JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Winter Haven Hospital

3 / 5

At a glance

Winter Haven 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 18 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 Limit0.188Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.425Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6428Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.772Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.591Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.181Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.928Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10576Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.441Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.446Better than national
SSI - Colon Surgery: Lower Confidence Limit0.341Same as national
SSI - Colon Surgery: Upper Confidence Limit2.061Same as national
SSI - Colon Surgery: Number of Procedures215Same as national
SSI - Colon Surgery: Predicted Cases5.376Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.930Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures45Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.386Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.005Better than national
MRSA Bacteremia: Upper Confidence Limit0.497Better than national
MRSA Bacteremia: Patient Days129894Better than national
MRSA Bacteremia: Predicted Cases9.926Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.101Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.055Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.248Better than national
Clostridium Difficile (C.Diff): Patient Days125802Better than national
Clostridium Difficile (C.Diff): Predicted Cases55.745Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.126Better 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 Rate4.4Same as national1371
Death rate for heart attack patients12.4Same as national171
Death rate for CABG surgery patients1.9Same as national135
Death rate for COPD patients11.1Same as national181
Death rate for heart failure patients13.9Same as national359
Death rate for pneumonia patients21.6Worse than national498
Death rate for stroke patients14Same as national212
Pressure ulcer rate0.96Same as national5443
Death rate among surgical inpatients with serious treatable complications136.21Same as national68
Iatrogenic pneumothorax rate0.20Same as national6214
In-hospital fall-associated fracture rate0.22Same as national6521
Postoperative hemorrhage or hematoma rate2.68Same as national1135
Postoperative acute kidney injury requiring dialysis rate1.70Same as national324
Postoperative respiratory failure rate8.44Same as national351
Perioperative pulmonary embolism or deep vein thrombosis rate2.62Same as national1160
Postoperative sepsis rate6.30Same as national320
Postoperative wound dehiscence rate1.66Same as national222
Abdominopelvic accidental puncture or laceration rate1.12Same as national965
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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 patients23.3Not available195
Hospital return days for heart failure patients36.9Not available410
Hospital return days for pneumonia patients43.4Not available511
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national2314
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national452
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national75
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national75
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national386
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.8Same as national195
Rate of readmission for CABG10.3Same as national134
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national208
Heart failure (HF) 30-Day Readmission Rate21.2Same as national410
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national511

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 rating32263
Doctor communication - star rating22263
Communication about medicines - star rating22263
Discharge information - star rating32263
Cleanliness - star rating42263
Quietness - star rating22263
Overall hospital rating - star rating32263
Recommend hospital - star rating32263
Summary star rating32263

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 vaccination412858
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 better185805
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 better184777
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25925
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 seen276990
Head CT results8217
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99174
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4531
Safe Use of Opioids - Concurrent Prescribing144267
Appropriate care for severe sepsis and septic shock71407
Septic Shock 3-Hour Bundle75123
Septic Shock 6-Hour Bundle9882
Severe Sepsis 3-Hour Bundle84408
Severe Sepsis 6-Hour Bundle94240
Discharged on Antithrombotic Therapy98364
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9110066
Intensive Care Unit Venous Thromboembolism Prophylaxis992391

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 Winter Haven Hospital rated?
Winter Haven Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Winter Haven Hospital have emergency services?
Yes. Winter Haven Hospital operates a 24/7 emergency department.
Where is Winter Haven Hospital located?
Winter Haven Hospital is located at 200 Ave F Ne, Winter Haven, FL 33881.
What type of hospital is Winter Haven Hospital?
Winter Haven 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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