JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Adventhealth Lake Wales

2 / 5

At a glance

Adventhealth Lake Wales carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1033Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.728Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days991Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.690Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.056Same as national
SSI - Colon Surgery: Number of Procedures53Same as national
SSI - Colon Surgery: Predicted Cases1.457Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days15241Not available
MRSA Bacteremia: Predicted Cases0.670Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.010Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.941Better than national
Clostridium Difficile (C.Diff): Patient Days15241Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.241Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.191Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national342
Death rate for heart attack patients12.9Same as national33
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.9Same as national47
Death rate for heart failure patients11.8Same as national75
Death rate for pneumonia patients17Same as national123
Death rate for stroke patients13.1Same as national27
Pressure ulcer rate0.90Same as national987
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1314
In-hospital fall-associated fracture rate0.26Same as national1360
Postoperative hemorrhage or hematoma rate2.25Same as national140
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rate8.93Same as national26
Perioperative pulmonary embolism or deep vein thrombosis rate3.27Same as national139
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.72Same as national65
Abdominopelvic accidental puncture or laceration rate1.00Same as national235
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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-27Not available89
Hospital return days for pneumonia patients98.3Not available130
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national504
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national320
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 national43
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national45
Heart failure (HF) 30-Day Readmission Rate19.4Same as national89
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.8Same as national130

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 rating3495
Doctor communication - star rating3495
Communication about medicines - star rating3495
Discharge information - star rating3495
Cleanliness - star rating4495
Quietness - star rating3495
Overall hospital rating - star rating3495
Recommend hospital - star rating3495
Summary star rating3495

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 volumemedium
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 vaccination63802
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 better137419
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 better130383
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19813
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better18824
Left before being seen129640
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100185
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18849
Appropriate care for severe sepsis and septic shock79124
Septic Shock 3-Hour Bundle9039
Septic Shock 6-Hour Bundle8622
Severe Sepsis 3-Hour Bundle85124
Severe Sepsis 6-Hour Bundle9979
Discharged on Antithrombotic Therapy9452
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29657
Venous Thromboembolism Prophylaxis962446
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 Lake Wales rated?
Adventhealth Lake Wales has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Lake Wales have emergency services?
Yes. Adventhealth Lake Wales operates a 24/7 emergency department.
Where is Adventhealth Lake Wales located?
Adventhealth Lake Wales is located at 410 S 11th St, Lake Wales, FL 33853.
What type of hospital is Adventhealth Lake Wales?
Adventhealth Lake Wales is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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