JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Central Florida Lake Monroe Hospital

2 / 5

At a glance

Central Florida Lake Monroe Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.926Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3947Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.235Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.065Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.284Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4997Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.146Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.389Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.187Same as national
SSI - Colon Surgery: Number of Procedures46Same as national
SSI - Colon Surgery: Predicted Cases1.370Same 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 Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.049Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.023Same as national
MRSA Bacteremia: Upper Confidence Limit2.230Same as national
MRSA Bacteremia: Patient Days42952Same as national
MRSA Bacteremia: Predicted Cases2.212Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.452Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.002Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.190Better than national
Clostridium Difficile (C.Diff): Patient Days42952Better than national
Clostridium Difficile (C.Diff): Predicted Cases25.952Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.039Better 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 patients4.3Same as national36
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national754
Death rate for heart attack patients13.7Same as national77
Death rate for CABG surgery patients2.1Same as national25
Death rate for COPD patients9.4Same as national56
Death rate for heart failure patients8.6Same as national174
Death rate for pneumonia patients12.2Same as national188
Death rate for stroke patients12.1Same as national92
Pressure ulcer rate0.25Same as national2646
Death rate among surgical inpatients with serious treatable complications217.77Same as national44
Iatrogenic pneumothorax rate0.23Same as national3323
In-hospital fall-associated fracture rate0.24Same as national3248
Postoperative hemorrhage or hematoma rate1.98Same as national697
Postoperative acute kidney injury requiring dialysis rate2.51Same as national186
Postoperative respiratory failure rate11.58Same as national204
Perioperative pulmonary embolism or deep vein thrombosis rate2.63Same as national733
Postoperative sepsis rate6.55Same as national188
Postoperative wound dehiscence rate2.05Same as national113
Abdominopelvic accidental puncture or laceration rate1.23Same as national506
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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-23.8Not available82
Hospital return days for heart failure patients19.9Not available209
Hospital return days for pneumonia patients7.7Not available208
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national1358
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 surgery1.1Same as national66
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national82
Rate of readmission for CABG11.3Same as national25
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national60
Heart failure (HF) 30-Day Readmission Rate19.7Same as national209
Rate of readmission after hip/knee replacement5Same as national29
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national208

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 rating1665
Doctor communication - star rating2665
Communication about medicines - star rating1665
Discharge information - star rating1665
Cleanliness - star rating2665
Quietness - star rating2665
Overall hospital rating - star rating1665
Recommend hospital - star rating1665
Summary star rating1665

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 vaccination211713
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 better126410
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 better123397
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19812
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 seen145612
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9212
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing163105
Appropriate care for severe sepsis and septic shock59101
Septic Shock 3-Hour Bundle5632
Septic Shock 6-Hour Bundle8816
Severe Sepsis 3-Hour Bundle78102
Severe Sepsis 6-Hour Bundle9858
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 286139
Venous Thromboembolism Prophylaxis896016
Intensive Care Unit Venous Thromboembolism Prophylaxis991578

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Central Florida Lake Monroe Hospital rated?
Central Florida Lake Monroe Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Central Florida Lake Monroe Hospital have emergency services?
Yes. Central Florida Lake Monroe Hospital operates a 24/7 emergency department.
Where is Central Florida Lake Monroe Hospital located?
Central Florida Lake Monroe Hospital is located at 1401 W Seminole Blvd, Sanford, FL 32771.
What type of hospital is Central Florida Lake Monroe Hospital?
Central Florida Lake Monroe Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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