JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Gulf Breeze Hospital

4 / 5

At a glance

Gulf Breeze Hospital carries a 4-star CMS overall rating — above the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days363Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.280Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1220Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.937Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.233Same as national
SSI - Colon Surgery: Upper Confidence Limit4.582Same as national
SSI - Colon Surgery: Number of Procedures62Same as national
SSI - Colon Surgery: Predicted Cases1.442Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.387Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.019Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days13468Not available
MRSA Bacteremia: Predicted Cases0.653Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.243Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.842Same as national
Clostridium Difficile (C.Diff): Patient Days13468Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.239Same as national
Clostridium Difficile (C.Diff): Observed Cases4Same as national
Clostridium Difficile (C.Diff)0.764Same as 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 patients4.2Same as national50
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national600
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national69
Death rate for heart failure patients8.9Same as national200
Death rate for pneumonia patients14.1Same as national208
Death rate for stroke patients14.4Same as national75
Pressure ulcer rate0.35Same as national1681
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2247
In-hospital fall-associated fracture rate0.33Same as national2211
Postoperative hemorrhage or hematoma rate2.48Same as national411
Postoperative acute kidney injury requiring dialysis rate1.58Same as national178
Postoperative respiratory failure rate10.29Same as national184
Perioperative pulmonary embolism or deep vein thrombosis rate3.76Same as national416
Postoperative sepsis rate5.76Same as national138
Postoperative wound dehiscence rate1.72Same as national98
Abdominopelvic accidental puncture or laceration rate0.95Same as national281
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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 patientsNot available
Hospital return days for heart failure patients47Not available234
Hospital return days for pneumonia patients-1.3Not available219
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national893
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national634
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 national740
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national79
Heart failure (HF) 30-Day Readmission Rate20.4Same as national234
Rate of readmission after hip/knee replacement4.6Same as national43
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national219

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 rating5528
Doctor communication - star rating4528
Communication about medicines - star rating4528
Discharge information - star rating4528
Cleanliness - star rating4528
Quietness - star rating4528
Overall hospital rating - star rating4528
Recommend hospital - star rating5528
Summary star rating4528

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 volumelow
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 vaccination731073
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 better176410
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 better174395
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 seen215031
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99118
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing17806
Appropriate care for severe sepsis and septic shock6495
Septic Shock 3-Hour Bundle6428
Septic Shock 6-Hour Bundle8116
Severe Sepsis 3-Hour Bundle7895
Severe Sepsis 6-Hour Bundle10048
Discharged on Antithrombotic Therapy8988
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210068
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Gulf Breeze Hospital rated?
Gulf Breeze Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Gulf Breeze Hospital have emergency services?
Yes. Gulf Breeze Hospital operates a 24/7 emergency department.
Where is Gulf Breeze Hospital located?
Gulf Breeze Hospital is located at 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561.
What type of hospital is Gulf Breeze Hospital?
Gulf Breeze Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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