JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Orlando Health St Cloud Hospital

2 / 5

At a glance

Orlando Health St Cloud Hospital carries a 2-star CMS overall rating — below the national norm. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Days1533Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.935Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not 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 Days1029Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.529Not 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 Procedures27Not available
SSI - Colon Surgery: Predicted Cases0.702Not 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 Procedures12Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.100Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days22327Not available
MRSA Bacteremia: Predicted Cases0.559Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.104Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.108Same as national
Clostridium Difficile (C.Diff): Patient Days22327Same as national
Clostridium Difficile (C.Diff): Predicted Cases7.372Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.407Same as 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 Rate4Same as national459
Death rate for heart attack patients11.7Same as national37
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.4Same as national64
Death rate for heart failure patients11Same as national125
Death rate for pneumonia patients15Same as national136
Death rate for stroke patients12.7Same as national36
Pressure ulcer rate0.72Same as national1621
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2356
In-hospital fall-associated fracture rate0.25Same as national2394
Postoperative hemorrhage or hematoma rate2.25Same as national165
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.74Same as national169
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.73Same as national70
Abdominopelvic accidental puncture or laceration rate1.01Same as national255
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients1.7Not available167
Hospital return days for pneumonia patients14.7Not available157
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)17.2Worse than national810
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national299
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 national42
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national34
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national65
Heart failure (HF) 30-Day Readmission Rate21.2Same as national167
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national157

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 rating3635
Doctor communication - star rating3635
Communication about medicines - star rating2635
Discharge information - star rating3635
Cleanliness - star rating3635
Quietness - star rating2635
Overall hospital rating - star rating2635
Recommend hospital - star rating3635
Summary star rating3635

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 volumemedium
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 Hyperglycemia117250
Hospital Harm - Severe Hypoglycemia22157
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination46841
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 better147419
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 better145401
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 better26012
Left before being seen032243
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients44188
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing191484
Appropriate care for severe sepsis and septic shock74314
Septic Shock 3-Hour Bundle7285
Septic Shock 6-Hour Bundle9144
Severe Sepsis 3-Hour Bundle87317
Severe Sepsis 6-Hour Bundle96181
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Orlando Health St Cloud Hospital rated?
Orlando Health St Cloud Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Orlando Health St Cloud Hospital have emergency services?
Yes. Orlando Health St Cloud Hospital operates a 24/7 emergency department.
Where is Orlando Health St Cloud Hospital located?
Orlando Health St Cloud Hospital is located at 2906 17th Street, Saint Cloud, FL 34769.
What type of hospital is Orlando Health St Cloud Hospital?
Orlando Health St Cloud 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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