JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Adventhealth Waterman

4 / 5

At a glance

Adventhealth Waterman carries a 4-star CMS overall rating — above 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 Limit0.064Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.259Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6517Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.247Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.381Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.342Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.067Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6326Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.362Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.932Same as national
SSI - Colon Surgery: Lower Confidence Limit0.297Same as national
SSI - Colon Surgery: Upper Confidence Limit2.256Same as national
SSI - Colon Surgery: Number of Procedures176Same as national
SSI - Colon Surgery: Predicted Cases4.276Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.935Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures66Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.555Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.188Same as national
MRSA Bacteremia: Upper Confidence Limit2.009Same as national
MRSA Bacteremia: Patient Days87128Same as national
MRSA Bacteremia: Predicted Cases4.064Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.738Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.173Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.544Better than national
Clostridium Difficile (C.Diff): Patient Days85826Better than national
Clostridium Difficile (C.Diff): Predicted Cases37.492Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.320Better 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 patients2.7Same as national107
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national2603
Death rate for heart attack patients12.3Same as national308
Death rate for CABG surgery patients2Same as national104
Death rate for COPD patients8.3Same as national176
Death rate for heart failure patients8.1Better than national738
Death rate for pneumonia patients15.7Same as national749
Death rate for stroke patients10.6Same as national335
Pressure ulcer rate0.95Same as national8114
Death rate among surgical inpatients with serious treatable complications139.78Same as national78
Iatrogenic pneumothorax rate0.17Same as national9959
In-hospital fall-associated fracture rate0.35Same as national9974
Postoperative hemorrhage or hematoma rate2.57Same as national1671
Postoperative acute kidney injury requiring dialysis rate1.78Same as national438
Postoperative respiratory failure rate9.98Same as national446
Perioperative pulmonary embolism or deep vein thrombosis rate2.92Same as national1893
Postoperative sepsis rate5.36Same as national434
Postoperative wound dehiscence rate2.17Same as national361
Abdominopelvic accidental puncture or laceration rate0.73Same as national1703
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients-13.2Not available295
Hospital return days for heart failure patients-29.7Not available905
Hospital return days for pneumonia patients-10.4Not available792
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national4295
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national384
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 surgery1Same as national808
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national295
Rate of readmission for CABG12.9Same as national104
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national194
Heart failure (HF) 30-Day Readmission Rate20.3Same as national905
Rate of readmission after hip/knee replacement4.6Same as national93
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national792

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 rating42771
Doctor communication - star rating32771
Communication about medicines - star rating32771
Discharge information - star rating42771
Cleanliness - star rating42771
Quietness - star rating32771
Overall hospital rating - star rating42771
Recommend hospital - star rating42771
Summary star rating42771

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 Hyperglycemia1026980
Hospital Harm - Severe Hypoglycemia14829
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination552793
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 better209429
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 better206411
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 seen170040
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9969
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing175014
Appropriate care for severe sepsis and septic shock80488
Septic Shock 3-Hour Bundle89149
Septic Shock 6-Hour Bundle9194
Severe Sepsis 3-Hour Bundle86490
Severe Sepsis 6-Hour Bundle98288
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis8911060
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 MeasureYes

Frequently asked questions

How is Adventhealth Waterman rated?
Adventhealth Waterman has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Waterman have emergency services?
According to CMS records, Adventhealth Waterman does not report a 24/7 emergency department.
Where is Adventhealth Waterman located?
Adventhealth Waterman is located at 1000 Waterman Way, Tavares, FL 32778.
What type of hospital is Adventhealth Waterman?
Adventhealth Waterman 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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