KAISER FOUNDATION HOSPITAL - SAN MARCOS

360 RUSH DR, SAN MARCOS, CA 92078

SAN DIEGO County

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Emergency Services

Yes

Birthing Friendly

Yes

Phone: (760) 528-6295

Quality Summary

Mortality

Better than NationalN/A

Same as NationalN/A

Worse than NationalN/A

Safety of Care

Better than National0

Same as National1

Worse than National0

Readmission

Better than NationalN/A

Same as NationalN/A

Worse than NationalN/A

Patient Experience (HCAHPS)

Survey Question	Star Rating	Linear Score
Cleanliness - linear mean score Cleanliness - linear mean score	N/A	90
Cleanliness - star rating Cleanliness - star rating	4	N/A
Communication about medicines - linear mean score Communication about medicines - linear mean score	N/A	80
Communication about medicines - star rating Communication about medicines - star rating	3	N/A
Discharge information - linear mean score Discharge information - linear mean score	N/A	91
Discharge information - star rating Discharge information - star rating	5	N/A
Doctor communication - linear mean score Doctor communication - linear mean score	N/A	94
Doctor communication - star rating Doctor communication - star rating	4	N/A
Nurse communication - linear mean score Nurse communication - linear mean score	N/A	93
Nurse communication - star rating Nurse communication - star rating	4	N/A
Overall hospital rating - linear mean score Overall hospital rating - linear mean score	N/A	94
Overall hospital rating - star rating Overall hospital rating - star rating	5	N/A
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "6" or lower (low)	N/A	N/A
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "7" or "8" (medium)	N/A	N/A
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "9" or "10" (high)	N/A	N/A
Patients who reported NO, they would probably not or definitely not recommend the hospital "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)	N/A	N/A
Patients who reported that NO, they did not discuss whether they would need help after discharge No, staff "did not" give patients information about help after discharge	N/A	N/A
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge No, staff "did not" give patients information about possible symptoms	N/A	N/A
Patients who reported that NO, they were not given information about what to do during their recovery at home No, staff "did not" give patients this information	N/A	N/A
Patients who reported that staff "Always" explained about medicines before giving it to them Staff "always" explained	N/A	N/A
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them Staff "sometimes" or "never" explained	N/A	N/A
Patients who reported that staff "Usually" explained about medicines before giving it to them Staff "usually" explained	N/A	N/A
Patients who reported that the area around their room was "Always" quiet at night "Always" quiet at night	N/A	N/A
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night "Sometimes" or "never" quiet at night	N/A	N/A
Patients who reported that the area around their room was "Usually" quiet at night "Usually" quiet at night	N/A	N/A
Patients who reported that their doctors "Always" communicated well Doctors "always" communicated well	N/A	N/A
Patients who reported that their doctors "Always" explained things in a way they could understand Doctors "always" explained things so they could understand	N/A	N/A
Patients who reported that their doctors "Always" listened carefully to them Doctors "always" listened carefully	N/A	N/A
Patients who reported that their doctors "Always" treated them with courtesy and respect Doctors "always" treated them with courtesy and respect	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect Doctors "sometimes" or "never" treated them with courtesy and respect	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" communicated well Doctors "sometimes" or "never" communicated well	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand Doctors "sometimes" or "never" explained things so they could understand	N/A	N/A
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them Doctors "sometimes" or "never" listened carefully	N/A	N/A
Patients who reported that their doctors "Usually" treated them with courtesy and respect Doctors "usually" treated them with courtesy and respect	N/A	N/A
Patients who reported that their doctors "Usually" communicated well Doctors "usually" communicated well	N/A	N/A
Patients who reported that their doctors "Usually" explained things in a way they could understand Doctors "usually" explained things so they could understand	N/A	N/A
Patients who reported that their doctors "Usually" listened carefully to them Doctors "usually" listened carefully	N/A	N/A
Patients who reported that their nurses "Always" communicated well Nurses "always" communicated well	N/A	N/A
Patients who reported that their nurses "Always" explained things in a way they could understand Nurses "always" explained things so they could understand	N/A	N/A
Patients who reported that their nurses "Always" listened carefully to them Nurses "always" listened carefully	N/A	N/A
Patients who reported that their nurses "Always" treated them with courtesy and respect Nurses "always" treated them with courtesy and respect	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect Nurses "sometimes" or "never" treated them with courtesy and respect	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" communicated well Nurses "sometimes" or "never" communicated well	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand Nurses "sometimes" or "never" explained things so they could understand	N/A	N/A
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them Nurses "sometimes" or "never" listened carefully	N/A	N/A
Patients who reported that their nurses "Usually" treated them with courtesy and respect Nurses "usually" treated them with courtesy and respect	N/A	N/A
Patients who reported that their nurses "Usually" communicated well Nurses "usually" communicated well	N/A	N/A
Patients who reported that their nurses "Usually" explained things in a way they could understand Nurses "usually" explained things so they could understand	N/A	N/A
Patients who reported that their nurses "Usually" listened carefully to them Nurses "usually" listened carefully	N/A	N/A
Patients who reported that their room and bathroom were "Always" clean Room was "always" clean	N/A	N/A
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean Room was "sometimes" or "never" clean	N/A	N/A
Patients who reported that their room and bathroom were "Usually" clean Room was "usually" clean	N/A	N/A
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for Staff "always" explained new medications	N/A	N/A
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects Staff "always" explained possible side effects	N/A	N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for Staff "sometimes" or "never" explained new medications	N/A	N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects Staff "sometimes" or "never" explained possible side effects	N/A	N/A
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. Staff "usually" explained new medications	N/A	N/A
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects Staff "usually" explained possible side effects	N/A	N/A
Patients who reported that YES, they did discuss whether they would need help after discharge Yes, staff "did" give patients information about help after discharge	N/A	N/A
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge Yes, staff "did" give patients information about possible symptoms	N/A	N/A
Patients who reported that YES, they were given information about what to do during their recovery at home Yes, staff "did" give patients this information	N/A	N/A
Patients who reported YES, they would definitely recommend the hospital "YES", patients would definitely recommend the hospital	N/A	N/A
Patients who reported YES, they would probably recommend the hospital "YES", patients would probably recommend the hospital	N/A	N/A
Quietness - linear mean score Quietness - linear mean score	N/A	86
Quietness - star rating Quietness - star rating	4	N/A
Recommend hospital - linear mean score Recommend hospital - linear mean score	N/A	95
Recommend hospital - star rating Recommend hospital - star rating	5	N/A
Summary star rating Summary star rating	4	N/A

Healthcare-Associated Infections

Measure	Score	vs. National
Catheter Associated Urinary Tract Infections (ICU + select Wards)	1.218	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.31	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	2500	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	3	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	2.463	Same as National
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	3.315	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards)	2.125	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.54	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	3	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	1.412	Same as National
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	5.782	Same as National
Central Line Associated Bloodstream Infection: Number of Device Days	1557	Same as National
Clostridium Difficile (C.Diff)	0.802	Same as National
Clostridium Difficile (C.Diff): Lower Confidence Limit	0.457	Same as National
Clostridium Difficile (C.Diff): Observed Cases	14	Same as National
Clostridium Difficile (C.Diff): Patient Days	31198	Same as National
Clostridium Difficile (C.Diff): Predicted Cases	17.452	Same as National
Clostridium Difficile (C.Diff): Upper Confidence Limit	1.314	Same as National
MRSA Bacteremia	0.678	Same as National
MRSA Bacteremia: Lower Confidence Limit	0.034	Same as National
MRSA Bacteremia: Observed Cases	1	Same as National
MRSA Bacteremia: Patient Days	32102	Same as National
MRSA Bacteremia: Predicted Cases	1.474	Same as National
MRSA Bacteremia: Upper Confidence Limit	3.346	Same as National
SSI - Abdominal Hysterectomy	N/A	Not Available
SSI - Abdominal Hysterectomy: Lower Confidence Limit	N/A	Not Available
SSI - Abdominal Hysterectomy: Number of Procedures	10	Not Available
SSI - Abdominal Hysterectomy: Observed Cases	0	Not Available
SSI - Abdominal Hysterectomy: Predicted Cases	0.072	Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit	N/A	Not Available
SSI - Colon Surgery	0.668	Same as National
SSI - Colon Surgery: Lower Confidence Limit	0.112	Same as National
SSI - Colon Surgery: Number of Procedures	125	Same as National
SSI - Colon Surgery: Observed Cases	2	Same as National
SSI - Colon Surgery: Predicted Cases	2.996	Same as National
SSI - Colon Surgery: Upper Confidence Limit	2.206	Same as National

Unplanned Visits & Readmissions

Measure	Score	vs. National
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	N/A	Not Available
Heart failure (HF) 30-Day Readmission Rate	N/A	Number of Cases Too Small
Hospital return days for heart attack patients	N/A	Not Available
Hospital return days for heart failure patients	N/A	Number of Cases Too Small
Hospital return days for pneumonia patients	N/A	Number of Cases Too Small
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)	15.2	Same as National
Pneumonia (PN) 30-Day Readmission Rate	N/A	Number of Cases Too Small
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy	N/A	Not Available
Rate of inpatient admissions for patients receiving outpatient chemotherapy	N/A	Not Available
Rate of readmission after hip/knee replacement	N/A	Not Available
Rate of readmission for CABG	N/A	Not Available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients	N/A	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)	N/A	Not Available
Ratio of unplanned hospital visits after hospital outpatient surgery	N/A	Number of cases too small

Medicare Spending

Measure	Score	Period
Medicare hospital spending per patient (Medicare Spending per Beneficiary)	0.89	01/01/2024 - 12/31/2024

Maternal Health

Measure	Score	Sample
Cesarean Birth	N/A	N/A
Maternal Morbidity Structural Measure	N/A	N/A
Risk Adjusted Severe Obstetric Complications (All)	N/A	N/A
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)	N/A	N/A

Data from CMS Hospital Compare. This information is not medical advice. Learn more