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The impact of accreditation on patient outcome need to go through organizational and clinical process level. This research aimed to explore the level of quality management system (QMS) implementation across hospital accreditation status. Sixteen hospitals in three districts Malang Raya, east Java, with varied characteristics and accreditation status, agree to participate in this study. The respondents of this study were nurses who asked to give their responses in five scales for each component of QMS that represent the maturity levels. A cross-tabulation was created to describe the QMS maturity across hospitals accreditation status. The results show shows that in general, regardless of accreditation status, documentation, and credential mechanism for nurses are the QMS components that mostly perceived already in mature level (has been fully implemented with evidence of improvement). The accredited hospital still has a problem in continuously measure and use professional opinion for continuous quality improvement, while non accredited mainly still not have approved quality improvement plans. Hospitals with higher accreditation status (madya or paripurna) has more QMS components that mostly perceived as having mature stage compared to non-accredited and hospital with initial accreditation stage. It should be noted that even for hospitals with full accreditation stage, not all QMS components had been in mature levels, most components already have a plan and documented procedures but lack of continuous implementation and evidence improvement. It can be concluded that based on nurse perception the accreditation program has induced the implementation of QMS but still limited in planning and procedural documentation, therefore much effort is needed to leverage its level into continuous quality improvement.