JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baptist Medical Center Beaches

4 / 5

At a glance

Baptist Medical Center Beaches 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 Limit0.025Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.492Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2800Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.979Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.505Same 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 Limit1.026Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4094Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.921Same 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 LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.480Same as national
SSI - Colon Surgery: Number of Procedures83Same as national
SSI - Colon Surgery: Predicted Cases2.024Same 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 Procedures128Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.994Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.459Same as national
MRSA Bacteremia: Upper Confidence Limit4.913Same as national
MRSA Bacteremia: Patient Days39558Same as national
MRSA Bacteremia: Predicted Cases1.662Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.805Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.013Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.253Better than national
Clostridium Difficile (C.Diff): Patient Days37846Better than national
Clostridium Difficile (C.Diff): Predicted Cases26.118Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.077Better 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 patients3.1Same as national56
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1331
Death rate for heart attack patients12.4Same as national93
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national141
Death rate for heart failure patients10.8Same as national345
Death rate for pneumonia patients14.6Same as national382
Death rate for stroke patients13.7Same as national108
Pressure ulcer rate0.24Same as national3880
Death rate among surgical inpatients with serious treatable complications168.32Same as national31
Iatrogenic pneumothorax rate0.18Same as national4850
In-hospital fall-associated fracture rate0.31Same as national4759
Postoperative hemorrhage or hematoma rate2.57Same as national803
Postoperative acute kidney injury requiring dialysis rate1.56Same as national254
Postoperative respiratory failure rate14.93Same as national282
Perioperative pulmonary embolism or deep vein thrombosis rate3.24Same as national856
Postoperative sepsis rate6.13Same as national252
Postoperative wound dehiscence rate1.67Same as national199
Abdominopelvic accidental puncture or laceration rate1.38Same as national832
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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 patients27.1Not available54
Hospital return days for heart failure patients-25.1Not available399
Hospital return days for pneumonia patients12.6Not available397
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2155
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national1167
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 surgery0.9Same as national774
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national54
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national160
Heart failure (HF) 30-Day Readmission Rate18.6Same as national399
Rate of readmission after hip/knee replacement4.5Same as national56
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national397

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 rating4593
Doctor communication - star rating4593
Communication about medicines - star rating3593
Discharge information - star rating3593
Cleanliness - star rating4593
Quietness - star rating4593
Overall hospital rating - star rating4593
Recommend hospital - star rating5593
Summary star rating4593

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 vaccination941036
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 better195499
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 better193479
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 better32015
Left before being seen132175
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94142
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing182165
Appropriate care for severe sepsis and septic shock5988
Septic Shock 3-Hour Bundle6721
Septic Shock 6-Hour Bundle8312
Severe Sepsis 3-Hour Bundle8189
Severe Sepsis 6-Hour Bundle8045
Discharged on Antithrombotic Therapy10085
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210057
Venous Thromboembolism Prophylaxis
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 Baptist Medical Center Beaches rated?
Baptist Medical Center Beaches has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Medical Center Beaches have emergency services?
Yes. Baptist Medical Center Beaches operates a 24/7 emergency department.
Where is Baptist Medical Center Beaches located?
Baptist Medical Center Beaches is located at 1350 13th Ave S, Jacksonville Beach, FL 32250.
What type of hospital is Baptist Medical Center Beaches?
Baptist Medical Center Beaches 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.

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