JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Uf Health Leesburg Hospital

3 / 5

At a glance

Uf Health Leesburg 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. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.609Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.753Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6358Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.030Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.392Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.343Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.076Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6121Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.339Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.937Same as national
SSI - Colon Surgery: Lower Confidence Limit0.460Same as national
SSI - Colon Surgery: Upper Confidence Limit2.785Same as national
SSI - Colon Surgery: Number of Procedures166Same as national
SSI - Colon Surgery: Predicted Cases3.979Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.257Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures30Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.253Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.239Same as national
MRSA Bacteremia: Upper Confidence Limit1.815Same as national
MRSA Bacteremia: Patient Days82963Same as national
MRSA Bacteremia: Predicted Cases5.316Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.752Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.168Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.526Better than national
Clostridium Difficile (C.Diff): Patient Days82824Better than national
Clostridium Difficile (C.Diff): Predicted Cases38.799Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.309Better 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 patients3.8Same as national65
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national2274
Death rate for heart attack patients13.7Same as national333
Death rate for CABG surgery patients1.9Same as national285
Death rate for COPD patients8.4Same as national192
Death rate for heart failure patients8.6Better than national667
Death rate for pneumonia patients13.8Same as national545
Death rate for stroke patients11.7Same as national193
Pressure ulcer rate0.13Same as national7451
Death rate among surgical inpatients with serious treatable complications165.80Same as national78
Iatrogenic pneumothorax rate0.22Same as national8270
In-hospital fall-associated fracture rate0.30Same as national8608
Postoperative hemorrhage or hematoma rate2.36Same as national1901
Postoperative acute kidney injury requiring dialysis rate2.08Same as national738
Postoperative respiratory failure rate6.48Same as national790
Perioperative pulmonary embolism or deep vein thrombosis rate4.08Same as national2147
Postoperative sepsis rate5.41Same as national717
Postoperative wound dehiscence rate1.59Same as national315
Abdominopelvic accidental puncture or laceration rate1.25Same as national1219
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patients-14.1Not available367
Hospital return days for heart failure patients25.7Not available776
Hospital return days for pneumonia patients17.9Not available552
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national3618
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national415
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 surgery0.7Better than national699
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national367
Rate of readmission for CABG9.8Same as national282
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national219
Heart failure (HF) 30-Day Readmission Rate19.6Same as national776
Rate of readmission after hip/knee replacement5.3Same as national64
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national552

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 rating32822
Doctor communication - star rating22822
Communication about medicines - star rating32822
Discharge information - star rating42822
Cleanliness - star rating42822
Quietness - star rating32822
Overall hospital rating - star rating32822
Recommend hospital - star rating32822
Summary star rating32822

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 vaccination742782
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 better175418
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 better168390
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21319
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 seen146609
Head CT results8217
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10018
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152799
Appropriate care for severe sepsis and septic shock71154
Septic Shock 3-Hour Bundle8650
Septic Shock 6-Hour Bundle9132
Severe Sepsis 3-Hour Bundle82154
Severe Sepsis 6-Hour Bundle9082
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294156
Venous Thromboembolism Prophylaxis978430
Intensive Care Unit Venous Thromboembolism Prophylaxis1001828

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 Uf Health Leesburg Hospital rated?
Uf Health Leesburg Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Uf Health Leesburg Hospital have emergency services?
Yes. Uf Health Leesburg Hospital operates a 24/7 emergency department.
Where is Uf Health Leesburg Hospital located?
Uf Health Leesburg Hospital is located at 600 E Dixie Ave, Leesburg, FL 34748.
What type of hospital is Uf Health Leesburg Hospital?
Uf Health Leesburg Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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