JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Tampa General Hospital Brooksville

1 / 5

At a glance

Tampa General Hospital Brooksville carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. 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 Limit0.393Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.987Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4629Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.230Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.238Same 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 Limit0.826Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5207Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.626Better 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 LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.541Same as national
SSI - Colon Surgery: Number of Procedures46Same as national
SSI - Colon Surgery: Predicted Cases1.179Same 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 Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.064Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.816Same as national
MRSA Bacteremia: Upper Confidence Limit4.937Same as national
MRSA Bacteremia: Patient Days55660Same as national
MRSA Bacteremia: Predicted Cases2.245Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia2.227Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.142Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.641Better than national
Clostridium Difficile (C.Diff): Patient Days55010Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.590Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.324Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national837
Death rate for heart attack patients15.2Same as national105
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10Same as national92
Death rate for heart failure patients15.3Worse than national182
Death rate for pneumonia patients20.3Worse than national284
Death rate for stroke patients10.9Same as national70
Pressure ulcer rate0.30Same as national2477
Death rate among surgical inpatients with serious treatable complications148.85Same as national28
Iatrogenic pneumothorax rate0.24Same as national3377
In-hospital fall-associated fracture rate0.33Same as national3407
Postoperative hemorrhage or hematoma rate2.13Same as national434
Postoperative acute kidney injury requiring dialysis rate1.66Same as national68
Postoperative respiratory failure rate8.43Same as national79
Perioperative pulmonary embolism or deep vein thrombosis rate2.96Same as national441
Postoperative sepsis rate5.02Same as national69
Postoperative wound dehiscence rate1.71Same as national85
Abdominopelvic accidental puncture or laceration rate0.98Same as national409
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients36.6Not available103
Hospital return days for heart failure patients51.5Not available210
Hospital return days for pneumonia patients7Not available304
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.8Worse than national1350
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national71
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 national181
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national103
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national101
Heart failure (HF) 30-Day Readmission Rate22.4Same as national210
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national304

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 rating2869
Doctor communication - star rating1869
Communication about medicines - star rating1869
Discharge information - star rating1869
Cleanliness - star rating2869
Quietness - star rating2869
Overall hospital rating - star rating1869
Recommend hospital - star rating2869
Summary star rating1869

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 volumehigh
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 vaccination921228
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 better165399
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 better161370
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26817
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25012
Left before being seen156679
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8323
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock51197
Septic Shock 3-Hour Bundle5969
Septic Shock 6-Hour Bundle6531
Severe Sepsis 3-Hour Bundle80197
Severe Sepsis 6-Hour Bundle85106
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 Tampa General Hospital Brooksville rated?
Tampa General Hospital Brooksville has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Tampa General Hospital Brooksville have emergency services?
Yes. Tampa General Hospital Brooksville operates a 24/7 emergency department.
Where is Tampa General Hospital Brooksville located?
Tampa General Hospital Brooksville is located at 17240 Cortez Blvd, Brooksville, FL 34601.
What type of hospital is Tampa General Hospital Brooksville?
Tampa General Hospital Brooksville is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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.

Report an issue with this page