JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Lakeland Regional Medical Center

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At a glance

Lakeland Regional Medical Center carries a 1-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 6. For 30-day readmissions, it beats the national rate on 0 measures and trails on 3.

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 Limit0.853Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.940Same as national
Central Line Associated Bloodstream Infection: Number of Device Days16224Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases17.504Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases23Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.314Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.237Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.636Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days23106Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases39.976Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases16Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.400Better than national
SSI - Colon Surgery: Lower Confidence Limit0.058Better than national
SSI - Colon Surgery: Upper Confidence Limit0.623Better than national
SSI - Colon Surgery: Number of Procedures482Better than national
SSI - Colon Surgery: Predicted Cases13.116Better than national
SSI - Colon Surgery: Observed Cases3Better than national
SSI - Colon Surgery0.229Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.357Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.815Same as national
SSI - Abdominal Hysterectomy: Number of Procedures243Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.140Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.402Same as national
MRSA Bacteremia: Lower Confidence Limit1.262Worse than national
MRSA Bacteremia: Upper Confidence Limit2.558Worse than national
MRSA Bacteremia: Patient Days270027Worse than national
MRSA Bacteremia: Predicted Cases16.988Worse than national
MRSA Bacteremia: Observed Cases31Worse than national
MRSA Bacteremia1.825Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.356Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.521Better than national
Clostridium Difficile (C.Diff): Patient Days262305Better than national
Clostridium Difficile (C.Diff): Predicted Cases247.285Better than national
Clostridium Difficile (C.Diff): Observed Cases107Better than national
Clostridium Difficile (C.Diff)0.433Better 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 patients2.9Same as national182
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national3623
Death rate for heart attack patients15.7Worse than national316
Death rate for CABG surgery patients3.5Same as national89
Death rate for COPD patients10.4Same as national393
Death rate for heart failure patients8.4Better than national934
Death rate for pneumonia patients17.4Same as national915
Death rate for stroke patients14.9Same as national315
Pressure ulcer rate2.08Worse than national13559
Death rate among surgical inpatients with serious treatable complications205.79Same as national181
Iatrogenic pneumothorax rate0.10Same as national16190
In-hospital fall-associated fracture rate0.42Same as national16335
Postoperative hemorrhage or hematoma rate1.93Same as national3083
Postoperative acute kidney injury requiring dialysis rate3.17Worse than national1031
Postoperative respiratory failure rate9.33Same as national1084
Perioperative pulmonary embolism or deep vein thrombosis rate5.06Same as national3037
Postoperative sepsis rate5.31Same as national918
Postoperative wound dehiscence rate2.09Same as national590
Abdominopelvic accidental puncture or laceration rate0.76Same as national3287
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 patients0Not available297
Hospital return days for heart failure patients17.6Not available1095
Hospital return days for pneumonia patients50.4Not available935
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.7Worse than national6392
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.2Same as national827
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.8Same as national189
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national189
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Worse than national887
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national297
Rate of readmission for CABG10.8Same as national88
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.6Same as national447
Heart failure (HF) 30-Day Readmission Rate21.2Same as national1095
Rate of readmission after hip/knee replacement4.5Same as national177
Pneumonia (PN) 30-Day Readmission Rate18.6Worse than national935

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 rating34204
Doctor communication - star rating24204
Communication about medicines - star rating24204
Discharge information - star rating24204
Cleanliness - star rating34204
Quietness - star rating34204
Overall hospital rating - star rating34204
Recommend hospital - star rating34204
Summary star rating34204

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 vaccination897363
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 better166438
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 better162415
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19823
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 seen1202489
Head CT results96173
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8866
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6162
Safe Use of Opioids - Concurrent Prescribing1410628
Appropriate care for severe sepsis and septic shock54202
Septic Shock 3-Hour Bundle7276
Septic Shock 6-Hour Bundle8752
Severe Sepsis 3-Hour Bundle76202
Severe Sepsis 6-Hour Bundle87117
Discharged on Antithrombotic Therapy96514
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294497
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis934125

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 Lakeland Regional Medical Center rated?
Lakeland Regional Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Lakeland Regional Medical Center have emergency services?
Yes. Lakeland Regional Medical Center operates a 24/7 emergency department.
Where is Lakeland Regional Medical Center located?
Lakeland Regional Medical Center is located at 1324 Lakeland Hills Blvd, Lakeland, FL 33805.
What type of hospital is Lakeland Regional Medical Center?
Lakeland Regional Medical Center 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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