JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Adventhealth Carrollwood

3 / 5

At a glance

Adventhealth Carrollwood carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.219Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3602Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.458Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.391Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3079Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.154Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.953Better than national
SSI - Colon Surgery: Number of Procedures121Better than national
SSI - Colon Surgery: Predicted Cases3.144Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures11Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.072Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.060Same as national
MRSA Bacteremia: Patient Days35017Same as national
MRSA Bacteremia: Predicted Cases1.454Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.031Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.611Better than national
Clostridium Difficile (C.Diff): Patient Days35017Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.818Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.185Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.2Same as national53
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national540
Death rate for heart attack patients11.4Same as national41
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national48
Death rate for heart failure patients13.3Same as national116
Death rate for pneumonia patients16.1Same as national141
Death rate for stroke patientsNot available
Pressure ulcer rate0.34Same as national1718
Death rate among surgical inpatients with serious treatable complications168.14Same as national26
Iatrogenic pneumothorax rate0.25Same as national2212
In-hospital fall-associated fracture rate0.33Same as national2212
Postoperative hemorrhage or hematoma rate2.34Same as national699
Postoperative acute kidney injury requiring dialysis rate1.60Same as national466
Postoperative respiratory failure rate8.09Same as national477
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national730
Postoperative sepsis rate5.23Same as national415
Postoperative wound dehiscence rate1.72Same as national242
Abdominopelvic accidental puncture or laceration rate0.93Same as national467
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients-14Not available128
Hospital return days for pneumonia patients-3.1Not available148
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national835
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.5Same as national382
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national236
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national40
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national54
Heart failure (HF) 30-Day Readmission Rate19Same as national128
Rate of readmission after hip/knee replacement5.9Same as national55
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national148

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating31041
Doctor communication - star rating31041
Communication about medicines - star rating21041
Discharge information - star rating31041
Cleanliness - star rating31041
Quietness - star rating41041
Overall hospital rating - star rating31041
Recommend hospital - star rating41041
Summary star rating31041

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumehigh
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination552081
Average (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 better136433
Average (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 better134417
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen154428
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99158
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing192595
Appropriate care for severe sepsis and septic shock78185
Septic Shock 3-Hour Bundle8366
Septic Shock 6-Hour Bundle8341
Severe Sepsis 3-Hour Bundle92185
Severe Sepsis 6-Hour Bundle97118
Discharged on Antithrombotic Therapy9864
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29266
Venous Thromboembolism Prophylaxis924926
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Adventhealth Carrollwood rated?
Adventhealth Carrollwood has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Carrollwood have emergency services?
Yes. Adventhealth Carrollwood operates a 24/7 emergency department.
Where is Adventhealth Carrollwood located?
Adventhealth Carrollwood is located at 7171 N Dale Mabry Hwy, Tampa, FL 33614.
What type of hospital is Adventhealth Carrollwood?
Adventhealth Carrollwood is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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