JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Adventhealth Zephyrhills

4 / 5

At a glance

Adventhealth Zephyrhills 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.615Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2362Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.855Same 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 Limit0.363Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.759Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4643Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.497Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.144Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures36Not available
SSI - Colon Surgery: Predicted Cases0.963Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures68Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.627Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.432Same as national
MRSA Bacteremia: Upper Confidence Limit4.626Same as national
MRSA Bacteremia: Patient Days44558Same as national
MRSA Bacteremia: Predicted Cases1.765Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.700Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.177Better than national
Clostridium Difficile (C.Diff): Patient Days43563Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.939Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate3.9Same as national1063
Death rate for heart attack patients11.3Same as national149
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.9Same as national121
Death rate for heart failure patients9.3Same as national315
Death rate for pneumonia patients13.5Same as national252
Death rate for stroke patients11.3Same as national103
Pressure ulcer rate0.21Same as national3380
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.32Same as national4392
In-hospital fall-associated fracture rate0.23Same as national4353
Postoperative hemorrhage or hematoma rate1.88Same as national719
Postoperative acute kidney injury requiring dialysis rate1.59Same as national169
Postoperative respiratory failure rate6.44Same as national194
Perioperative pulmonary embolism or deep vein thrombosis rate2.95Same as national778
Postoperative sepsis rate4.56Same as national179
Postoperative wound dehiscence rate1.70Same as national134
Abdominopelvic accidental puncture or laceration rate1.19Same as national809
CMS Medicare PSI 90: Patient safety and adverse events composite0.75Same 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-19.2Not available147
Hospital return days for heart failure patients-22.2Not available378
Hospital return days for pneumonia patients-19.9Not available272
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national1780
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national314
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 national168
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national147
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national136
Heart failure (HF) 30-Day Readmission Rate19.9Same as national378
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national272

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 rating41655
Doctor communication - star rating31655
Communication about medicines - star rating31655
Discharge information - star rating41655
Cleanliness - star rating41655
Quietness - star rating31655
Overall hospital rating - star rating41655
Recommend hospital - star rating41655
Summary star rating41655

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 vaccination592056
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 better165479
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 better156452
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26517
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 seen142738
Head CT results6015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10064
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing203527
Appropriate care for severe sepsis and septic shock82163
Septic Shock 3-Hour Bundle8251
Septic Shock 6-Hour Bundle8826
Severe Sepsis 3-Hour Bundle91163
Severe Sepsis 6-Hour Bundle98124
Discharged on Antithrombotic Therapy97181
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293169
Venous Thromboembolism Prophylaxis917293
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 Zephyrhills rated?
Adventhealth Zephyrhills has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Zephyrhills have emergency services?
Yes. Adventhealth Zephyrhills operates a 24/7 emergency department.
Where is Adventhealth Zephyrhills located?
Adventhealth Zephyrhills is located at 7050 Gall Blvd, Zephyrhills, FL 33541.
What type of hospital is Adventhealth Zephyrhills?
Adventhealth Zephyrhills 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.

Report an issue with this page