Hospital

KAISER FOUNDATION HOSPITAL - BALDWIN PARK

CCN: 050723 · BALDWIN PARK, CA 91706 · LOS ANGELES County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706
Phone
(626) 851-1011
Hospital Type
Acute Care
Ownership
Non-Profit (Other)
Emergency Services
No
Birthing Friendly
Yes
2 /5
★★★★★
CMS Overall Rating
p7
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Safety of Care 6 of 8 measures reported
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 1 of 11 measures reported
1
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 6 of 12 measures reported
6 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
— Not reported
Heart Failure
1.0171 p62
Pneumonia
— Not reported
COPD
— Not reported
Hip/Knee Replacement 0 discharges
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

29.2 p49
Total Performance Score
National median: 29.5
Safety 25% weight
15.6 p82
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
10.3 p63
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
3.3 p56
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0171
Value-Based Purchasing
29.2 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: 0.2240

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE — — —
Hybrid_HWM 4.20 No Different Than the National Rate 117
MORT_30_AMI — Number of Cases Too Small —
MORT_30_CABG — — —
MORT_30_COPD — Number of Cases Too Small —
MORT_30_HF 10.60 No Different Than the National Rate 26
MORT_30_PN — Number of Cases Too Small —
MORT_30_STK — Number of Cases Too Small —
PSI_03 0.85 No Different Than the National Rate 633
PSI_04 — Number of Cases Too Small —
PSI_06 0.20 No Different Than the National Rate 753
PSI_08 0.26 No Different Than the National Rate 779
PSI_09 2.26 No Different Than the National Rate 85
PSI_10 — Number of Cases Too Small —
PSI_11 8.54 No Different Than the National Rate 26
PSI_12 3.34 No Different Than the National Rate 91
PSI_13 — Number of Cases Too Small —
PSI_14 — Number of Cases Too Small —
PSI_15 1.03 No Different Than the National Rate 168
PSI_90 1.02 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 76% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5% —
H_COMP_1_U_P: Nurses "usually" communicated well 19% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 83% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 14% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 74% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 72% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 21% —
H_COMP_2_A_P: Doctors "always" communicated well 81% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5% —
H_COMP_2_U_P: Doctors "usually" communicated well 14% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 4
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 87% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 9% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 80% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 15% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 76% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 17% —
H_COMP_5_A_P: Staff "always" explained 59% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 20% —
H_COMP_5_U_P: Staff "usually" explained 21% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 3
H_MED_FOR_A_P: Staff "always" explained new medications 71% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 8% —
H_MED_FOR_U_P: Staff "usually" explained new medications 21% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 46% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 32% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 22% —
H_COMP_6_N_P: No, staff "did not" give patients this information 15% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 85% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 17% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 83% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 13% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87% —
H_CLEAN_HSP_A_P: Room was "always" clean 75% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9% —
H_CLEAN_HSP_U_P: Room was "usually" clean 16% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 4
H_QUIET_HSP_A_P: "Always" quiet at night 47% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 15% —
H_QUIET_HSP_U_P: "Usually" quiet at night 38% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 6% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 71% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 5% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 74% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 21% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 4
H_STAR_RATING: Summary star rating — 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.070 No Different than National Benchmark
HAI_1_CIUPPER 1.371 No Different than National Benchmark
HAI_1_DOPC 4514.000 No Different than National Benchmark
HAI_1_ELIGCASES 4.821 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.415 No Different than National Benchmark
HAI_2_CILOWER 0.099 No Different than National Benchmark
HAI_2_CIUPPER 1.058 No Different than National Benchmark
HAI_2_DOPC 6209.000 No Different than National Benchmark
HAI_2_ELIGCASES 7.719 No Different than National Benchmark
HAI_2_NUMERATOR 3.000 No Different than National Benchmark
HAI_2_SIR 0.389 No Different than National Benchmark
HAI_3_CILOWER 0.138 No Different than National Benchmark
HAI_3_CIUPPER 1.476 No Different than National Benchmark
HAI_3_DOPC 219.000 No Different than National Benchmark
HAI_3_ELIGCASES 5.532 No Different than National Benchmark
HAI_3_NUMERATOR 3.000 No Different than National Benchmark
HAI_3_SIR 0.542 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 70.000 —
HAI_4_ELIGCASES 0.601 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.019 No Different than National Benchmark
HAI_5_CIUPPER 1.840 No Different than National Benchmark
HAI_5_DOPC 62642.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.680 No Different than National Benchmark
HAI_5_NUMERATOR 1.000 No Different than National Benchmark
HAI_5_SIR 0.373 No Different than National Benchmark
HAI_6_CILOWER 0.559 No Different than National Benchmark
HAI_6_CIUPPER 1.146 No Different than National Benchmark
HAI_6_DOPC 53602.000 No Different than National Benchmark
HAI_6_ELIGCASES 36.897 No Different than National Benchmark
HAI_6_NUMERATOR 30.000 No Different than National Benchmark
HAI_6_SIR 0.813 No Different than National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV — Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO 0.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 68.0 Healthcare Personnel Vaccination
OP_18a — Emergency Department
OP_18b — Emergency Department
OP_18c — Emergency Department
OP_18d — Emergency Department
OP_22 — Emergency Department
OP_23 — Emergency Department
OP_29 — Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 8.0 Electronic Clinical Quality Measure
SEP_1 65.0 Sepsis Care
SEP_SH_3HR 72.0 Sepsis Care
SEP_SH_6HR 91.0 Sepsis Care
SEV_SEP_3HR 81.0 Sepsis Care
SEV_SEP_6HR 96.0 Sepsis Care
STK_02 89.0 Electronic Clinical Quality Measure
STK_03 58.0 Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 — Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI — Number of Cases Too Small
EDAC_30_HF 51.40 More Days Than Average per 100 Discharges
EDAC_30_PN — Number of Cases Too Small
Hybrid_HWR 14.60 No Different Than the National Rate
OP_32 — Number of Cases Too Small
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 — Number of cases too small
READM_30_AMI — Number of Cases Too Small
READM_30_CABG — —
READM_30_COPD — Number of Cases Too Small
READM_30_HF 20.00 No Different Than the National Rate
READM_30_HIP_KNEE — —
READM_30_PN — Number of Cases Too Small

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.00

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.23 — metrics.cost_to_charge_ratio
Cost Report Employees per Bed 4.14 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Net Income ($) $23,280,295 — metrics.net_income
Cost Report Net Patient Revenue ($) $595,749,925 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 3.6% — metrics.operating_margin
Cost Report Total Costs ($) $517,571,457 — metrics.total_costs
Cost Report Total Margin (%) 3.9% — metrics.total_margin
Cost Report Uncompensated Care (%) 0.3% — metrics.uncompensated_care_pct
General Information Address 1011 BALDWIN PARK BLVD — Address
General Information City/Town BALDWIN PARK — City/Town
General Information Count of Facility MORT Measures Not Available — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 1 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 6 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 6 — Count of Facility TE Measures
General Information Count of MORT Measures Better Not Available — Count of MORT Measures Better
General Information Count of MORT Measures No Different Not Available — Count of MORT Measures No Different
General Information Count of MORT Measures Worse Not Available — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 1 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — Count of READM Measures Worse
General Information Count of Safety Measures Better 0 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 6 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish LOS ANGELES — County/Parish
General Information Emergency Services No — Emergency Services
General Information Facility ID 050723 — Facility ID
General Information Facility Name KAISER FOUNDATION HOSPITAL - BALDWIN PARK — Facility Name
General Information Hospital overall rating 2 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Other — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation Y — Meets criteria for birthing friendly designation
General Information MORT Group Footnote 5 — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State CA — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (626) 851-1011 — Telephone Number
General Information ZIP Code 91706 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.48 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.97 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.77 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.17 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.73 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.22 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 1.00 — Value
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.02 0.9983 p62 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.6% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.0% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 0 — READM-30-HIP-KNEE-HRRP.num_discharges
Value-Based Purchasing Efficiency & Cost Reduction 3.33 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 10.33 8.75 p63 person_community_score
Value-Based Purchasing Safety 15.56 10.00 p82 safety_score
Value-Based Purchasing Total Performance Score 29.22 29.50 p49 total_performance_score
Methodology

Full methodology →