HCA Florida Poinciana Hospital
An acute care hospital in Kissimmee, Florida 34758
325 Cypress Pkwy, Kissimmee, Florida 34758. (407) 530-2000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 2of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 94 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Dec 9, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 visit on record, nothing cited. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Nov 20, 2023: complaint inspection1 deficiency
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Scope Of Radiologic Services
The inspectors’ words, 796 words
“SCOPE OF RADIOLOGIC SERVICES CFR(s): 482.26(a) [§482.26 Condition of Participation: Radiologic Services The hospital must maintain, or have available, diagnostic radiologic services...] §482.26(a) Standard: Radiologic Services The hospital must maintain, or have available, radiologic services according to the needs of the patients. This Standard is not met as evidenced by: 13640 Based on interview, record review and a review of facility documentation, the facility failed to ensure that radiological services met the needs of patients in accordance with policy concerning performance of an exam in a timely manner, notifications of a delay in the start of a procedure and notification regarding a critical finding in one of five sampled patients. (#1) Findings: A review of the medical record of patient #1 was performed. A nurse’s note of 10/31/23 at 6:00 PM by RN-A read: “Spoke with (Physician-A - pulmonologist), per (Physician-B - orthopedic)’s order. Order for arterial doppler of left lower extremity ordered.” The medical record revealed that this order was placed on 10/31/23 at 6:00 PM by Physician-A as STAT. Medical record documentation revealed that the doppler exam started at 7:10 PM and ended at 7:16 PM on 10/31/23. Thus, the test was started one hour and 10 minutes after it was ordered. Regarding the facility definition of STAT, a review of facility policy Critical Values Reporting revealed the following: “The target time for completion of: STAT: 30 minutes from received time.” Thus, a test should begin within 30 minutes of the order. Since the doppler exam did not start within 30 minutes of the order, the facility was in violation of this policy. The policy continued: “If any testing delays are anticipated, the floors shall be notified via email to the directors. A person shall be assigned to call all the floors and the message shall be conveyed to the Supervisor in Charge. The House Supervisor shall be notified also.” There was no documentation in the medical record indicating that any notifications were made in light of the delay in accordance with policy. During an interview with the Director of Quality on 11/21/23 at 4:44 PM, she said that no notifications of a delay had been made. Thus, the facility was not in compliance with the expectations for notification. A nurse’s note of 10/31/28 at 8:58 PM by RN-B read: “8:58 PM (Physician-C - pulmonologist) return call, still no results of venous doppler since personal of the same refers didn’t seen no flow, patient at the moment hemodynamically stable, no bleeding seen at the moment. If results come back and any occlusion or hemodynamic changes call him back. Patient will be under observation monitoring pulses.” The report for Ultrasound - Dup LE (lower extremity) ART (arterial) UNI (unilateral)/LTD (limited) of 10/31/23 at 9:42 PM read: “Impression: Markedly limited evaluation due to recent surgery. Sonographer unable to scan from left common femoral artery to the popliteal artery. Doppler flow not detected in the left peroneal, posterior tibial or dorsalis pedis arteries.” There was no note indicating that the interpreting physician called anyone regarding these findings. The policy mentioned above stated: “Some discretion is required in identifying a critical result, defined as a significant and unexpected finding which warrants an immediate change in the treatment plan, and identified by a radiologist. He/she shall: (1) Immediately notify the referring/ordering physician. If the physician is not available, the radiologist shall provide the results to the licensed personnel responsible for the care of the patient (i.e., charge nurse, nurse caring for the patient.” Also: “Definition(s): ‘Critical Result’ Finding: Diagnosis and/or condition that could a) seriously danger the patient’s health or the health of her unborn child; b) cause any loss of normal body functions; or c) cause serious injury to an organ or body part. Examples include, but not limited to, the following: . . . Acute Arterial Vascular Occlusion.” The findings as stated can be seen as meeting the definition of acute arterial vascular occlusion. There was no documentation in the medical record indicating that the radiologist made any calls in response to the finding of a critical result, as required in the policy. A nurse’s note of 11/1/23 at 2:10 AM RN-B read: “02:00 AM pulse & site assessment done. Unable to palpate pedal or dorsalis pedis pulses palpable or on Hel Doppler. Following up arterial doppler report to follow up with (Physician-C - pulmonologist).” A nurse’s note of 11/1/23 at 2:17 AM by RN-B read: “I proceed to call (Physician-C - pulmonologist) notify results of Arterial Peripheral Doppler which called back and order to start a heparin drip low dose no bolus.” This was the first indication of physician awareness of the ultrasound report findings of 9:42 PM. During an interview of the Director of Quality on 11/21/23 at approximately 5:00 PM, she confirmed the preceding.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 9, 2025 | Complaint inspection | No deficiencies cited |
| Nov 20, 2023 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 2 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 6; safety of care, 1 better and 0 worse of 2; readmission, 0 better and 2 worse of 5.
- Patients rate it 3 of 5 in CMS’s patient survey (617 surveys completed, Oct 1, 2024 to Sep 30, 2025): 67% rated it 9 or 10 out of 10, and 67% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.6%, heart failure 9.2%, pneumonia 12.1%, COPD 7.1%, stroke 11.5%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.4%, heart failure 23%, pneumonia 19.6%, COPD 19.1%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate.
- Emergency department patients spent a median of 114 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 71% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.91 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 2 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Sep 13, 2013.
- Ownership: proprietary.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 25% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Columbia Park Healthcare System Inc. owns 100% directly since Jul 22, 2013.
- 38 owners or officers are people: Michael Mcalevey (corporate officer); Jaime L Derensis (corporate director); John M Franck (corporate officer); John M Franck (corporate director); Douglas L Downey (corporate officer); Eric D Smith (managing employee (on the payroll)); Morris C Brown (corporate officer); Morris C Brown (managing employee (on the payroll)); Morris C Brown (runs it (operational or managerial control)); Henry Todd Maxwell (corporate officer); Christopher F Wyatt (corporate officer); Christopher F Wyatt (corporate director); John I Starling (corporate officer); Shirley E Scharf-Cheatham (corporate officer); Richard Hammett (corporate director); John M Hackett (corporate officer); Brian T Cook (corporate officer); Samuel N Hazen (corporate officer); Samuel N Hazen (corporate director); Ronald Lee Grubbs (corporate officer); Monica Cintado (corporate officer); Gary S Whitmore (corporate officer); Jon Foster (corporate officer); Zane C Evans (managing employee (on the payroll)); Zane C Evans (runs it (operational or managerial control)); Seth A Killingbeck (corporate officer); Ricardo Pavon (corporate officer); Timothy Scott Noonan (corporate officer); Natalie H Cline (corporate officer); Michael T Bray (corporate officer); Matthew R Favicchio (corporate officer); Peter J Rossell (corporate officer); Michael A Marks (corporate officer); Edwin W Robinson (corporate officer); Brad Ej Spicer (corporate officer); Kevin A Ball (corporate officer); Jeffery Mcinturff (corporate officer); Deborah H Mullin (corporate officer).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| HCA Squared LLC | Owns 5% or more through other companies | 100% | Jul 22, 2013 |
| HCA Inc. | Owns 5% or more through other companies | 100% | Jul 22, 2013 |
| HCA Healthcare Inc. | Owns 5% or more through other companies | 100% | Jul 22, 2013 |
| Medical Care America LLC | Owns 5% or more through other companies | 100% | Jul 22, 2013 |
| Healthtrust Inc. - the Hospital Company | Owns 5% or more through other companies | 100% | Jul 22, 2013 |
| Columbia Park Healthcare System Inc. | Owns 5% or more directly | 100% | Jul 22, 2013 |
| Galen Holdco LLC | Owns 5% or more through other companies | 57.53% | Jul 22, 2013 |
| Hospital Corp LLC | Owns 5% or more through other companies | 20.82% | Jul 22, 2013 |
| Frisco Holding II | Owns 5% or more through other companies | 16.3% | Feb 6, 2026 |
| Surgico LLC | Owns 5% or more through other companies | 15.27% | Jul 22, 2013 |
| Hercules Holding II | Owns 5% or more through other companies | 14.4% | Jul 22, 2013 |
| Medivision Inc. | Owns 5% or more through other companies | 5.2% | Jul 22, 2013 |
How does it compare nearby?
- Of the 4 hospitals CMS lists in Osceola County, 3 have an overall star rating from CMS: 3 rated 2 of 5.
- CMS rates this one 2 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| HCA Florida Osceola Hospital | 2 |
| Orlando Health St Cloud Hospital | 2 |
| Blackberry Center - Oglethorpe of Orlando | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.