JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Hca Florida Poinciana Hospital

2 / 5

At a glance

Hca Florida Poinciana 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 6 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days901Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.618Not 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 Days789Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.575Not 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures31Not available
SSI - Colon Surgery: Predicted Cases0.829Not available
SSI - Colon Surgery: Observed Cases0Not 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 Days17815Not available
MRSA Bacteremia: Predicted Cases0.503Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.005Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.533Better than national
Clostridium Difficile (C.Diff): Patient Days17815Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.252Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.108Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national322
Death rate for heart attack patients11.6Same as national44
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national39
Death rate for heart failure patients10.1Same as national73
Death rate for pneumonia patients14.7Same as national136
Death rate for stroke patients14.1Same as national29
Pressure ulcer rate0.43Same as national885
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1150
In-hospital fall-associated fracture rate0.26Same as national1204
Postoperative hemorrhage or hematoma rate2.29Same as national84
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.38Same as national86
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.75Same as national31
Abdominopelvic accidental puncture or laceration rate1.03Same as national101
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patients26.7Not available85
Hospital return days for pneumonia patients61Not available141
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national451
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national447
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 Rate13.9Same as national25
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national39
Heart failure (HF) 30-Day Readmission Rate20.9Same as national85
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.3Same as national141

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 rating2576
Doctor communication - star rating2576
Communication about medicines - star rating2576
Discharge information - star rating2576
Cleanliness - star rating4576
Quietness - star rating3576
Overall hospital rating - star rating2576
Recommend hospital - star rating3576
Summary star rating2576

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 vaccination25995
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 better114444
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 better113426
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 seen180721
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7239
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13757
Appropriate care for severe sepsis and septic shock6586
Septic Shock 3-Hour Bundle5018
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8587
Severe Sepsis 6-Hour Bundle9762
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28769
Venous Thromboembolism Prophylaxis992873
Intensive Care Unit Venous Thromboembolism Prophylaxis100624

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 Hca Florida Poinciana Hospital rated?
Hca Florida Poinciana Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Hca Florida Poinciana Hospital have emergency services?
Yes. Hca Florida Poinciana Hospital operates a 24/7 emergency department.
Where is Hca Florida Poinciana Hospital located?
Hca Florida Poinciana Hospital is located at 325 Cypress Pkwy, Kissimmee, FL 34758.
What type of hospital is Hca Florida Poinciana Hospital?
Hca Florida Poinciana 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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