JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Hca Florida Memorial Hospital

2 / 5

At a glance

Hca Florida Memorial 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 18 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 Limit0.256Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.156Same as national
Central Line Associated Bloodstream Infection: Number of Device Days11464Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.979Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.584Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.336Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6967Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.905Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.006Better than national
SSI - Colon Surgery: Upper Confidence Limit0.552Better than national
SSI - Colon Surgery: Number of Procedures310Better than national
SSI - Colon Surgery: Predicted Cases8.929Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.112Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures85Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.697Not available
SSI - Abdominal Hysterectomy: Observed Cases4Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.101Same as national
MRSA Bacteremia: Upper Confidence Limit1.081Same as national
MRSA Bacteremia: Patient Days108371Same as national
MRSA Bacteremia: Predicted Cases7.554Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.397Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.001Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.068Better than national
Clostridium Difficile (C.Diff): Patient Days104943Better than national
Clostridium Difficile (C.Diff): Predicted Cases72.060Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.014Better 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 patients4Same as national227
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national1291
Death rate for heart attack patients12.6Same as national143
Death rate for CABG surgery patients3.1Same as national64
Death rate for COPD patients12Same as national87
Death rate for heart failure patients10.7Same as national259
Death rate for pneumonia patients17.4Same as national279
Death rate for stroke patients14Same as national99
Pressure ulcer rate0.45Same as national5209
Death rate among surgical inpatients with serious treatable complications141.74Same as national87
Iatrogenic pneumothorax rate0.15Same as national6382
In-hospital fall-associated fracture rate0.25Same as national6624
Postoperative hemorrhage or hematoma rate1.57Same as national1588
Postoperative acute kidney injury requiring dialysis rate1.41Same as national535
Postoperative respiratory failure rate36.10Worse than national606
Perioperative pulmonary embolism or deep vein thrombosis rate3.04Same as national1610
Postoperative sepsis rate4.21Same as national597
Postoperative wound dehiscence rate1.61Same as national282
Abdominopelvic accidental puncture or laceration rate1.24Same as national1306
CMS Medicare PSI 90: Patient safety and adverse events composite1.55Worse 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-15.6Not available137
Hospital return days for heart failure patients-25.2Not available301
Hospital return days for pneumonia patients2.4Not available295
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2238
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national248
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 national237
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national137
Rate of readmission for CABG11.4Same as national61
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national90
Heart failure (HF) 30-Day Readmission Rate19.6Same as national301
Rate of readmission after hip/knee replacement5Same as national211
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national295

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 rating2659
Doctor communication - star rating2659
Communication about medicines - star rating2659
Discharge information - star rating2659
Cleanliness - star rating2659
Quietness - star rating3659
Overall hospital rating - star rating2659
Recommend hospital - star rating2659
Summary star rating2659

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 volumevery high
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 vaccination243183
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 better114416
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 better112399
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18013
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 seen188772
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9676
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing157590
Appropriate care for severe sepsis and septic shock68112
Septic Shock 3-Hour Bundle7730
Septic Shock 6-Hour Bundle9519
Severe Sepsis 3-Hour Bundle85112
Severe Sepsis 6-Hour Bundle9275
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 284264
Venous Thromboembolism Prophylaxis9211887
Intensive Care Unit Venous Thromboembolism Prophylaxis991815

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 Hca Florida Memorial Hospital rated?
Hca Florida Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Hca Florida Memorial Hospital have emergency services?
Yes. Hca Florida Memorial Hospital operates a 24/7 emergency department.
Where is Hca Florida Memorial Hospital located?
Hca Florida Memorial Hospital is located at 3625 University Blvd S, Jacksonville, FL 32216.
What type of hospital is Hca Florida Memorial Hospital?
Hca Florida Memorial 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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