JCIPatientSafety.orgHospital Quality Directory

Acute Care - Veterans Administration · Veterans Health Administration

VA North Florida/south Georgia Healthcare System - Lake City

Not rated overall

CMS reports safety and quality measures for this hospital but does not assign an overall star rating. See scores below.

At a glance

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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days118Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.105Not 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 Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1029Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.820Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)—Not available
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures—Not available
SSI - Colon Surgery: Predicted Cases—Not available
SSI - Colon Surgery: Observed Cases—Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures—Not available
SSI - Abdominal Hysterectomy: Predicted Cases—Not available
SSI - Abdominal Hysterectomy: Observed Cases—Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days—Not available
MRSA Bacteremia: Predicted Cases—Not available
MRSA Bacteremia: Observed Cases—Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit—Not available
Clostridium Difficile (C.Diff): Upper Confidence Limit—Not available
Clostridium Difficile (C.Diff): Patient Days—Not available
Clostridium Difficile (C.Diff): Predicted Cases—Not available
Clostridium Difficile (C.Diff): Observed Cases—Not available
Clostridium Difficile (C.Diff)—Not available

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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate—Not available—
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients6.5Same as national156
Death rate for heart failure patients7.8Better than national151
Death rate for pneumonia patients9.9Better than national252
Death rate for stroke patients—Not available—
Pressure ulcer rate0.41Same as national1508
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national1960
In-hospital fall-associated fracture rate0.34Same as national1986
Postoperative hemorrhage or hematoma rate2.32Same as national44
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national42
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate—Not available—
Abdominopelvic accidental puncture or laceration rate1.05Same as national54
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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—Not available—
Hospital return days for heart failure patients40.2Not available185
Hospital return days for pneumonia patients38.1Not available300
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.5Worse than national913
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)—Not available—
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery—Not available—
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national186
Heart failure (HF) 30-Day Readmission Rate20.4Same as national185
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national300

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

Frequently asked questions

How is VA North Florida/south Georgia Healthcare System - Lake City rated?
CMS does not assign an overall star rating to VA North Florida/south Georgia Healthcare System - Lake City, but does publish underlying safety and quality measures shown on this page.
Does VA North Florida/south Georgia Healthcare System - Lake City have emergency services?
Yes. VA North Florida/south Georgia Healthcare System - Lake City operates a 24/7 emergency department.
Where is VA North Florida/south Georgia Healthcare System - Lake City located?
VA North Florida/south Georgia Healthcare System - Lake City is located at 619 South Marion Avenue, Lake City, FL 32025.
What type of hospital is VA North Florida/south Georgia Healthcare System - Lake City?
VA North Florida/south Georgia Healthcare System - Lake City is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

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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