JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Flagler Hospital

3 / 5

At a glance

Flagler Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.215Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.304Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4523Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.544Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.847Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.050Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.980Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7365Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.745Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.297Better than national
SSI - Colon Surgery: Lower Confidence Limit0.018Same as national
SSI - Colon Surgery: Upper Confidence Limit1.725Same as national
SSI - Colon Surgery: Number of Procedures107Same as national
SSI - Colon Surgery: Predicted Cases2.859Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.350Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures113Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.937Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.026Same as national
MRSA Bacteremia: Upper Confidence Limit2.579Same as national
MRSA Bacteremia: Patient Days61880Same as national
MRSA Bacteremia: Predicted Cases1.912Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.523Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.025Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.265Better than national
Clostridium Difficile (C.Diff): Patient Days59609Better than national
Clostridium Difficile (C.Diff): Predicted Cases30.780Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.097Better 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 national84
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national1825
Death rate for heart attack patients13.1Same as national229
Death rate for CABG surgery patients2Same as national93
Death rate for COPD patients9.8Same as national177
Death rate for heart failure patients12.4Same as national474
Death rate for pneumonia patients15.6Same as national570
Death rate for stroke patients14.4Same as national153
Pressure ulcer rate0.50Same as national5562
Death rate among surgical inpatients with serious treatable complications162.51Same as national67
Iatrogenic pneumothorax rate0.19Same as national7466
In-hospital fall-associated fracture rate0.29Same as national7569
Postoperative hemorrhage or hematoma rate3.04Same as national1653
Postoperative acute kidney injury requiring dialysis rate1.70Same as national649
Postoperative respiratory failure rate7.71Same as national656
Perioperative pulmonary embolism or deep vein thrombosis rate3.63Same as national1772
Postoperative sepsis rate5.46Same as national597
Postoperative wound dehiscence rate1.67Same as national329
Abdominopelvic accidental puncture or laceration rate1.25Same as national1321
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients7.6Not available234
Hospital return days for heart failure patients-16.5Not available563
Hospital return days for pneumonia patients27.7Not available602
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national2949
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national310
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 surgery0.7Better than national1056
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national234
Rate of readmission for CABG8.8Same as national90
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national190
Heart failure (HF) 30-Day Readmission Rate19.1Same as national563
Rate of readmission after hip/knee replacement4.9Same as national78
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national602

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 rating3423
Doctor communication - star rating3423
Communication about medicines - star rating2423
Discharge information - star rating3423
Cleanliness - star rating2423
Quietness - star rating2423
Overall hospital rating - star rating3423
Recommend hospital - star rating3423
Summary star rating3423

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 vaccination702632
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 better163435
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 better162423
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 seen148984
Head CT results8015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8628
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing213537
Appropriate care for severe sepsis and septic shock56192
Septic Shock 3-Hour Bundle7872
Septic Shock 6-Hour Bundle7735
Severe Sepsis 3-Hour Bundle71192
Severe Sepsis 6-Hour Bundle9481
Discharged on Antithrombotic Therapy98128
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 291121
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 Flagler Hospital rated?
Flagler Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Flagler Hospital have emergency services?
Yes. Flagler Hospital operates a 24/7 emergency department.
Where is Flagler Hospital located?
Flagler Hospital is located at 400 Health Park Blvd, Saint Augustine, FL 32086.
What type of hospital is Flagler Hospital?
Flagler Hospital 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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