of 5 stars
Adventhealth Wesley Chapel
- Location
- Wesley Chapel, FL 33544
- Ownership
- Voluntary non-profit - Private
- CMS Facility ID
- 100319
- Phone
- (813) 929-5000
The CMS overall star (1 = lowest, 5 = highest) summarizes up to 5 quality groups — see what drives it below.
What's behind this 5-star rating
CMS builds the overall star from up to five measure groups, weighted as shown. This is how Adventhealth Wesley Chapel compares to national on the measures in each group — it explains the rating without reproducing CMS's exact internal model. More on the data →
Patient experience
From the CMS HCAHPS patient survey (Medicare). Star ratings are 1–5; higher is better. Reporting period: Jul 2024 – Jun 2025
Mortality & safety
Reporting period: Apr 2021 – Jun 2024
| Measure | This hospital | National | vs. national |
|---|---|---|---|
| Complications — hip/knee replacement | 3.6% | 3.6% | No different |
| Death rate — COPD (30-day) | 9.1% | 8.8% | No different |
| Death rate — heart attack (30-day) | 11.6% | 12.2% | No different |
| Death rate — heart failure (30-day) | 9.2% | 11.6% | No different |
| Death rate — pneumonia (30-day) | 13.9% | 16.2% | No different |
| Death rate — stroke (30-day) | 13.0% | 13.3% | No different |
| Serious complications (PSI-90 composite) | 1.04 | 1.00 | No different |
Readmissions
Reporting period: Jul 2021 – Jun 2024
| Measure | This hospital | National | vs. national |
|---|---|---|---|
| Hospital-wide readmission (30-day) | 15.2% | 15.0% | No different |
| Readmission — COPD | 18.3% | 18.2% | No different |
| Readmission — heart attack | 13.2% | 13.6% | No different |
| Readmission — heart failure | 20.5% | 19.7% | No different |
| Readmission — hip/knee replacement | 5.8% | 4.8% | No different |
| Readmission — pneumonia | 15.6% | 16.0% | No different |
Infections
Reporting period: Jul 2024 – Jun 2025
| Measure | This hospital | National | vs. national |
|---|---|---|---|
| C. difficile (C. diff) infection | 0.18 | 1.00 | Better than avg |
| Catheter urinary-tract infection (CAUTI) | 0.52 | 1.00 | No different |
| Central-line bloodstream infection (CLABSI) | 0.00 | 1.00 | No different |
| MRSA bloodstream infection | 0.00 | 1.00 | No different |
| Surgical-site infection — colon surgery | 0.78 | 1.00 | No different |
Timely & effective care
Reporting period: Jan 2024 – Jun 2025
| Measure | This hospital | National | vs. national |
|---|---|---|---|
| Healthcare workers vaccinated for flu | 56.0% | 78.0% | |
| Left ED before being seen | 0.0% | 2.0% | |
| Median ED time before leaving | 153 min | 161 min | |
| Sepsis bundle compliance | 70.0% | 64.0% |
CMS Care Compare measures (largely a Medicare population). Rates are this hospital's reported value vs the national figure for the same measure; “better / worse than average” is CMS's own statistical comparison. Mortality, readmission, and infection measures are risk-adjusted; lower is better for those, higher is better for screening, sepsis care, and patient experience. How to read these →
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