JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Ucf Lake Nona Hospital

3 / 5

At a glance

Ucf Lake Nona 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 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days471Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.287Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not 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 Days407Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.208Not 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 Procedures32Not available
SSI - Colon Surgery: Predicted Cases0.875Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures63Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.559Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days11313Not available
MRSA Bacteremia: Predicted Cases0.401Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.579Better than national
Clostridium Difficile (C.Diff): Patient Days9886Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.172Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national157
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients12.8Same as national40
Death rate for pneumonia patients15.8Same as national56
Death rate for stroke patientsNot available
Pressure ulcer rate1.12Same as national474
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national744
In-hospital fall-associated fracture rate0.27Same as national767
Postoperative hemorrhage or hematoma rate2.27Same as national124
Postoperative acute kidney injury requiring dialysis rate1.65Same as national57
Postoperative respiratory failure rate11.37Same as national46
Perioperative pulmonary embolism or deep vein thrombosis rate3.29Same as national130
Postoperative sepsis rate4.97Same as national51
Postoperative wound dehiscence rate1.74Same as national75
Abdominopelvic accidental puncture or laceration rate1.01Same as national129
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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 patients3.4Not available49
Hospital return days for pneumonia patients7.9Not available68
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national248
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 national33
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20Same as national49
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national68

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 rating3447
Doctor communication - star rating3447
Communication about medicines - star rating2447
Discharge information - star rating2447
Cleanliness - star rating4447
Quietness - star rating4447
Overall hospital rating - star rating4447
Recommend hospital - star rating4447
Summary star rating3447

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 volumelow
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 Hyperglycemia71589
Hospital Harm - Severe Hypoglycemia1565
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination191198
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 better144396
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 better141370
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 better28221
Left before being seen113983
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91048
Appropriate care for severe sepsis and septic shock6686
Septic Shock 3-Hour Bundle4719
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8486
Severe Sepsis 6-Hour Bundle9250
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis891046
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 Ucf Lake Nona Hospital rated?
Ucf Lake Nona Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ucf Lake Nona Hospital have emergency services?
Yes. Ucf Lake Nona Hospital operates a 24/7 emergency department.
Where is Ucf Lake Nona Hospital located?
Ucf Lake Nona Hospital is located at 6700 Lake Nona Blvd, Orlando, FL 32827.
What type of hospital is Ucf Lake Nona Hospital?
Ucf Lake Nona 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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