The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures patient perceptions of hospital experience to determine the annual Center for Medicare and Medicaid Services (CMS) reimbursement. This study focuses on the “Quiet at Night” variable and identifies institutions with the highest scores to determine characteristics that facilitate patient sleep. The key findings were as follows:

1. CMS Top Rated Hospitals have a mean score of 5 on the “Quiet at Night” variable.
2. US News Honor Roll Hospitals have a mean score of 2.67, with a statistically significant difference of P < .001 between the groups.
3. The key characteristics of the CMS Hospitals are that they are predominantly privately owned, specialized, surgical facilities with few total hospital beds.

Knowing that HCAHPS scores directly impact and reflect patient experience, the objective of this study was to better understand the hospital practices that facilitate a high score on the “Quiet at Night” question to empower low scoring hospitals to improve their sleep practices at night and to score higher on the HCAHPS survey.