Acute Care Hospitals · Voluntary non-profit - Private
Shands Jacksonville
- 655 W 8th St, Jacksonville, FL 32209
- (904) 244-4000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Shands Jacksonville 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.399 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.253 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 14420 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 16.283 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 12 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.737 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.253 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.033 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 8126 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 14.710 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 8 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.544 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.311 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.598 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 254 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 7.809 | Same as national |
| SSI - Colon Surgery: Observed Cases | 6 | Same as national |
| SSI - Colon Surgery | 0.768 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 1.373 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 233 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.182 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Same as national |
| SSI - Abdominal Hysterectomy | 0.000 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.481 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.383 | Same as national |
| MRSA Bacteremia: Patient Days | 198775 | Same as national |
| MRSA Bacteremia: Predicted Cases | 16.584 | Same as national |
| MRSA Bacteremia: Observed Cases | 14 | Same as national |
| MRSA Bacteremia | 0.844 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.274 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.533 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 190955 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 90.352 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 35 | Better than national |
| Clostridium Difficile (C.Diff) | 0.387 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.9 | Same as national | 1371 |
| Death rate for heart attack patients | 11.7 | Same as national | 130 |
| Death rate for CABG surgery patients | 2 | Same as national | 58 |
| Death rate for COPD patients | 7.4 | Same as national | 109 |
| Death rate for heart failure patients | 8.8 | Better than national | 407 |
| Death rate for pneumonia patients | 14.8 | Same as national | 228 |
| Death rate for stroke patients | 13.7 | Same as national | 149 |
| Pressure ulcer rate | 0.23 | Same as national | 5268 |
| Death rate among surgical inpatients with serious treatable complications | 156.27 | Same as national | 103 |
| Iatrogenic pneumothorax rate | 0.20 | Same as national | 6527 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 6647 |
| Postoperative hemorrhage or hematoma rate | 2.36 | Same as national | 1428 |
| Postoperative acute kidney injury requiring dialysis rate | 2.03 | Same as national | 507 |
| Postoperative respiratory failure rate | 11.43 | Same as national | 474 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.27 | Same as national | 1457 |
| Postoperative sepsis rate | 7.77 | Same as national | 517 |
| Postoperative wound dehiscence rate | 1.58 | Same as national | 302 |
| Abdominopelvic accidental puncture or laceration rate | 1.16 | Same as national | 1037 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.02 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -16.9 | Not available | 137 |
| Hospital return days for heart failure patients | -8 | Not available | 490 |
| Hospital return days for pneumonia patients | -9.6 | Not available | 258 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.9 | Same as national | 2381 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.6 | Same as national | 655 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.8 | Same as national | 364 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 6.1 | Same as national | 364 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 381 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.9 | Same as national | 137 |
| Rate of readmission for CABG | 10.9 | Same as national | 58 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.8 | Same as national | 128 |
| Heart failure (HF) 30-Day Readmission Rate | 18.9 | Same as national | 490 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 15.3 | Same as national | 258 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 3730 |
| Doctor communication - star rating | 3 | 3730 |
| Communication about medicines - star rating | 2 | 3730 |
| Discharge information - star rating | 3 | 3730 |
| Cleanliness - star rating | 3 | 3730 |
| Quietness - star rating | 4 | 3730 |
| Overall hospital rating - star rating | 3 | 3730 |
| Recommend hospital - star rating | 4 | 3730 |
| Summary star rating | 3 | 3730 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 vaccination | 68 | 10404 |
| 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 better | 189 | 394 |
| 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 better | 186 | 376 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 232 | 15 |
| 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 seen | 4 | 118534 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 80 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 61 | 28 |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 8602 |
| Appropriate care for severe sepsis and septic shock | 70 | 102 |
| Septic Shock 3-Hour Bundle | 89 | 36 |
| Septic Shock 6-Hour Bundle | 97 | 30 |
| Severe Sepsis 3-Hour Bundle | 83 | 102 |
| Severe Sepsis 6-Hour Bundle | 90 | 67 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 87 | 433 |
| Venous Thromboembolism Prophylaxis | 95 | 12236 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 5395 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Shands Jacksonville rated?
- Shands Jacksonville has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Shands Jacksonville have emergency services?
- Yes. Shands Jacksonville operates a 24/7 emergency department.
- Where is Shands Jacksonville located?
- Shands Jacksonville is located at 655 W 8th St, Jacksonville, FL 32209.
- What type of hospital is Shands Jacksonville?
- Shands Jacksonville is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.