The Tacoma-Pierce County Health Department assessed six communities in Tacoma and on the peninsula that are facing limited opportunities for optimal well-being; the objective is to investigate health care quality and efficiency. These communities are called Communities of Focus (CoF). Our work explores state data to evaluate the relationship between hospital length of stay (LOS) and cause-specific hospital readmission rates (CSR) in CoF. The current literature has not reached consensus on understanding the designated relationship. Applying a multivariate logistic regression model, we explored the relationship between length of stay and CSR using data from the Comprehensive Hospital Abstract Reporting System (CHARS). Several covariates including race and gender were included in the regression model. One extra day of hospital stay resulted in a 0.5% higher risk of 30-day CSR [Odds Ratio (OR): 1.005, CI: 1.00–1.01]. The control factor substantially increasing risk of readmission, was age 55-65 years (OR: 3.477, CI: 3.19–3.79). The covariate significantly reducing CSR was being female (OR: 0.816, CI: 0.80–0.83). Individuals of Indian race (OR: 1.120, CI: 1.04–1.20, p <0.05) and Hawaiian race (OR: 1.157, CI: 1.06–1.26, p <0.0001) were more likely to experience CSR compared to White patients. Finally, CoF faced higher risk of CSR (OR: 3.973, CI: 3.77–4.19) relative to other regional patients. CSR is re-admission to the healthcare setting due to a complication or an exacerbation of disease. A single day hospital stay yielding higher risk for CSR suggests that further exploration is needed to understand patient experiences while admitted. Additionally, an investigation into the social, economic, environmental and personal factors placing CoF at risk for CSR is warranted in order to reduce risk. Our research identifies the problem; future work is needed to elucidate the source so that approaches can be identified to lower CSR for CoF.