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PROVIDENCE MISSION HOSPITAL — Quality & Patient Safety

MISSION VIEJO, CA · Acute Care Hospitals · Emergency services available

Source: CMS Hospital Compare, HCAHPS Survey

By BillRazor Research · Last updated June 1, 2026 · View pricing data

CMS Overall Hospital Quality

4

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

435

Survey responses

Patient Satisfaction

3.0/5

Overall HCAHPS score

Avg Readmission Ratio

0.99

At or below average

Quality Measures

51

CMS-tracked metrics

Quality Score

80

Composite index

Patient Satisfaction — HCAHPS Survey Scores

Score out of 5.0 based on patient survey responses. Source: CMS HCAHPS.

Excess Readmission Ratios by Condition

Ratio vs national average (1.0 = average). Below 1.0 is better, above 1.0 indicates higher-than-expected readmissions.

Below average (better) Above average

Healthcare-Associated Infections (HAI)

Performance vs national benchmarks on hospital-acquired infection measures.

18

Better than average

Lower infection rates

12

Same as average

Near national rate

0

Worse than average

Higher infection rates

MeasureScorevs National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.24No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.21No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days9782.00No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.33No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6.00No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.58No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.11Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.67Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9010.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.50Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.30Better than the National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.01Better than the National Benchmark
SSI - Colon Surgery: Upper Confidence Limit0.77Better than the National Benchmark
SSI - Colon Surgery: Number of Procedures257.00Better than the National Benchmark
SSI - Colon Surgery: Predicted Cases6.40Better than the National Benchmark
SSI - Colon Surgery: Observed Cases1.00Better than the National Benchmark
SSI - Colon Surgery0.16Better than the National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures102.00Not Available
SSI - Abdominal Hysterectomy: Predicted Cases0.71Not Available
SSI - Abdominal Hysterectomy: Observed Cases0.00Not Available
MRSA Bacteremia: Lower Confidence Limit0.01No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit1.15No Different than National Benchmark
MRSA Bacteremia: Patient Days88663.00No Different than National Benchmark
MRSA Bacteremia: Predicted Cases4.30No Different than National Benchmark
MRSA Bacteremia: Observed Cases1.00No Different than National Benchmark
MRSA Bacteremia0.23No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.23Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.63Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days85468.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases38.34Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases15.00Better than the National Benchmark
Clostridium Difficile (C.Diff)0.39Better than the National Benchmark

What quality scores mean for patients at PROVIDENCE MISSION HOSPITAL

PROVIDENCE MISSION HOSPITAL holds a CMS overall rating of 4 out of 5 stars, based on publicly reported quality measures. This places it at #69 out of 266 hospitals in CA. Quality ratings aggregate dozens of individual measures — from nurse communication and cleanliness to surgical complication rates and timely care — into a single composite. While no single number captures the full patient experience, the star rating provides a useful starting point for understanding whether a hospital consistently meets or falls short of national performance standards.

Readmission data offers a particularly important signal. PROVIDENCE MISSION HOSPITAL's average excess readmission ratio is 0.99x the national average, indicating readmission rates at or below the national norm. This hospital reports readmission data across 6 conditions, and performance varies by diagnosis. High readmission rates can indicate issues with discharge planning, follow-up care coordination, or the initial quality of treatment — all factors that may also correlate with the complexity and accuracy of the resulting hospital bill.

Research consistently shows a correlation between hospital operational quality and billing accuracy. Hospitals that perform well on patient safety, infection control, and care coordination tend to have more robust administrative processes, including medical coding and billing. Conversely, facilities with lower quality scores — particularly those with higher-than-average infection rates (0 measures worse than average at PROVIDENCE MISSION HOSPITAL) or elevated readmission ratios — often exhibit higher rates of billing discrepancies. If you have received a bill from a hospital with mixed quality indicators, a line-by-line review against regional benchmarks can identify charges that may not align with the care actually delivered.

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Data from CMS Hospital Compare, HCAHPS Patient Survey, Hospital-Acquired Infection (HAI) reports, and Hospital Readmissions Reduction Program (HRRP). All data is publicly available.

Star ratings and quality measures are published by the Centers for Medicare & Medicaid Services (CMS). This page is for informational purposes only and does not constitute medical advice.

Frequently Asked Questions About PROVIDENCE MISSION HOSPITAL Quality

What is PROVIDENCE MISSION HOSPITAL's CMS star rating?

PROVIDENCE MISSION HOSPITAL has an overall CMS star rating of 4 out of 5, based on the Hospital Compare quality rating system. This rating incorporates patient experience, safety, readmission rates, mortality outcomes, and timely & effective care. Star ratings are updated annually by the Centers for Medicare & Medicaid Services.

How do patients rate PROVIDENCE MISSION HOSPITAL?

Patient satisfaction data for PROVIDENCE MISSION HOSPITAL is based on the HCAHPS patient survey, which measures experience across dimensions including nurse and doctor communication, staff responsiveness, and cleanliness. Detailed scores are available on this page.

Does PROVIDENCE MISSION HOSPITAL have higher-than-average readmission rates?

PROVIDENCE MISSION HOSPITAL's average excess readmission ratio is 0.99. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is at or below the national average. Source: CMS Hospital Readmissions Reduction Program.

How does PROVIDENCE MISSION HOSPITAL compare to other CA hospitals?

PROVIDENCE MISSION HOSPITAL's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other CA hospitals on this page. The state peers section shows the top-rated hospitals in CA for context.

Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.