CMS certification 100321
Ascension St Vincent's Clay County
1670 St Vincents Way, Middleburg, FL 32068
Ascension St Vincent's Clay County has a CMS overall rating of 3 out of 5 stars. 71% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. Of the 18 death, complication, infection and readmission measures CMS could compare, it does better than the nation on none and worse on 1. Emergency patients spend a median of 3 h 8 min in its emergency department before leaving (US median 2 h 42 min).
Every figure on this page is published by CMS; we arrange and explain it, and score nothing ourselves.
What patients said
Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 451 completed surveys, 14% response rate, Oct 2024 – Sep 2025.
Emergency department
How long emergency patients spent here and how some time-critical care went, from CMS's timely and effective care measures, Oct 2024 – Sep 2025. These are medians over a year of visits, not a live wait time.
| Measure | This hospital | FL | US |
|---|---|---|---|
| Median time in the emergency department before leaving Lower is better · 378 visits sampled | 3 h 8 min | 2 h 36 min | 2 h 42 min |
| Stroke symptoms: brain scan read within 45 minutes Higher is better · 11 patients | 55% | 73% | 69% |
| Severe sepsis and septic shock: all recommended care given Higher is better · 140 patients | 77% | 73% | 65% |
How Ascension St Vincent's Clay County compares with nearby hospitals
The closest hospitals of the same kind that CMS rates or surveys - the same city first, then the same county and ZIP area. Every figure is CMS's: the overall star rating, the share of patients who would definitely recommend the hospital, the median time emergency patients spent before leaving, and how many death, complication, infection and readmission measures CMS found better or worse than the national rate.
| Hospital | CMS stars | Would recommend | ER median time | Vs the nation |
|---|---|---|---|---|
| Ascension St Vincent's Clay CountyThis hospital | 3/5 | 71% | 3 h 8 min | 1 worse |
| HCA Florida Orange Park HospitalSame county · Orange Park | 3/5 | 63% | 1 h 35 min | 4 better 2 worse |
| Ed Fraser Memorial HospitalSame ZIP area · Macclenny | 1/5 | 75% | 2 h 36 min | 1 worse |
| HCA Florida Lake City HospitalSame ZIP area · Lake City | 3/5 | 63% | 1 h 54 min | 2 better 2 worse |
| Lake Butler HospitalSame ZIP area · Lake Butler | Not rated | 96% | 1 h 32 min | — |
| Flagler HospitalSame ZIP area · Saint Augustine | 3/5 | 63% | 2 h 46 min | 2 better 1 worse |
Hospitals differ in size and in how sick their patients are. CMS adjusts its outcome measures for that, but a star or a percentage is a starting point for questions, not a verdict.
Deaths
How many patients died within 30 days of admission, adjusted by CMS for how sick they were. Lower is better. Data from Jul 2022 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| All patients, hospital-wide 1,379 cases | Too few cases | 3.9% | 3.9% |
| Heart attack 121 cases | Too few cases | 11.6% | 11.9% |
| Heart failure 238 cases | Too few cases | 11.4% | 11.1% |
| Pneumonia 337 cases | Too few cases | 13.7% | 15.2% |
| Stroke 92 cases | Too few cases | 17.2% | 11.9% |
| COPD 89 cases | Too few cases | 10.6% | 8.6% |
1 more measure had too few cases here to report.
Complications
How often patients had serious complications, most of them after surgery, adjusted for how sick they were. Lower is better. Data from Jul 2022 – Jun 2024.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Serious complications, combined measure | No different | 0.92 likely 0.53 – 1.31 | 1 |
| Deaths after a serious but treatable surgical complication 38 cases | No different | 148.16 per 1,000 likely 95.65 per 1,000 – 200.66 per 1,000 | 173.3 per 1,000 |
| Pressure ulcers (bed sores) 2,272 cases | No different | 0.26 per 1,000 likely 0 per 1,000 – 1.12 per 1,000 | 0.63 per 1,000 |
| Collapsed lung caused by a procedure 2,859 cases | No different | 0.3 per 1,000 likely 0.08 per 1,000 – 0.52 per 1,000 | 0.21 per 1,000 |
| Broken bones from falls in the hospital 3,049 cases | No different | 0.24 per 1,000 likely 0.04 per 1,000 – 0.45 per 1,000 | 0.27 per 1,000 |
| Bleeding or hematoma after surgery 396 cases | No different | 2.41 per 1,000 likely 0.76 per 1,000 – 4.07 per 1,000 | 2.34 per 1,000 |
| Kidney injury needing dialysis after surgery 113 cases | No different | 1.62 per 1,000 likely 0 per 1,000 – 3.33 per 1,000 | 1.67 per 1,000 |
| Breathing failure after surgery 119 cases | No different | 11.06 per 1,000 likely 2.64 per 1,000 – 19.49 per 1,000 | 9.42 per 1,000 |
| Blood clots in the lungs or legs after surgery 402 cases | No different | 3.35 per 1,000 likely 0.94 per 1,000 – 5.76 per 1,000 | 3.52 per 1,000 |
| Sepsis after surgery 81 cases | No different | 4.8 per 1,000 likely 0.64 per 1,000 – 8.95 per 1,000 | 5.27 per 1,000 |
| Surgical wound splitting open 116 cases | No different | 2 per 1,000 likely 0.51 per 1,000 – 3.49 per 1,000 | 1.77 per 1,000 |
| Accidental cut or tear during abdominal surgery 494 cases | No different | 0.92 per 1,000 likely 0 per 1,000 – 1.95 per 1,000 | 1.06 per 1,000 |
1 more measure had too few cases here to report.
Infections caught in the hospital
Standardized infection ratio: 1.0 means as many infections as CMS predicted for a hospital like this one. Lower is better. Data from Oct 2024 – Sep 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Bloodstream infections from central lines (CLABSI) | No different | 0 | 1 |
| Urinary tract infections from catheters (CAUTI) | No different | 0 | 1 |
| Surgical site infections after colon surgery | No different | 0 | 1 |
| MRSA bloodstream infections | No different | 0 | 1 |
| C. diff intestinal infections | Better | 0.31 likely 0.1 – 0.76 | 1 |
1 more measure had too few cases here to report.
Readmissions and return visits
How often patients had to come back to a hospital after going home. Lower is better. Data from Jul 2023 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Readmitted after a heart attack 120 cases | Too few cases | 13.5% | 14.4% |
| Readmitted after heart failure 315 cases | Too few cases | 23.8% | 21.3% |
| Readmitted after pneumonia 393 cases | Too few cases | 16.7% | 17.3% |
| Readmitted after COPD 132 cases | Too few cases | 20.9% | 20% |
| Days back in hospital after a heart attack 112 cases | Too few cases | -21 days per 100 | — |
| Days back in hospital after heart failure 275 cases | Too few cases | 10.3 days per 100 | — |
| Days back in hospital after pneumonia 369 cases | Too few cases | -14.3 days per 100 | — |
| Unplanned visits after an outpatient colonoscopy 478 cases | No different | 15.8 per 1,000 likely 12 per 1,000 – 20.7 per 1,000 | 13 per 1,000 |
| Unplanned visits after outpatient surgery 119 cases | No different | 1 likely 0.7 – 1.4 | — |
5 more measures had too few cases here to report.
Clinicians registered at this address
14 clinicians give this hospital's street address as their practice location in NPPES, the federal provider registry. The same address can take in offices and clinics in the building, and a listing does not prove admitting privileges or current employment.
| Specialty | Clinicians |
|---|---|
| Physician Assistant | 4 |
| Hospitalist | 2 |
| Internal Medicine | 2 |
| Diabetes Educator | 1 |
| Family | 1 |
| Neonatal | 1 |
| Nurse Practitioner | 1 |
| Pharmacist | 1 |
| Respiratory Therapist, Registered | 1 |
First 12 alphabetically
How to read this page
- Everything here is published by CMS on Care Compare. We arrange it and explain it; the star ratings and the better / worse verdicts are CMS's, not ours.
- “No different” is the most common result on most measures at most hospitals. CMS only calls a result better or worse when the difference from the national rate is statistically clear.
- Death, complication and readmission rates are adjusted by CMS for how sick patients were, so hospitals that treat sicker patients can be compared fairly.
- Infection results are ratios: 1.0 means as many infections as CMS predicted for a hospital like this one, below 1.0 is fewer.
- These are hospital-wide results. They do not rate an individual doctor, nurse or department, and they are not medical advice.
CMS Care Compare data retrieved 4 Oct 2026, refreshed weekly. Where this data comes from and how we handle it · Report an error
Common questions about Ascension St Vincent's Clay County
Is Ascension St Vincent's Clay County a good hospital?
Ascension St Vincent's Clay County has a CMS overall rating of 3 out of 5 stars. Of the 18 death, complication, infection and readmission measures CMS could compare, it does better than the nation on none and worse on 1. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.
Would patients recommend Ascension St Vincent's Clay County?
71% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 451 completed HCAHPS surveys.
How long is the wait in the Ascension St Vincent's Clay County emergency room?
Emergency patients spend a median of 3 h 8 min in its emergency department before leaving (US median 2 h 42 min). These are medians over a year of visits, not a live wait time.