JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Uf Health Shands Hospital

5 / 5

At a glance

Uf Health Shands Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.327Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.663Better than national
Central Line Associated Bloodstream Infection: Number of Device Days55799Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases65.511Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases31Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.473Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.102Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.321Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days33813Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases63.605Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.189Better than national
SSI - Colon Surgery: Lower Confidence Limit0.101Better than national
SSI - Colon Surgery: Upper Confidence Limit0.613Better than national
SSI - Colon Surgery: Number of Procedures566Better than national
SSI - Colon Surgery: Predicted Cases18.076Better than national
SSI - Colon Surgery: Observed Cases5Better than national
SSI - Colon Surgery0.277Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.028Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.751Same as national
SSI - Abdominal Hysterectomy: Number of Procedures203Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.793Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.558Same as national
MRSA Bacteremia: Lower Confidence Limit0.750Same as national
MRSA Bacteremia: Upper Confidence Limit1.503Same as national
MRSA Bacteremia: Patient Days328239Same as national
MRSA Bacteremia: Predicted Cases29.688Same as national
MRSA Bacteremia: Observed Cases32Same as national
MRSA Bacteremia1.078Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.276Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.457Better than national
Clostridium Difficile (C.Diff): Patient Days309894Better than national
Clostridium Difficile (C.Diff): Predicted Cases170.385Better than national
Clostridium Difficile (C.Diff): Observed Cases61Better than national
Clostridium Difficile (C.Diff)0.358Better 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 patients3.5Same as national196
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.9Better than national3478
Death rate for heart attack patients11.3Same as national187
Death rate for CABG surgery patients2.5Same as national42
Death rate for COPD patients6.6Same as national247
Death rate for heart failure patients10.3Same as national643
Death rate for pneumonia patients11.2Better than national790
Death rate for stroke patients11.9Same as national341
Pressure ulcer rate0.14Better than national15608
Death rate among surgical inpatients with serious treatable complications113.22Better than national430
Iatrogenic pneumothorax rate0.20Same as national16288
In-hospital fall-associated fracture rate0.20Same as national17469
Postoperative hemorrhage or hematoma rate2.60Same as national4663
Postoperative acute kidney injury requiring dialysis rate3.03Worse than national2563
Postoperative respiratory failure rate9.60Same as national2494
Perioperative pulmonary embolism or deep vein thrombosis rate4.37Same as national5167
Postoperative sepsis rate8.67Worse than national2469
Postoperative wound dehiscence rate2.20Same as national1249
Abdominopelvic accidental puncture or laceration rate2.00Worse than national3798
CMS Medicare PSI 90: Patient safety and adverse events composite1.10Same 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-14.8Not available191
Hospital return days for heart failure patients-6.4Not available743
Hospital return days for pneumonia patients52.3Not available891
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Worse than national6286
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national2297
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.3Same as national461
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national461
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1608
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national191
Rate of readmission for CABG10.6Same as national40
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.2Same as national285
Heart failure (HF) 30-Day Readmission Rate20.1Same as national743
Rate of readmission after hip/knee replacement4.7Same as national177
Pneumonia (PN) 30-Day Readmission Rate17.9Same as national891

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 rating32931
Doctor communication - star rating32931
Communication about medicines - star rating22931
Discharge information - star rating42931
Cleanliness - star rating32931
Quietness - star rating32931
Overall hospital rating - star rating42931
Recommend hospital - star rating52931
Summary star rating32931

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 volumevery 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 vaccination8114783
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 better241390
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 better231379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30711
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 seen4143263
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7771
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4427
Safe Use of Opioids - Concurrent Prescribing1513101
Appropriate care for severe sepsis and septic shock60106
Septic Shock 3-Hour Bundle8730
Septic Shock 6-Hour Bundle10019
Severe Sepsis 3-Hour Bundle67106
Severe Sepsis 6-Hour Bundle9555
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 289436
Venous Thromboembolism Prophylaxis9519814
Intensive Care Unit Venous Thromboembolism Prophylaxis9710117

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 Shands Hospital rated?
Uf Health Shands Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Uf Health Shands Hospital have emergency services?
Yes. Uf Health Shands Hospital operates a 24/7 emergency department.
Where is Uf Health Shands Hospital located?
Uf Health Shands Hospital is located at 1600 Sw Archer Rd, Gainesville, FL 32610.
What type of hospital is Uf Health Shands Hospital?
Uf Health Shands 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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