HCA Florida Lake Monroe Hospital — Post-Acute Analytics Dashboard

Priority Intervention Targets · System-Wide

Top 4 SNF Partners by Hospitalization Leverage 122 SNF patients (named) across priority targets

1HEALTHCARE AND REHAB OF SANFORD41 pts · 57.9% FSHR 2AVIATA AT LAKE MARY38 pts · 52.0% FSHR 3ORANGE CITY NURSING & REHAB CENTER17 pts · 45.2% FSHR 4DEBARY MANOR OPERATIONS LLC26 pts · 25.5% FSHR

Priority score combines FSHR magnitude, patient volume, and multi-hospital presence. FSHR = Facility Hospitalization Rate from CMS Medicare FFS Claims. System FSHR benchmark: 47.4%. Data period: 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Key Findings

System-Wide FSHR of 47.4% — Elevated Well Above Florida FFS Readmit Benchmark (17.2%)

HCA Florida Lake Monroe Hospital’s weighted FSHR of 47.4% is meaningfully elevated versus the Florida FFS 30-day readmission benchmark of 17.2%. Because measurable FSHR risk concentrates in a small top-destination cohort, coordinated performance standards at the top 4 destinations move the needle disproportionately — the intervention is small, focused, and immediately workable.

4 SNF Partners Account for Concentrated Hospitalization Risk

4 priority target SNFs serve 122 patients system-wide with above-average FSHR rates. The top target, Healthcare And Rehab Of Sanford, carries a 57.9% FSHR — 10.5 percentage points above the system average. These facilities represent the highest-leverage engagement opportunities for HCA Florida Lake Monroe Hospital's post-acute network management program.

Cross-System SNF Analytics Not Applicable — Volume Concentration Measured at Lake Monroe

Cross-system SNF analytics do not apply to a single-hospital portal. Volume concentration is measured at the single-hospital level: Lake Monroe's top 4 priority destinations receive 122 of 133 unsuppressed SNF patients, giving Puzzle a defined starting cohort where an embedded model touches the majority of measurable post-acute risk.

Long-Tail Destination Fragmentation: 51 SNFs, Only 5 with Unsuppressed FSHR

HCA Florida Lake Monroe Hospital discharges to 51 distinct SNF destinations, but only 5 destinations meet the CMS 11-patient FSHR reporting threshold — the remaining 46 destinations carry unrated risk. This visibility gap constrains Lake Monroe's ability to systematically identify underperforming partners. Concentrating discharge volume onto a smaller preferred-network cohort (5–10 destinations receiving the bulk of discharges) is the single highest-leverage move to make FSHR performance measurable and manageable.

Single-Hospital Portal — Cross-System Analytics Not Applicable

HCA Florida Lake Monroe Hospital is analyzed as a single-hospital portal (not a division rollup). The Cross-System SNF view is not applicable and the priority-target list is structurally limited by the 5 SNFs with unsuppressed FSHR at Lake Monroe's current SNF discharge volume. As CMS Medicare FFS Claims data accumulates over additional quarters, more SNF destinations will cross the 11-patient reporting threshold and expand the actionable target list.

Hospital Portfolio · 1 Active Entities

Lake Monroe

Sanford, FL

47.4%

133SNF Pts (named)

51SNF Dests

15.3% utilSNF Util

Patient Risk Distribution

Very High

0.0%

High

39.1%

Medium

32.3%

Low

0.0%

Very Low

28.6%

Facility Risk Distribution

Very High

91.7%

High

8.3%

Medium

0.0%

Low

0.0%

Very Low

0.0%

Hospital Profiles

Click a card to view SNF destination table

1 Hospital Analyzed

Lake Monroe

Sanford, FL

47.4%

133SNF Pts (named)

51SNF Dests

15.3% utilSNF Util

SNF Destination Detail

Select a hospital above

Select a hospital to view SNF destination table.

Priority Intervention Targets

SNFs with above-system FSHR sorted by excess-FSHR proxy score

4 SNFs

#	SNF Facility	Patients	FSHR	Δ vs System	Hospitals	Key Partners
1	HEALTHCARE AND REHAB OF SANFORD	41	57.9%	+10.5pp	1	Lake Monroe Hospital
2	AVIATA AT LAKE MARY	38	52.0%	+4.6pp	1	Lake Monroe Hospital
3	ORANGE CITY NURSING & REHAB CENTER	17	45.2%	-2.2pp	1	Lake Monroe Hospital
4	DEBARY MANOR OPERATIONS LLC	26	25.5%	-21.9pp	1	Lake Monroe Hospital

Priority targets = cross-system or high-volume SNFs with FSHR above system average (47.4%), sorted by excess-FSHR proxy (patients × excess FSHR pp). System FSHR: 47.4%. Data: CMS Medicare FFS Claims, 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Cross-System SNF Network

Cross-system SNF analytics not applicable — single-hospital portal

0 Total Cross-System SNFs

#	SNF Facility	Total Patients	Hospitals	FSHR	Hospital Partners

Cross-system SNF analytics require 2+ analyzed hospitals and do not apply to this single-hospital portal. Refer to the Priority Targets and Hospitals tabs for Lake Monroe-specific SNF destination detail. Data: CMS Medicare FFS Claims, 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Methodology

Data Source

All post-acute performance data in this report is derived from CMS Medicare Fee-for-Service (FFS) Claims. This is the same claims data used in CMS star ratings, value-based purchasing programs, and public quality reporting. Data reflects discharges from HCA Florida Lake Monroe Hospital to skilled nursing facilities during the period 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Facility Hospitalization Rate (FSHR)

FSHR (Facility Hospitalization Rate) measures the percentage of SNF patient-days that result in an acute hospital readmission, calculated at the SNF-hospital relationship level. Unlike simple 30-day readmission rates, FSHR captures rehospitalization across the full SNF stay, providing a more comprehensive view of post-acute performance. The HCA Florida Lake Monroe Hospital system-wide weighted average FSHR is 47.4% for 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04. For context, the Florida state average 30-day readmission rate is approximately 17.1% — FSHR is a distinct metric that covers the full SNF stay rather than a fixed 30-day window.

Priority Score Methodology

Priority scores combine three factors: (1) FSHR magnitude above the system average, (2) total patient volume at the facility, and (3) multi-hospital presence within HCA Florida Lake Monroe Hospital. SNFs appearing at 2+ hospitals receive a multiplier reflecting their system-wide engagement leverage. Scores are relative within the HCA Florida Lake Monroe Hospital system.

CMS Suppression & Data Availability

CMS suppresses FSHR values for SNF-hospital relationships with fewer than 11 patients in the measurement period. Of HCA Florida Lake Monroe Hospital's 51 unique SNF destinations, only 5 have reached the unsuppressed FSHR reporting threshold (the remaining 46 are counted as destinations but do not yet have publicly-reported FSHR values). "Suppressed" SNF destinations are counted in totals but not rated in this analysis. As additional quarters of CMS Medicare FFS Claims data accumulate, more SNF destinations at Lake Monroe will cross the 11-patient reporting threshold and expand the FSHR-rated cohort.

FSHR Color Coding

Throughout this portal, FSHR values are color-coded relative to the HCA Florida Lake Monroe Hospital system average (47.4%): Red = ≥52.4% (5+ pp above system); Amber = ≥49.4% (2+ pp above); Green = ≤44.4% (3+ pp below). Uncolored values are within ±2–3 pp of system average.

Prepared By

This analysis was prepared by Puzzle Healthcare using CMS Medicare FFS Claims data. For questions about methodology, data access, or the preferred network engagement program, contact your Puzzle Healthcare account team.