JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Santa Rosa Medical Center

4 / 5

At a glance

Santa Rosa Medical Center carries a 4-star CMS overall rating — above 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.468Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1578Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.214Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.028Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.777Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2398Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.776Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.563Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.308Same as national
SSI - Colon Surgery: Number of Procedures43Same as national
SSI - Colon Surgery: Predicted Cases1.298Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures15Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.131Not 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 Days13732Not available
MRSA Bacteremia: Predicted Cases0.448Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.551Better than national
Clostridium Difficile (C.Diff): Patient Days13732Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.440Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients3.2Same as national59
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national461
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national85
Death rate for heart failure patients10.6Same as national97
Death rate for pneumonia patients16.1Same as national225
Death rate for stroke patients14.9Same as national31
Pressure ulcer rate0.38Same as national1348
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national2005
In-hospital fall-associated fracture rate0.25Same as national1947
Postoperative hemorrhage or hematoma rate2.14Same as national380
Postoperative acute kidney injury requiring dialysis rate2.09Same as national166
Postoperative respiratory failure rate7.28Same as national169
Perioperative pulmonary embolism or deep vein thrombosis rate3.86Same as national398
Postoperative sepsis rate4.88Same as national149
Postoperative wound dehiscence rate1.72Same as national83
Abdominopelvic accidental puncture or laceration rate0.95Same as national336
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients-5.3Not available123
Hospital return days for pneumonia patients2.2Not available239
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national711
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national508
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 national145
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national108
Heart failure (HF) 30-Day Readmission Rate20.2Same as national123
Rate of readmission after hip/knee replacement4.7Same as national62
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national239

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 rating2414
Doctor communication - star rating3414
Communication about medicines - star rating2414
Discharge information - star rating3414
Cleanliness - star rating4414
Quietness - star rating3414
Overall hospital rating - star rating3414
Recommend hospital - star rating3414
Summary star rating3414

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination43778
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 better119427
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 better117417
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 seen139488
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9763
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing181501
Appropriate care for severe sepsis and septic shock60176
Septic Shock 3-Hour Bundle5753
Septic Shock 6-Hour Bundle7225
Severe Sepsis 3-Hour Bundle89176
Severe Sepsis 6-Hour Bundle86128
Discharged on Antithrombotic Therapy8342
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 26025
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis65481

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 Santa Rosa Medical Center rated?
Santa Rosa Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Santa Rosa Medical Center have emergency services?
Yes. Santa Rosa Medical Center operates a 24/7 emergency department.
Where is Santa Rosa Medical Center located?
Santa Rosa Medical Center is located at 6002 Berryhill Rd, Milton, FL 32570.
What type of hospital is Santa Rosa Medical Center?
Santa Rosa Medical Center 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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