This research examines the maintenance practice of hospital buildings in Malaysia. Recently, the increment of hospital buildings’ accidents has affected its performances as a result of determinants. However, the maintenance practice employed in the hospitals has a direct impact on the performance of hospital buildings. The fast-growing population of Malaysia necessitates proactiveness on the part of the government regarding the provision of efficient healthcare and ensuring the wellbeing of the citizenry. In this regard, the state of hospital buildings is inextricably linked to quality healthcare. This study evaluates the determinants that impair the quality of hospital buildings in Malaysia in order to improve their efficiency and preempt the avoidable building pitfalls through effective maintenance management. The survey questionnaire was used in order to achieve the objective of this study to users of hospital buildings, the outcomes sought after concerned building component issues such as finishes, cleanliness, aesthetics, ventilation and other determinants that affected the performance of the hospital buildings. The results showed that specific determinants including lighting, ventilation, fire alarms, fire extinguisher signage, floor conditions, lifts and quality of air depreciate the performance of hospital buildings. In addition, the procurement methods of maintenance work are completely outsourcing in hospitals and combinations of outsourcing and in-source methods in a private hospital. Moreover, the study found that the current methods of maintenance management adopted for hospital buildings remain typically corrective. This has always resulted in deprived user satisfaction, unproductive service delivery, and the prolongation of diverse maintenance problems.