JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Naples Community Hospital

3 / 5

At a glance

Naples Community 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 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 Limit0.396Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.620Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9127Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.379Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases8Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.853Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.287Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.174Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10704Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.940Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.618Same as national
SSI - Colon Surgery: Lower Confidence Limit0.417Same as national
SSI - Colon Surgery: Upper Confidence Limit1.884Same as national
SSI - Colon Surgery: Number of Procedures325Same as national
SSI - Colon Surgery: Predicted Cases7.350Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery0.952Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.427Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.572Same as national
SSI - Abdominal Hysterectomy: Number of Procedures249Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.786Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.680Same as national
MRSA Bacteremia: Lower Confidence Limit0.672Same as national
MRSA Bacteremia: Upper Confidence Limit2.528Same as national
MRSA Bacteremia: Patient Days142827Same as national
MRSA Bacteremia: Predicted Cases6.532Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia1.378Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.035Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.157Better than national
Clostridium Difficile (C.Diff): Patient Days140424Better than national
Clostridium Difficile (C.Diff): Predicted Cases88.030Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.080Better 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 patients2.6Same as national1072
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national6111
Death rate for heart attack patients9.4Better than national563
Death rate for CABG surgery patients2.3Same as national225
Death rate for COPD patients9.3Same as national314
Death rate for heart failure patients11Same as national1464
Death rate for pneumonia patients16.5Same as national1458
Death rate for stroke patients13Same as national640
Pressure ulcer rate0.35Same as national16806
Death rate among surgical inpatients with serious treatable complications161.79Same as national195
Iatrogenic pneumothorax rate0.15Same as national21224
In-hospital fall-associated fracture rate0.31Same as national21357
Postoperative hemorrhage or hematoma rate2.20Same as national5206
Postoperative acute kidney injury requiring dialysis rate1.38Same as national2502
Postoperative respiratory failure rate10.59Same as national2611
Perioperative pulmonary embolism or deep vein thrombosis rate2.60Same as national5544
Postoperative sepsis rate6.50Same as national2478
Postoperative wound dehiscence rate1.95Same as national1087
Abdominopelvic accidental puncture or laceration rate0.73Same as national3421
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 patients-7.4Not available562
Hospital return days for heart failure patients-3Not available1687
Hospital return days for pneumonia patients2.8Not available1512
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national9912
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.6Same as national3718
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 surgery1.1Same as national1211
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national562
Rate of readmission for CABG10.5Same as national222
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national337
Heart failure (HF) 30-Day Readmission Rate19.3Same as national1687
Rate of readmission after hip/knee replacement5.5Same as national955
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national1512

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 rating23096
Doctor communication - star rating33096
Communication about medicines - star rating13096
Discharge information - star rating23096
Cleanliness - star rating33096
Quietness - star rating23096
Overall hospital rating - star rating23096
Recommend hospital - star rating33096
Summary star rating23096

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 vaccination8212908
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 better173833
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 better173823
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 seen1119673
Head CT results5229
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients90481
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing147330
Appropriate care for severe sepsis and septic shock671113
Septic Shock 3-Hour Bundle68295
Septic Shock 6-Hour Bundle89148
Severe Sepsis 3-Hour Bundle801113
Severe Sepsis 6-Hour Bundle97646
Discharged on Antithrombotic Therapy97505
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 289450
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis982960

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 Naples Community Hospital rated?
Naples Community Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Naples Community Hospital have emergency services?
Yes. Naples Community Hospital operates a 24/7 emergency department.
Where is Naples Community Hospital located?
Naples Community Hospital is located at 350 7th St N, Naples, FL 34102.
What type of hospital is Naples Community Hospital?
Naples Community 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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