KAISER FOUNDATION HOSPITAL Review
Get Information, Ratings, Surveys, and Compare KAISER FOUNDATION HOSPITAL to other hospitals
Overall Hospital Rating: ; HCAPS approval: 70%
Database data as of January 31, 2024
A Review of the Data
Prepared by Richard Saunders as of January 31, 2024.
The Centers for Medicare & Medicaid Services ("CMS") distributes more than 80 tables of data on hospitals on a quarterly basis. That is a lot of information to pour through to try and build a comprehensive review of KAISER FOUNDATION HOSPITAL. Luckily, we are here to help! I’ve put together this page to help you to get a better idea of what the hospital does, who is affiliated with it, share any patient survey data and much more. (If you want to jump to a specific section of the review, here are the section headers: General Hospital Data, Ratings, Cost Analysis, Infections, Comparison, Nearby Skilled Nursing Facilities, Doctors Associated with KAISER FOUNDATION HOSPITAL, Survey Analysis.)
In the briefest summary, KAISER FOUNDATION HOSPITAL is one of the types of hospitals called Acute Care Hospitals. It is in SAN RAFAEL, CA. Its five star rating is 3 . Its type of ownership is Voluntary non-profit - Private. The facility's Medicare ID is 50510. It does provide emergency services. There are 117 medical professionals and 6 doctor groups affiliated with the hospital. On average at KAISER FOUNDATION HOSPITAL, emergency patients were charged $22,490. This is lower than the state average of $26,501. It is also lower than the national average of $25,828.
According to the Hospital Consumer Assessment of Healthcare Providers and Systems ("HCAHPS") that ended in September 30, 2021, 70% of the patients surveyed definitely recommended KAISER FOUNDATION HOSPITAL, while only 5% did not recommend going to KAISER FOUNDATION HOSPITAL.
The information presented below is based on data provided by U.S. Centers for Medicare & Medicaid Services (CMS). It is updated as new data is made available.
General Information for KAISER FOUNDATION HOSPITAL
Address:
99 MONTECILLO RD
SAN RAFAEL, CA
94903
(415) 444-2000
Click for Map
Medicare Provider Number:
50510
Type:
Acute Care Hospitals
Ownership:
Voluntary non-profit - Private
Overall Hospital Quality Star Rating for KAISER FOUNDATION HOSPITAL
Overall Rating:
The Overall Hospital Quality Star Rating for KAISER FOUNDATION HOSPITAL summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s Overall Star Rating is calculated using only those measures for which data are available. Hospitals report data to The Centers for Medicare & Medicaid Services ("CMS") through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall Star Ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.
Most hospitals will have an Overall Hospital Quality Star Rating of 3.
National distribution of the Overall Hospital Quality Star Rating The following table shows the national distribution of the Overall Star Rating based on July 2022 results.
| Overall rating | Number of hospitals / Percentage |
|---|---|
| 1 star | 198 (6.34%) |
| 2 stars | 702 (22.49%) |
| 3 stars | 895 (28.68%) |
| 4 stars | 895 (28.68%) |
| 5 stars | 431 (13.81%) |
| N/A | 1,368 (30.47%) |
Additional detailed on the method for calculating the Overall Hospital Quality Star Rating from this document.
Patient Survey Results
Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for KAISER FOUNDATION HOSPITAL to the national results for similar facilities.
| Survey Question | Response |
|---|---|
| Patients who reported that their nurses "Always" communicated well | 71 % |
| Patients who reported that their nurses "Sometimes" or "Never" communicated well | 5 % |
| Patients who reported that their nurses "Usually" communicated well | 24 % |
| Nurse communication - linear mean score | Not Applicable |
| Nurse communication - star rating | Not Applicable |
| Patients who reported that their nurses "Always" treated them with courtesy and respect | 80 % |
| Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect | 3 % |
| Patients who reported that their nurses "Usually" treated them with courtesy and respect | 17 % |
| Patients who reported that their nurses "Always" listened carefully to them | 65 % |
| Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them | 6 % |
| Patients who reported that their nurses "Usually" listened carefully to them | 29 % |
| Patients who reported that their nurses "Always" explained things in a way they could understand | 67 % |
| Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand | 6 % |
| Patients who reported that their nurses "Usually" explained things in a way they could understand | 27 % |
| Patients who reported that their doctors "Always" communicated well | 79 % |
| Patients who reported that their doctors "Sometimes" or "Never" communicated well | 5 % |
| Patients who reported that their doctors "Usually" communicated well | 16 % |
| Doctor communication - linear mean score | Not Applicable |
| Doctor communication - star rating | Not Applicable |
| Patients who reported that their doctors "Always" treated them with courtesy and respect | 87 % |
| Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect | 2 % |
| Patients who reported that their doctors "Usually" treated them with courtesy and respect | 11 % |
| Patients who reported that their doctors "Always" listened carefully to them | 77 % |
| Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them | 5 % |
| Patients who reported that their doctors "Usually" listened carefully to them | 18 % |
| Patients who reported that their doctors "Always" explained things in a way they could understand | 72 % |
| Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand | 7 % |
| Patients who reported that their doctors "Usually" explained things in a way they could understand | 21 % |
| Patients who reported that they "Always" received help as soon as they wanted | 52 % |
| Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted | 13 % |
| Patients who reported that they "Usually" received help as soon as they wanted | 35 % |
| Staff responsiveness - linear mean score | Not Applicable |
| Staff responsiveness - star rating | Not Applicable |
| Patients who reported that they "Always" received help after using the call button as soon as they wanted | 51 % |
| Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted | 13 % |
| Patients who reported that they "Usually" received help after using the call button as soon as they wanted | 36 % |
| Patients who reported that they "Always" received bathroom help as soon as they wanted | 53 % |
| Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted | 13 % |
| Patients who reported that they "Usually" received bathroom help as soon as they wanted | 34 % |
| Patients who reported that staff "Always" explained about medicines before giving it to them | 56 % |
| Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them | 22 % |
| Patients who reported that staff "Usually" explained about medicines before giving it to them | 22 % |
| Communication about medicines - linear mean score | Not Applicable |
| Communication about medicines - star rating | Not Applicable |
| Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for | 69 % |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for | 10 % |
| Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. | 21 % |
| Patients who reported that when receiving new medication the staff "Always" discussed possible side effects | 44 % |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects | 33 % |
| Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects | 23 % |
| Patients who reported that NO, they were not given information about what to do during their recovery at home | 15 % |
| Patients who reported that YES, they were given information about what to do during their recovery at home | 85 % |
| Discharge information - linear mean score | Not Applicable |
| Discharge information - star rating | Not Applicable |
| Patients who reported that NO, they did not discuss whether they would need help after discharge | 14 % |
| Patients who reported that YES, they did discuss whether they would need help after discharge | 86 % |
| Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge | 16 % |
| Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge | 84 % |
| Patients who "Agree" they understood their care when they left the hospital | 48 % |
| Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital | 6 % |
| Patients who "Strongly Agree" they understood their care when they left the hospital | 46 % |
| Care transition - linear mean score | Not Applicable |
| Care transition - star rating | Not Applicable |
| Patients who "Agree" that the staff took my preferences into account when determining my health care needs | 54 % |
| Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs | 8 % |
| Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs | 38 % |
| Patients who "Agree" that they understood their responsiblities in managing their health | 48 % |
| Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health | 6 % |
| Patients who "Strongly Agree" that they understood their responsiblities in managing their health | 46 % |
| Patients who "Agree" that they understood the purposes of their medications when leaving the hospital | 40 % |
| Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital | 5 % |
| Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital | 55 % |
| Patients who reported that their room and bathroom were "Always" clean | 64 % |
| Patients who reported that their room and bathroom were "Sometimes" or "Never" clean | 10 % |
| Patients who reported that their room and bathroom were "Usually" clean | 26 % |
| Cleanliness - linear mean score | Not Applicable |
| Cleanliness - star rating | Not Applicable |
| Patients who reported that the area around their room was "Always" quiet at night | 33 % |
| Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night | 29 % |
| Patients who reported that the area around their room was "Usually" quiet at night | 38 % |
| Quietness - linear mean score | Not Applicable |
| Quietness - star rating | Not Applicable |
| Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) | 10 % |
| Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) | 26 % |
| Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | 64 % |
| Overall hospital rating - linear mean score | Not Applicable |
| Overall hospital rating - star rating | Not Applicable |
| Patients who reported NO, they would probably not or definitely not recommend the hospital | 5 % |
| Patients who reported YES, they would definitely recommend the hospital | 70 % |
| Patients who reported YES, they would probably recommend the hospital | 25 % |
| Recommend hospital - linear mean score | Not Applicable |
| Recommend hospital - star rating | Not Applicable |
| Summary star rating | Not Applicable |
Cost of KAISER FOUNDATION HOSPITAL, Compare to National and State Averages
Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the KAISER FOUNDATION HOSPITAL provides.
To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.
MSPB for KAISER FOUNDATION HOSPITAL: Not Available
Detailed table for spending and period for patients at KAISER FOUNDATION HOSPITAL:
| Type | Amount |
|---|---|
| Home Health Agency (1 to 3 days Prior to Index Hospital Admission) | $60 |
| Hospice (1 to 3 days Prior to Index Hospital Admission) | $0 |
| Inpatient (1 to 3 days Prior to Index Hospital Admission) | $0 |
| Outpatient (1 to 3 days Prior to Index Hospital Admission) | $6 |
| Skilled Nursing Facility (1 to 3 days Prior to Index Hospital Admission) | $0 |
| Durable Medical Equipment (1 to 3 days Prior to Index Hospital Admission) | $0 |
| Carrier (1 to 3 days Prior to Index Hospital Admission) | $580 |
| Home Health Agency (During Index Hospital Admission) | $0 |
| Hospice (During Index Hospital Admission) | $0 |
| Inpatient (During Index Hospital Admission) | $12,389 |
| Outpatient (During Index Hospital Admission) | $0 |
| Skilled Nursing Facility (During Index Hospital Admission) | $0 |
| Durable Medical Equipment (During Index Hospital Admission) | $0 |
| Carrier (During Index Hospital Admission) | $666 |
| Home Health Agency (1 through 30 days After Discharge from Index Hospital Admission) | $517 |
| Hospice (1 through 30 days After Discharge from Index Hospital Admission) | $337 |
| Inpatient (1 through 30 days After Discharge from Index Hospital Admission) | $3,680 |
| Outpatient (1 through 30 days After Discharge from Index Hospital Admission) | $826 |
| Skilled Nursing Facility (1 through 30 days After Discharge from Index Hospital Admission) | $2,321 |
| Durable Medical Equipment (1 through 30 days After Discharge from Index Hospital Admission) | $11 |
| Carrier (1 through 30 days After Discharge from Index Hospital Admission) | $1,098 |
| Total (Complete Episode) | $22,490 |
Infection Rates at KAISER FOUNDATION HOSPITAL
These measures show how often patients at KAISER FOUNDATION HOSPITAL contract certain infections during the course of their medical treatment, when compared to other hospitals nationally.
| Infection Type | Score / Compare to National Average |
|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | -- / Same |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.21 / Same |
| Central Line Associated Bloodstream Infection: Number of Device Days | 3,650.00 / Same |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 2.48 / Same |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 0.00 / Same |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.00 / Same |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.15 / Same |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 2.92 / Same |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 3,339.00 / Same |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 2.26 / Same |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 2.00 / Same |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.89 / Same |
| SSI - Colon Surgery: Lower Confidence Limit | -- / Same |
| SSI - Colon Surgery: Upper Confidence Limit | 1.56 / Same |
| SSI - Colon Surgery: Number of Procedures | 87.00 / Same |
| SSI - Colon Surgery: Predicted Cases | 1.93 / Same |
| SSI - Colon Surgery: Observed Cases | 0.00 / Same |
| SSI - Colon Surgery | 0.00 / Same |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | Not Available / Not Available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | Not Available / Not Available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 10.00 / Not Available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.11 / Not Available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0.00 / Not Available |
| SSI - Abdominal Hysterectomy | Not Available / Not Available |
| MRSA Bacteremia: Lower Confidence Limit | Not Available / Not Available |
| MRSA Bacteremia: Upper Confidence Limit | Not Available / Not Available |
| MRSA Bacteremia: Patient Days | 23,402.00 / Not Available |
| MRSA Bacteremia: Predicted Cases | 0.88 / Not Available |
| MRSA Bacteremia: Observed Cases | 3.00 / Not Available |
| MRSA Bacteremia | Not Available / Not Available |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.68 / Same |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.83 / Same |
| Clostridium Difficile (C.Diff): Patient Days | 23,402.00 / Same |
| Clostridium Difficile (C.Diff): Predicted Cases | 13.87 / Same |
| Clostridium Difficile (C.Diff): Observed Cases | 16.00 / Same |
| Clostridium Difficile (C.Diff) | 1.15 / Same |
How KAISER FOUNDATION HOSPITAL Compares to Other Similar Facilities
This is how KAISER FOUNDATION HOSPITAL compares to other similar hospitals nationally based on data provided to CMS.
Top Hospitals in SAN RAFAEL, CA
Worst Hospitals in SAN RAFAEL, CA
Percentages of Complications and Deaths at KAISER FOUNDATION HOSPITAL
| Measure | Score | Compared to National Rates |
|---|---|---|
| Rate of complications for hip/knee replacement patients | NA | Not Enough Data |
| Death rate for heart attack patients | NA | Not Enough Data |
| Death rate for CABG surgery patients | NA | Not Enough Data |
| Death rate for COPD patients | NA | Not Enough Data |
| Death rate for heart failure patients | NA | Not Enough Data |
| Death rate for pneumonia patients | NA | Not Enough Data |
| Death rate for stroke patients | NA | Not Enough Data |
| Pressure ulcer rate | 0.51% | SAME |
| Death rate among surgical inpatients with serious treatable complications | NA | Not Enough Data |
| Iatrogenic pneumothorax rate | 0.24% | SAME |
| In-hospital fall with hip fracture rate | 0.09% | SAME |
| Postoperative hemorrhage or hematoma rate | 2.49% | SAME |
| Postoperative acute kidney injury requiring dialysis rate | NA | Not Enough Data |
| Postoperative respiratory failure rate | NA | Not Enough Data |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.44% | SAME |
| Postoperative sepsis rate | NA | Not Enough Data |
| Postoperative wound dehiscence rate | NA | Not Enough Data |
| Abdominopelvic accidental puncture or laceration rate | 1.08% | SAME |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.94% | SAME |
Skilled Nursing Facilities Near KAISER FOUNDATION HOSPITAL
Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near KAISER FOUNDATION HOSPITAL ranked by their CMS 5-Star Overall Rating.
Medical Groups Affiliated with KAISER FOUNDATION HOSPITAL
There are 117 doctors and 6 medical groups that are affiliated with KAISER FOUNDATION HOSPITAL.
Affiliated Doctor Groups
- PERMANENTE MEDICAL GROUP INC
- EMERGENCY PHYSICIANS ASSOCIATES SAN JOSE PC
- CALIFORNIA EMERGENCY ASSOCIATES,A CALIFORNIA MEDICAL CORPORATION
- PROVIDENCE MEDICAL FOUNDATION
- NORTHBAY HEALTHCARE GROUP
- ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
The list of medical professionals associated with KAISER FOUNDATION HOSPITAL is very long, so we have added another pages. See a list of medical professionals associated with KAISER FOUNDATION HOSPITAL.
