Complications & Deaths Measures
20
CMS-tracked
Florida · Acute Care - Veterans Administration
VA North Florida/South Georgia Healthcare System - Lake City
VA North Florida/South Georgia Healthcare System - Lake City is a CMS-tracked acute care - veterans administration in Lake City, FL. CMS has not issued an overall star rating for this facility yet.
- 20
- Quality measures
- 6
- Infection types
Data currency: Hospital quality, safety, and patient-experience measures from the CMS Care Compare program (published quarterly), last refreshed May 2026. See our methodology for source dates. Spot a figure that looks wrong? Report a correction.
619 South Marion Avenue, Lake City, FL 32025 · Columbia County · (386) 755-3016
The verdict
VA North Florida/South Georgia Healthcare System - Lake City is Medicare-certified but has no CMS overall star rating yet, typically a sign its reporting volumes fell below CMS thresholds during the latest measurement window. 20 individual quality measures are still on file.
- 2
- measures better than national of 8 compared
- Yes
- emergency department on site
Type
Acute Care - Veterans Administration
Ownership
Veterans Health Administration
Emergency Services
Yes
Birthing Friendly
N/A
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
Worse-than-national profile for VA North Florida/South Georgia Healthcare S…
Mortality 3 measures
Safety of care 1 measure
Readmission 4 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 1.05 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.94 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | N/A | Not Available |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | 6.5 | Same as National |
| Death rate for heart attack patients | N/A | Number of Cases Too Small |
| Death rate for heart failure patients | 7.8 | Better than National |
| Death rate for pneumonia patients | 9.9 | Better than National |
| Death rate for stroke patients | N/A | Not Available |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | N/A | Not Available |
| Iatrogenic pneumothorax rate | 0.2 | Same as National |
| In-hospital fall-associated fracture rate | 0.34 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.47 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | N/A | Number of Cases Too Small |
| Postoperative hemorrhage or hematoma rate | 2.32 | Same as National |
Patient Experience (HCAHPS)
| Survey Question | Star Rating |
|---|---|
| Cleanliness - linear mean score | N/A |
| Cleanliness - star rating | N/A |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | N/A |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | N/A |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | N/A |
| Nurse communication - linear mean score | N/A |
| Nurse communication - star rating | N/A |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | N/A |
| Quietness - linear mean score | N/A |
| Quietness - star rating | N/A |
| Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating | N/A |
| Summary star rating | N/A |
Safety & Infections
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | N/A | Not Available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | N/A | Not Available |
| Clostridium Difficile (C.Diff) | N/A | Not Available |
| MRSA Bacteremia | N/A | Not Available |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | N/A | Not Available |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | N/A | Number of Cases Too Small |
| Heart failure (HF) 30-Day Readmission Rate | 20.4 | Same as National |
| Hospital return days for heart attack patients | N/A | Number of Cases Too Small |
| Hospital return days for heart failure patients | 40.2 | More Days Than Average per 100 Discharges |
| Hospital return days for pneumonia patients | 38.1 | More Days Than Average per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.5 | Worse than National |
| Pneumonia (PN) 30-Day Readmission Rate | 15.8 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of readmission after hip/knee replacement | N/A | Number of Cases Too Small |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.4 | Same as National |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | N/A | Not Available |
| Ratio of unplanned hospital visits after hospital outpatient surgery | N/A | Not Available |
Nationwide hospitals with similar CMS profiles
Peer sets for VA North Florida/South Georgia Healthcare System - Lake City outside Florida, keyed to the elevated worse-than-national share.
Similar mortality outcomes
Nearest mortality measures rated better than national, outside FL (2 better here).
Nearby Hospitals in Florida
Other Medicare-certified hospitals in Florida.
One of 220 Medicare-certified hospitals in Florida, 6 are shown here.
96th Medical Group (Eglin AFB)
Eglin AFB, FL
No rating Acute Care - Department of Defense
Adventhealth Carrollwood
Tampa, FL
3/5
Acute Care Hospitals
Adventhealth Dade City
Dade City, FL
4/5
Acute Care Hospitals
Adventhealth Daytona Beach
Daytona Beach, FL
5/5
Acute Care Hospitals
Adventhealth Deland
Deland, FL
4/5
Acute Care Hospitals
Adventhealth Fish Memorial
Orange City, FL
5/5
Acute Care Hospitals
What to do with VA North Florida/South Georgia Healthcare S…
Use this page's CMS-sourced figures as a starting filter, not a final verdict.
- See how every Florida hospital compares on star rating and the same quality measures. Florida hospitals
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Frequently Asked Questions
How does VA North Florida/South Georgia Healthcare System - Lake City compare to other hospitals on CMS star rating?
VA North Florida/South Georgia Healthcare System - Lake City has no CMS overall star rating, so it is excluded from the rated-hospital corpus placement (unrated).
What is the CMS star rating for VA North Florida/South Georgia Healthcare System - Lake City?
VA North Florida/South Georgia Healthcare System - Lake City does not currently have a CMS star rating, typically because reporting volumes fell below CMS's calculation threshold.
How does VA North Florida/South Georgia Healthcare System - Lake City perform on quality measures?
3 of 8 compared measures rate worse than national at VA North Florida/South Georgia Healthcare System - Lake City (elevated worse-share tercile); 2 rate better (strong).
What do patients say about VA North Florida/South Georgia Healthcare System - Lake City?
VA North Florida/South Georgia Healthcare System - Lake City reports 17 HCAHPS patient-experience domain scores.
What are the infection rates at VA North Florida/South Georgia Healthcare System - Lake City?
VA North Florida/South Georgia Healthcare System - Lake City tracks 6 healthcare-associated infection types (CDC NHSN). 0 are better than the national benchmark, 0 are worse, and 0 are at the national average.
Does VA North Florida/South Georgia Healthcare System - Lake City have emergency services?
Yes, VA North Florida/South Georgia Healthcare System - Lake City provides emergency services.
What type of hospital is VA North Florida/South Georgia Healthcare System - Lake City?
VA North Florida/South Georgia Healthcare System - Lake City is a Acute Care - Veterans Administration facility with Veterans Health Administration ownership, located in Lake City, FL.