South Lake Hospital Inc

Doing business as Orlando Health South Lake Hospital

Hospital in Clermont, FL, Medicare certification number 100051. CMS publishes 62 quality measures for it.

Medicare certification

Provider of Services

CCN: 100051The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Jul 1, 1966
Last certification: Apr 5, 1997
Beds: 235
Overall star rating: 3 of 5Care Compare
Address: 1900 Don Wickham Dr
Clermont, FL 34711
(352) 394-4071

NPI records for this facility (CCN to NPI Mapping) 1

South Lake Hospital, Inc.

dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.35 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.13 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 2.56 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.41 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 2.75 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 2.84 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.95 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.25 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 2.69 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,091

Page 1 of 44Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Mohammad Abbas, M.D.
- Pain Medicine Physician
- Leesburg, FL
- NPI 1669826921
Ali S Abbood, MD
- Cardiovascular Disease Physician
- Orlando, FL
- NPI 1750886974
Reem Adel Abdalla, MD
- Internal Medicine Physician
- Orlando, FL
- NPI 1982100863
Emad M Abdelsatar, MD
- Internal Medicine Physician
- Clermont, FL
- NPI 1174807358
Patrick Abou Jaoude, MD
- Internal Medicine Physician
- Clermont, FL
- NPI 1790311686
Leland Mathew Abrams
- Internal Medicine Physician
- Clermont, FL
- NPI 1326536384
Elpidio Antonio Abreu, MD
- Nephrology Physician
- Ocoee, FL
- NPI 1174597025
Hasan Abualula, MD
- Rheumatology Physician
- Summerfield, FL
- NPI 1508008228
Rajab K Abukhadrah, M.D.
- Specialist
- Clermont, FL
- NPI 1023083896
Ismael A Acevedo, MD
- Hospitalist Physician
- Winter Garden, FL
- NPI 1205967585
Javier Acevedo, M.D.
- Clinical Cardiac Electrophysiology Physician
- Orlando, FL
- NPI 1356525596
Robyn Michele Ache, D.O.
- Surgery Physician
- St Petersburg, FL
- NPI 1033389788
Aji Valayil Achuthan, ARNP
- Family Nurse Practitioner
- Tavares, FL
- NPI 1023489309
Gabriela Maria Acosta, PA-C
- Surgical Physician Assistant
- Winter Park, FL
- NPI 1124806260
Shermaine Chloe Acosta, APRN
- Adult Health Nurse Practitioner
- Winter Garden, FL
- NPI 1093478828
Veronica Lynn Acosta, M.D.
- Internal Medicine Physician
- Orlando, FL
- NPI 1548428501
Seyedeh Mahsa Adabkhah, BSN, RN, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Salt Lake City, UT
- NPI 1114569555
Eric Alexander Addo, M.D.
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1992141295
Lena Afxendiou-Soares, APRN, AGNP-C
- Adult Health Nurse Practitioner
- Orlando, FL
- NPI 1871192054
Mitali N Agarwal, MD
- Gastroenterology Physician
- Orlando, FL
- NPI 1154701860
Alka Aggarwal, M.D.
- Family Medicine Physician
- Clermont, FL
- NPI 1467731950
Amit Aggarwal, MD
- Family Medicine Physician
- Clermont, FL
- NPI 1326368234
Katrina Abadilla Agito, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Winter Garden, FL
- NPI 1306157474
Adheesh Agnihotri, M.D.
- Clinical Cardiac Electrophysiology Physician
- Clermont, FL
- NPI 1407873490
Kamaldeen Agoro, M.D
- Internal Medicine Physician
- Orlando, FL
- NPI 1528325644

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.87
- State average 1.02 (computed here)
- National average 1.06
- No different than the national rate
- 1,112 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.7
- State average 0.97 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected134.54
- State average 157.4 (computed here)
- National average 173.3
- No different than the national rate
- 39 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.8
- State average 8.44 (computed here)
- National average 8.6
- No different than the national rate
- 163 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.7
- State average 11.73 (computed here)
- National average 11.9
- No different than the national rate
- 233 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.9
- State average 10.18 (computed here)
- National average 11.1
- No different than the national rate
- 458 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.7
- State average 14.53 (computed here)
- National average 15.2
- No different than the national rate
- 389 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.2
- State average 12.29 (computed here)
- National average 11.9
- No different than the national rate
- 283 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.4
- State average 3.85 (computed here)
- National average 3.9
- No different than the national rate
- 4,898 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.14
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 8,128 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 8,123 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.9
- State average 3.45 (computed here)
- National average 3.52
- No different than the national rate
- 1,364 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.8
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 434 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.03
- State average 2.22 (computed here)
- National average 2.34
- No different than the national rate
- 1,318 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.1
- State average 10.09 (computed here)
- National average 9.42
- No different than the national rate
- 463 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.27
- State average 5.31 (computed here)
- National average 5.27
- No different than the national rate
- 435 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.68
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 257 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.17
- State average 0.49 (computed here)
- National average 0.63
- No different than the national rate
- 5,198 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.2
- State average 4.08 (computed here)
- National average 4.1
- No different than the national rate
- 217 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0
- State average 0.27
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.56
- State average 0.43
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.22
- State average 0.21
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.36
- State average 0.69
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.85
- State average 0.61
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.9
- State average 4.69 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9.2
- State average 13.95 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.98
- State average 1.02
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 77
- State average 73
- National average 65
- 386 patients
- Period from 10/01/2024
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 better 139
- State average 159
- National average 168
- 1,915 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 283
- State average 255
- National average 287
- 22 patients
- Period from 10/01/2024
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 better 137
- State average 156
- National average 162
- 1,865 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 180
- State average 220
- National average 257
- 30 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 38
- State average 86
- National average 93
- 85 patients
- Period from 01/01/2024
Head CT results 65
- State average 73
- National average 69
- 17 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 46
- State average 58
- National average 78
- 2,367 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 11
- State average 9.6 (computed here)
- National average 8.08 (computed here)
- 18,315 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.78 (computed here)
- National average 1.09 (computed here)
- 4,774 patients
- Period from 01/01/2024
Left before being seen 0
- State average 1
- National average 2
- 90,935 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 16
- National average 15
- 4,231 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 69
- State average 78
- National average 73
- 93 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 83
- State average 92
- National average 87
- 36 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 89
- State average 85
- National average 81
- 386 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 95
- National average 93
- 187 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — very high
Global Malnutrition Composite Score — 4
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 4
Global Malnutrition Composite Score: Malnutrition Risk Screening — 4
Global Malnutrition Composite Score: Nutrition Assessment — 4
Global Malnutrition Composite Score: Nutritional Care Plan — 4
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.7
- State average 14.67 (computed here)
- National average 14.4
- No different than the national rate
- 373 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.5
- State average 21.72 (computed here)
- National average 21.3
- No different than the national rate
- 965 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -21
- State average 6.58 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 227 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -24.8
- State average 5.09 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 542 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 2
- State average 10 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 423 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected19.5
- State average 17.53 (computed here)
- National average 17.3
- No different than the national rate
- 718 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected7.6
- State average 6.04 (computed here)
- National average 5.8
- No different than the national rate
- 203 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.8
- State average 20.09 (computed here)
- National average 20
- No different than the national rate
- 283 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.9
- State average 12.99 (computed here)
- National average 13
- No different than the national rate
- 433 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 477 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission for CABG — 5

Other hospitals near Clermont, FL

No other hospitals are listed in Clermont, FL; these share its ZIP code area (347xx).

Global Microsurgical Center LLC Ocoee terminated
HCA Florida Osceola Hospital Kissimmee
HCA Florida Osceola Hospital Mental Health and Wellness Center Kissimmee
HCA Florida Poinciana Hospital Kissimmee
Lifestream Behavioral Center Leesburg
Orlando Health St Cloud Hospital Saint Cloud
Orlando Health-Health Central Hospital Ocoee
St Cloud Hospital Saint Cloud terminated
Uf Health Leesburg Hospital Leesburg

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.