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Acute Care Hospitals · Government - Hospital District or Authority

Orlando Health South Lake Hospital

3 / 5

At a glance

Orlando Health South Lake 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 12 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 Limit0.014Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.392Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4003Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.544Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.282Same 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 Limit0.847Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3530Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.535Better 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 Limit0.145Same as national
SSI - Colon Surgery: Upper Confidence Limit2.853Same as national
SSI - Colon Surgery: Number of Procedures91Same as national
SSI - Colon Surgery: Predicted Cases2.316Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.864Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures47Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.392Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.022Same as national
MRSA Bacteremia: Upper Confidence Limit2.157Same as national
MRSA Bacteremia: Patient Days57478Same as national
MRSA Bacteremia: Predicted Cases2.286Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.437Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.194Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.730Better than national
Clostridium Difficile (C.Diff): Patient Days55398Better than national
Clostridium Difficile (C.Diff): Predicted Cases22.637Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.398Better 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 patients5.1Same as national176
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national2209
Death rate for heart attack patients13.1Same as national261
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national171
Death rate for heart failure patients9.1Better than national458
Death rate for pneumonia patients14.9Same as national405
Death rate for stroke patients11Same as national162
Pressure ulcer rate0.17Same as national5198
Death rate among surgical inpatients with serious treatable complications134.54Same as national39
Iatrogenic pneumothorax rate0.14Same as national8128
In-hospital fall-associated fracture rate0.28Same as national8123
Postoperative hemorrhage or hematoma rate2.03Same as national1318
Postoperative acute kidney injury requiring dialysis rate1.80Same as national434
Postoperative respiratory failure rate6.10Same as national463
Perioperative pulmonary embolism or deep vein thrombosis rate2.90Same as national1364
Postoperative sepsis rate4.27Same as national435
Postoperative wound dehiscence rate1.68Same as national257
Abdominopelvic accidental puncture or laceration rate0.87Same as national1112
CMS Medicare PSI 90: Patient safety and adverse events composite0.70Same 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-19.2Not available247
Hospital return days for heart failure patients-15.1Not available536
Hospital return days for pneumonia patients9Not available439
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national3517
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national433
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 national477
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national247
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national202
Heart failure (HF) 30-Day Readmission Rate19.4Same as national536
Rate of readmission after hip/knee replacement6.5Same as national176
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national439

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 rating32142
Doctor communication - star rating32142
Communication about medicines - star rating22142
Discharge information - star rating42142
Cleanliness - star rating42142
Quietness - star rating32142
Overall hospital rating - star rating42142
Recommend hospital - star rating42142
Summary star rating32142

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 Hyperglycemia1118315
Hospital Harm - Severe Hypoglycemia14774
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination462367
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 better1361909
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 better1341861
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19032
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better28317
Left before being seen090935
Head CT results7117
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients3885
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing154231
Appropriate care for severe sepsis and septic shock76494
Septic Shock 3-Hour Bundle71112
Septic Shock 6-Hour Bundle8347
Severe Sepsis 3-Hour Bundle86494
Severe Sepsis 6-Hour Bundle97236
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 MeasureYes

Frequently asked questions

How is Orlando Health South Lake Hospital rated?
Orlando Health South Lake Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Orlando Health South Lake Hospital have emergency services?
Yes. Orlando Health South Lake Hospital operates a 24/7 emergency department.
Where is Orlando Health South Lake Hospital located?
Orlando Health South Lake Hospital is located at 1900 Don Wickham Dr, Clermont, FL 34711.
What type of hospital is Orlando Health South Lake Hospital?
Orlando Health South Lake Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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