San Marcos, CA

No other hospitals are listed in San Marcos, CA; these share its ZIP code area (920xx).

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.