Winter Haven Hospital Inc

Doing business as Winter Haven Hospital

Hospital in Winter Haven, FL, Medicare certification number 100052. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 100052The 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: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Feb 1, 2007
Beds: 508
Overall star rating: 3 of 5Care Compare
Address: 200 Ave F NE
Winter Haven, FL 33881
(863) 293-1121

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

Winter Haven Hospital Inc
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
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 Worse3 of 5
- State average 2.56 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 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 Worse3 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 Worse3 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 534

Page 1 of 22Medicare Care Compare

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

Alaa E Abd El Rahman, M.D.
- Internal Medicine Physician
- Orlando, FL
- NPI 1326243908
Jeanette Abetrani Diyorio, APRN
- Family Nurse Practitioner
- Winter Haven, FL
- NPI 1609658384
Gilbert Acevedo Acosta, M.D.
- General Practice Physician
- Bartow, FL
- NPI 1104845767
Toni Adams-Pecoraro, MD
- Family Medicine Physician
- Auburndale, FL
- NPI 1699268318
Audra Adkinson, APRN
- Family Nurse Practitioner
- Winter Haven, FL
- NPI 1801460100
Vriti Advani, MD
- Surgery Physician
- Winter Haven, FL
- NPI 1548499692
Andrew Omoh Agbi, D.O
- Emergency Medicine Physician
- Wellington, FL
- NPI 1255663431
Preyanka Aggarwal, M.D.
- Family Medicine Physician
- Haines City, FL
- NPI 1205036647
Jose Javier Aguayo, MD
- Nephrology Physician
- Lakeland, FL
- NPI 1609972728
Naeem Z Ahmed, MD
- Pulmonary Disease Physician
- Davenport, FL
- NPI 1942252317
Ammar Alahmar, MD
- Family Medicine Physician
- Columbus, OH
- NPI 1356460190
Anthony Alatriste, MD
- Family Medicine Physician
- Ocoee, FL
- NPI 1689603383
Aaron Dean Alcorn, CRNA
- Certified Registered Nurse Anesthetist
- Clearwater, FL
- NPI 1942066006
Mahesh Gandhi Allam, M.D.
- Internal Medicine Physician
- Lake Wales, FL
- NPI 1124188180
Guillermo F Allende, M. D.
- Internal Medicine Physician
- Haines City, FL
- NPI 1336240415
Mazen Alkahwaji Almidani, MD
- Neurology Physician
- Fort Myers, FL
- NPI 1912936725
Barvan Alvarado, MD
- Student in an Organized Health Care Education/Training Program
- Hudson, FL
- NPI 1306596119
Juan Carlos Alvarez, M.D.
- Orthopaedic Surgery Physician
- Sebring, FL
- NPI 1356458707
Joseph Itodo Ameh, M.D.
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1225144579
Ali Ammar, MD
- Internal Medicine Physician
- Lomita, CA
- NPI 1720498645
Monica Anderson, ARNP
- Family Nurse Practitioner
- Haines City, FL
- NPI 1003366428
Tonya Anderson, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Panama City, FL
- NPI 1821497744
Jennifer R Anthony, CRNA
- Certified Registered Nurse Anesthetist
- Winter Haven, FL
- NPI 1538257613
Ritu Aparajita, MD
- Vascular Surgery Physician
- Lakeland, FL
- NPI 1811216732
Flavio R Arana, M.D.
- Family Medicine Physician
- Winter Haven, FL
- NPI 1326043274

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.12
- State average 1.02 (computed here)
- National average 1.06
- No different than the national rate
- 965 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.06
- 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 expected136.21
- State average 157.4 (computed here)
- National average 173.3
- No different than the national rate
- 68 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.8
- State average 2.43 (computed here)
- National average 2.4
- No different than the national rate
- 116 patients
- Period from 07/01/2022
Death rate for COPD patients As expected12.2
- State average 8.44 (computed here)
- National average 8.6
- No different than the national rate
- 161 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12
- State average 11.73 (computed here)
- National average 11.9
- No different than the national rate
- 173 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected13.5
- State average 10.18 (computed here)
- National average 11.1
- No different than the national rate
- 397 patients
- Period from 07/01/2022
Death rate for pneumonia patients Worse21.5
- State average 14.53 (computed here)
- National average 15.2
- Worse than the national rate
- 516 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.2
- State average 12.29 (computed here)
- National average 11.9
- No different than the national rate
- 449 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.5
- State average 3.85 (computed here)
- National average 3.9
- No different than the national rate
- 4,906 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 6,214 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.22
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 6,521 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.62
- State average 3.45 (computed here)
- National average 3.52
- No different than the national rate
- 1,160 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.7
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 324 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.68
- State average 2.22 (computed here)
- National average 2.34
- No different than the national rate
- 1,135 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.44
- State average 10.09 (computed here)
- National average 9.42
- No different than the national rate
- 351 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.3
- State average 5.31 (computed here)
- National average 5.27
- No different than the national rate
- 320 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.66
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 222 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.96
- State average 0.49 (computed here)
- National average 0.63
- No different than the national rate
- 5,443 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.34
- 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 expected0.43
- State average 0.43
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.14
- State average 0.21
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.1
- State average 0.69
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.78
- 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 1.2
- State average 4.69 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.9
- 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) 1
- State average 1.02
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 70
- State average 73
- National average 65
- 369 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 194
- State average 159
- National average 168
- 779 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 193
- State average 156
- National average 162
- 751 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 240
- State average 220
- National average 257
- 25 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 96.49 (computed here)
- National average 96.1 (computed here)
- 364 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 86
- National average 93
- 174 patients
- Period from 01/01/2024
Head CT results 80
- State average 73
- National average 69
- 15 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 41
- State average 58
- National average 78
- 2,858 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 97.2 (computed here)
- National average 93.49 (computed here)
- 2,391 patients
- Period from 01/01/2024
Left before being seen 2
- State average 1
- National average 2
- 76,990 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 14
- State average 16
- National average 15
- 4,267 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 70
- State average 78
- National average 73
- 104 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 97
- State average 92
- National average 87
- 63 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 85
- State average 85
- National average 81
- 370 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 95
- National average 93
- 221 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 45
- State average 42.04 (computed here)
- National average 46.51 (computed here)
- 31 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 91
- State average 90.41 (computed here)
- National average 82.23 (computed here)
- 10,066 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.9
- State average 14.67 (computed here)
- National average 14.4
- No different than the national rate
- 441 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.8
- State average 21.72 (computed here)
- National average 21.3
- No different than the national rate
- 1,066 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 26.8
- State average 6.58 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 203 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 35.3
- State average 5.09 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 443 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 19.6
- State average 10 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 530 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.3
- State average 17.53 (computed here)
- National average 17.3
- No different than the national rate
- 1,101 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.5
- State average 5.07 (computed here)
- National average 5.4
- No different than the national rate
- 75 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.4
- State average 10.88 (computed here)
- National average 10.7
- No different than the national rate
- 75 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.5
- State average 6.04 (computed here)
- National average 5.8
- No different than the national rate
- 26 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected9.3
- State average 11.26 (computed here)
- National average 11
- No different than the national rate
- 150 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected23
- State average 20.09 (computed here)
- National average 20
- No different than the national rate
- 479 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.4
- State average 12.99 (computed here)
- National average 13
- No different than the national rate
- 452 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.8
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 386 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals near Winter Haven, FL

No other hospitals are listed in Winter Haven, FL; these share its ZIP code area (338xx).

Bartow Regional Medical Center Bartow
Exalt Health Rehabilitation Hospital Lakeland Auburndale
HCA Florida Highlands Hospital Sebring
Lakeland Regional Medical Center Lakeland
Lakeland Regional Medical Center Inc Lakeland

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.