★★★★★5 out of 5 StarsWhy 5 stars?PeaceHealth Peace Harbor Medical Center's 5-star rating reflects above-average performance on Patient Experience and Timely Care.
CMS Overall Hospital Quality Star Rating · PeaceHealth Peace Harbor Medical Center
How was PeaceHealth Peace Harbor Medical Center's 5-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like PeaceHealth Peace Harbor Medical Center. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed PeaceHealth Peace Harbor Medical Center's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
4 of 7
0 better4 same0 worse
Safety of Care
22%
1 of 19
0 better1 same0 worse
Readmissions
22%
0 of 6
Not reported
Timely & Effective Care
12%
16 of 22
6 better7 same3 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
How this emergency department performs on the measures that
matter most when you need care fast.
121 minTypical ER visit before heading homeNear the national median of 148 min
1%Walked out before being seenBetter than ~75% of hospitals · national median 1%
41%Recommended sepsis care givenWorse than ~75% of hospitals · national median 64%
From CMS Timely & Effective Care reporting.
Quality measures
Mortality
Same as National Average
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
PeaceHealth Peace Harbor
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 4.10 95% interval: 3.20 – 5.10 Sample size: 134Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for heart failure patientsNo Different Than the National RateHospital score: 11.20 95% interval: 7.50 – 16.20 Sample size: 50Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 13.70 95% interval: 8.90 – 20.10 Sample size: 39Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 12.60 95% interval: 7.90 – 19.90 Sample size: 25Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKDeath rate for CABG surgery patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMI
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
WorseUS AvgBetter
Patient Experience
Better than National Average
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
PeaceHealth Peace Harbor
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
PeaceHealth's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses85%
Communication with Doctors88%
Hospital Cleanliness85%
Hospital Quietness62%
Staff ResponsivenessN/A
Discharge Information90%
Overall Hospital Rating (9 or 10)81%
Would Recommend Hospital78%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Better than National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
PeaceHealth Peace Harbor
WorseUS AvgBetter
Underlying measures:Discharged on Antithrombotic TherapyBetter than ~75% of hospitalsHospital score: 100.00 % National median: 98.00 % (higher is better)
Sample size: 35Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsBetter than ~75% of hospitalsHospital score: 100.00 % National median: 97.00 % (higher is better)
Sample size: 128Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Average (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 betterBetter than ~75% of hospitalsHospital score: 124.00 min National median: 154.00 min (lower is better)
Sample size: 379Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aIntensive Care Unit Venous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 99.00 % National median: 97.00 % (higher is better)
Sample size: 268Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Left before being seenBetter than ~75% of hospitalsHospital score: 1.00 % National median: 1.00 % (lower is better)
Sample size: 12,055Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Venous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 99.00 % National median: 90.00 % (higher is better)
Sample size: 365Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Safe Use of Opioids - Concurrent PrescribingNear the national medianHospital score: 14.00 % National median: 15.00 % (lower is better)
Sample size: 290Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 191.00 min National median: 248.00 min (lower is better)
Sample size: 16Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAverage (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 betterNear the national medianHospital score: 121.00 min National median: 148.00 min (lower is better)
Sample size: 351Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is betterNear the national medianHospital score: 328.00 min National median: 294.00 min (lower is better)
Sample size: 12Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18dSeptic Shock 3-Hour BundleNear the national medianHospital score: 67.00 % National median: 72.00 % (higher is better)
Sample size: 15Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSevere Sepsis 3-Hour BundleNear the national medianHospital score: 77.00 % National median: 81.00 % (higher is better)
Sample size: 44Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRHealthcare workers given influenza vaccinationNear the national medianHospital score: 78.00 % National median: 79.00 % (higher is better)
Sample size: 600Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Head CT resultsWorse than ~75% of hospitalsHospital score: 27.00 % National median: 74.00 % (higher is better)
Sample size: 15Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Appropriate care for severe sepsis and septic shockWorse than ~75% of hospitalsHospital score: 41.00 % National median: 64.00 % (higher is better)
Sample size: 44Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Severe Sepsis 6-Hour BundleWorse than ~75% of hospitalsHospital score: 84.00 % National median: 94.00 % (higher is better)
Sample size: 32Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HR
Clinical Staff
PeaceHealth Peace Harbor Medical Center has 314 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Physician Assistant42
Nurse Practitioner31
Diagnostic Radiology21
Internal Medicine20
Orthopedic Surgery14
Urology13
Cardiovascular Disease (Cardiology)13
Nephrology10
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
313(100%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
137(44%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
114 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 84
(74%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-07-18.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 314 clinicians affiliated with PeaceHealth Peace Harbor Medical Center.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-07-18.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Procedure volumes are Medicare fee-for-service counts from the CMS
clinician utilization file (all practice locations, not just this
hospital). Industry payment totals are from CMS Open Payments,
program year 2024, and include meals, travel, consulting, and
speaking fees; payments are legal and common — we show them for
transparency, not as a quality judgment.
Pricing & Costs
Facility Information
Licensed beds
21
Facility type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Emergency services
Yes — 24/7
Ownership & Finances
Ownership
Nonprofit (Church-affiliated)
Charity care spend (FY2023)
$2.2M
List prices vs. actual cost
≈ 1.8× actual cost
From the hospital's FY2023 Medicare cost report (HCRIS).
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How PeaceHealth Peace Harbor Medical Center compares nearby
Compared with the 8 other acute-care hospitals within 100 miles
— 9 facilities in all, CMS data only.
Among the 9 acute-care hospitals within 100 miles, PeaceHealth Peace Harbor Medical Center's overall star rating is 5★; the median among the 6 peers reporting it is 3.5★.
Measure
This facility
Nearby median
Best nearby
Overall star rating
reported by 6 of 8 nearby peers
5★
3.5★
4★
Patient experience (HCAHPS) star
reported by 6 of 8 nearby peers
Cohort: within 100 miles · CMS data period 2026-06 · method cohort-v1
· comparisons are never affected by claiming or payment.
How nearby comparisons work
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.