JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Adventhealth Orlando

3 / 5

At a glance

Adventhealth Orlando 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 24 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 6.

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 Limit0.210Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.456Better than national
Central Line Associated Bloodstream Infection: Number of Device Days73248Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases82.430Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases26Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.315Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.125Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.375Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days42272Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases57.811Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.225Better than national
SSI - Colon Surgery: Lower Confidence Limit0.343Better than national
SSI - Colon Surgery: Upper Confidence Limit0.781Better than national
SSI - Colon Surgery: Number of Procedures1650Better than national
SSI - Colon Surgery: Predicted Cases43.502Better than national
SSI - Colon Surgery: Observed Cases23Better than national
SSI - Colon Surgery0.529Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.223Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.010Same as national
SSI - Abdominal Hysterectomy: Number of Procedures1630Same as national
SSI - Abdominal Hysterectomy: Predicted Cases13.716Same as national
SSI - Abdominal Hysterectomy: Observed Cases7Same as national
SSI - Abdominal Hysterectomy0.510Same as national
MRSA Bacteremia: Lower Confidence Limit0.580Same as national
MRSA Bacteremia: Upper Confidence Limit1.011Same as national
MRSA Bacteremia: Patient Days910011Same as national
MRSA Bacteremia: Predicted Cases64.699Same as national
MRSA Bacteremia: Observed Cases50Same as national
MRSA Bacteremia0.773Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.121Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.198Better than national
Clostridium Difficile (C.Diff): Patient Days847458Better than national
Clostridium Difficile (C.Diff): Predicted Cases403.936Better than national
Clostridium Difficile (C.Diff): Observed Cases63Better than national
Clostridium Difficile (C.Diff)0.156Better 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 patients4.1Same as national382
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national12348
Death rate for heart attack patients10.1Better than national818
Death rate for CABG surgery patients1.7Same as national406
Death rate for COPD patients6.4Better than national671
Death rate for heart failure patients7.7Better than national2852
Death rate for pneumonia patients12.6Better than national3305
Death rate for stroke patients9.4Better than national1263
Pressure ulcer rate0.51Same as national46457
Death rate among surgical inpatients with serious treatable complications164.40Same as national618
Iatrogenic pneumothorax rate0.20Same as national56196
In-hospital fall-associated fracture rate0.32Same as national58673
Postoperative hemorrhage or hematoma rate2.45Same as national11380
Postoperative acute kidney injury requiring dialysis rate2.61Worse than national4884
Postoperative respiratory failure rate10.61Same as national5132
Perioperative pulmonary embolism or deep vein thrombosis rate3.01Same as national12192
Postoperative sepsis rate7.04Worse than national5028
Postoperative wound dehiscence rate1.45Same as national3135
Abdominopelvic accidental puncture or laceration rate1.68Worse than national11838
CMS Medicare PSI 90: Patient safety and adverse events composite1.10Same 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 patients26.2Not available892
Hospital return days for heart failure patients30.8Not available3486
Hospital return days for pneumonia patients36.1Not available3585
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Worse than national21748
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)17Worse than national6386
Rate of inpatient admissions for patients receiving outpatient chemotherapy15.1Worse than national995
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national995
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national2888
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.5Worse than national892
Rate of readmission for CABG12.9Same as national402
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.3Same as national746
Heart failure (HF) 30-Day Readmission Rate22.5Worse than national3486
Rate of readmission after hip/knee replacement5.2Same as national365
Pneumonia (PN) 30-Day Readmission Rate18.3Worse than national3585

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 rating311713
Doctor communication - star rating311713
Communication about medicines - star rating211713
Discharge information - star rating411713
Cleanliness - star rating411713
Quietness - star rating411713
Overall hospital rating - star rating411713
Recommend hospital - star rating411713
Summary star rating311713

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 volumevery high
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 vaccination5729810
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 better163665
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 better162655
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 seen1694849
Head CT results8323
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99381
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)42131
Safe Use of Opioids - Concurrent Prescribing1542283
Appropriate care for severe sepsis and septic shock70576
Septic Shock 3-Hour Bundle85126
Septic Shock 6-Hour Bundle7786
Severe Sepsis 3-Hour Bundle82577
Severe Sepsis 6-Hour Bundle94260
Discharged on Antithrombotic Therapy972427
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2912192
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis9515802

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 MeasureYes

Frequently asked questions

How is Adventhealth Orlando rated?
Adventhealth Orlando has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Orlando have emergency services?
Yes. Adventhealth Orlando operates a 24/7 emergency department.
Where is Adventhealth Orlando located?
Adventhealth Orlando is located at 601 E Rollins St, Orlando, FL 32803.
What type of hospital is Adventhealth Orlando?
Adventhealth Orlando is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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.

Report an issue with this page