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Acute Care - Veterans Administration · Veterans Health Administration

Bay Pines VA Medical Center

3 / 5

At a glance

Bay Pines VA Medical Center carries a 3-star CMS overall rating — in line with the national norm. For 30-day readmissions, it beats the national rate on 0 measures and trails on 3.

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 Limit0.015Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.437Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3271Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.431Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.291Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.062Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.226Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4656Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.391Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.371Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
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 DaysNot available
MRSA Bacteremia: Predicted CasesNot available
MRSA Bacteremia: Observed CasesNot available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient DaysNot available
Clostridium Difficile (C.Diff): Predicted CasesNot available
Clostridium Difficile (C.Diff): Observed CasesNot available
Clostridium Difficile (C.Diff)Not available

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 patients2.9Same as national421
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNot available
Death rate for heart attack patients10.6Same as national130
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7Same as national419
Death rate for heart failure patients8.1Better than national468
Death rate for pneumonia patients13.4Better than national458
Death rate for stroke patientsNot available
Pressure ulcer rate1.63Worse than national6784
Death rate among surgical inpatients with serious treatable complications150.00Same as national75
Iatrogenic pneumothorax rate0.26Same as national10856
In-hospital fall-associated fracture rate0.30Same as national11427
Postoperative hemorrhage or hematoma rate2.30Same as national1784
Postoperative acute kidney injury requiring dialysis rate1.27Same as national1219
Postoperative respiratory failure rate9.69Same as national1164
Perioperative pulmonary embolism or deep vein thrombosis rate4.98Same as national1975
Postoperative sepsis rate5.57Same as national1185
Postoperative wound dehiscence rate1.53Same as national286
Abdominopelvic accidental puncture or laceration rate1.47Same as national1649
CMS Medicare PSI 90: Patient safety and adverse events composite1.38Worse than 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-4.6Not available136
Hospital return days for heart failure patients40.2Not available595
Hospital return days for pneumonia patients10.3Not available519
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Worse than national4223
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national136
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients23.9Worse than national523
Heart failure (HF) 30-Day Readmission Rate23.6Worse than national595
Rate of readmission after hip/knee replacement5.1Same as national398
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national519

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 rating4486
Doctor communication - star rating3486
Communication about medicines - star rating4486
Discharge information - star rating3486
Cleanliness - star rating4486
Quietness - star rating4486
Overall hospital rating - star rating4486
Recommend hospital - star rating5486
Summary star rating4486

Frequently asked questions

How is Bay Pines VA Medical Center rated?
Bay Pines VA Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Bay Pines VA Medical Center have emergency services?
Yes. Bay Pines VA Medical Center operates a 24/7 emergency department.
Where is Bay Pines VA Medical Center located?
Bay Pines VA Medical Center is located at 10000 Bay Pines Blvd., Bay Pines, FL 33744.
What type of hospital is Bay Pines VA Medical Center?
Bay Pines VA Medical Center is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

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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