An eight-quarter review of FFS SNF discharge patterns, destination concentration, and FSHR performance across a 19-hospital health system across the Tampa Bay / West Florida market — across Pasco, Pinellas, Hillsborough, Manatee, Sarasota, Charlotte, Lee, Citrus, and Hernando counties.
HCA Florida West Florida Division operates the Tampa Bay / West Florida market, spanning 19 hospitals across nine West Florida counties. Its post-acute discharge picture is one of meaningful scale — 5,754 Medicare fee-for-service patients flowing across 281 SNF destinations over eight quarters — with limited cross-hospital coordination and no unified preferred-network infrastructure to manage FSHR performance systematically.
Over eight quarters (CMS Medicare FFS Claims: 2025 Q1 – 2025 Q4), HCA Florida West Florida Division hospitals collectively discharged 5,754 fee-for-service Medicare patients to skilled nursing facilities, reaching 281 distinct SNF destinations across West Florida. HCA Florida Fawcett Hospital leads the system in post-acute volume with 760 patients across 50 SNF destinations — the single largest HCA West Florida Division post-acute relationship set in the analysis. HCA Florida Blake Hospital is the second-highest volume hospital in the system, contributing 739 FFS SNF patients.
Florida state SNF utilization average is 16.5% (FFS). What the data reveals is a system-wide FSHR elevation and destination fragmentation story: across 16 active hospitals, 5,754 patients are distributed to 281 SNFs, most operating without a structured performance framework or preferred-network accountability from HCA Florida West Florida Division care teams.
Within HCA Florida West Florida Division’s existing discharge patterns is a structural starting point for coordination: 183 SNFs already serve two or more HCA Florida West Florida Division hospitals simultaneously. These shared facilities are the organic preferred network — facilities that HCA Florida West Florida Division hospitals have collectively chosen through discharge patterns without any formal coordination. Puzzle Healthcare’s role is to formalize that organic network, extend its reach, and make FSHR performance systematically measurable and accountable.
The 15 priority SNF targets identified in this analysis — facilities with elevated FSHR rates appearing across multiple HCA Florida West Florida Division hospitals — represent the highest-impact starting cohort for an embedded clinical program. Together they account for significant patient volume and carry FSHR rates meaningfully above the system-wide average of 42.6%.
HCA Florida West Florida Division operates 19 acute-care hospitals across the Tampa Bay / West Florida market — a dense, single-state community hospital network spanning nine counties. Each hospital draws from a distinct patient population and sends patients to a partially overlapping, partially distinct set of SNF partners across the state.
HCA Florida West Florida Division’s geographic span across the Tampa Bay / West Florida market represents both a strategic complexity and a significant opportunity. The system’s hospitals serve distinct regional communities — from Bayonet Point and Trinity in Pasco County, to Largo, Northside, Pasadena, and St. Petersburg in Pinellas County, to Brandon, South Shore, and South Tampa in Hillsborough County, to Blake and Sarasota Doctors further south, and community access in Citrus, Englewood, Fawcett, Lehigh, and Oak Hill. This diversity means that post-acute discharge patterns, local SNF networks, and FSHR drivers differ meaningfully across facilities. A coordinated preferred-network framework delivers the greatest operational value precisely in this kind of heterogeneous multi-hospital system: unified performance standards, embedded clinical presence, and real-time visibility that operates consistently across all 16 hospitals regardless of geography.
HCA Florida Fawcett Hospital’s 50-facility SNF destination network illustrates a pattern common to high-volume academic medical centers: a small number of facilities receive outsized volume, while the majority consist of lower-volume relationships that are difficult to manage systematically. This concentration and fragmentation dynamic — replicated across 16 hospitals and 281 SNF destinations — is the core visibility challenge at the heart of HCA Florida West Florida Division’s post-acute situation.
The concentration pattern at HCA Florida Fawcett Hospital is characteristic of a large academic medical center in a geographically concentrated state. Its top SNF partners already have the volume to support an embedded clinical presence — and they clearly have established relationships with Fawcett’s discharge planning teams. The coordination gap lives in the long tail: the facilities receiving smaller patient volumes with no systematic performance framework or preferred-network accountability.
Multiplied across 16 HCA Florida West Florida Division hospitals and 281 total SNF destinations system-wide, that long tail represents hundreds of downstream facilities operating beyond the horizon of HCA Florida West Florida Division’s visibility. That is precisely the structural problem a unified preferred-network framework addresses — starting with the 183 cross-system facilities that already appear in multiple HCA Florida West Florida Division discharge networks simultaneously.
Florida state SNF utilization benchmark: 16.5% (FFS). FL 30-day readmission average: 17.2%. The system-wide FSHR of 42.6% serves as the primary internal reference point for identifying hospitals with elevated return-to-hospital rates and high-impact intervention opportunities.
HCA Florida Fawcett Hospital discharged 760 FFS patients to 50 distinct SNF destinations over the analysis period. FSHR stands at 39.7%, -2.9pp vs system average. The leading post-acute destination is Port Charlotte Rehabilitation Center (172 patients, 22.1% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.
The Fawcett post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Fawcett’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Port Charlotte Rehabilitation Center | 172 | 22.1% | 41.0% | High |
| Solaris Healthcare Charlotte Harbor Llc | 148 | 19.0% | 32.5% | High |
| Harbour Health Center | 116 | 14.9% | 36.4% | High |
| Life Care Center Of Punta Gorda | 94 | 12.1% | 34.8% | High |
| Village Place Healthcare And Rehabilitation Center Llc | 82 | 10.5% | 40.8% | High |
HCA Florida Blake Hospital discharged 739 FFS patients to 70 distinct SNF destinations over the analysis period. FSHR stands at 38.8%, -3.9pp vs system average. The leading post-acute destination is Surrey Place Conv Center Of Bradenton (211 patients, 27.2% share). The hospital’s SNF network includes 3 facilityies with a “Very High” risk category.
The Blake post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Blake’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Surrey Place Conv Center Of Bradenton | 211 | 27.2% | 33.9% | High |
| Nursing Center At Freedom Village | 157 | 20.2% | 30.8% | High |
| Heritage Park Nursing Center | 109 | 14.0% | 49.2% | High |
| Casa Mora Rehabilitation And Extended Care | 69 | 8.9% | 44.6% | High |
| Westminster Bradenton | 61 | 7.9% | 37.5% | High |
HCA Florida Oak Hill Hospital discharged 563 FFS patients to 46 distinct SNF destinations over the analysis period. FSHR stands at 47.7%, +5.1pp vs system average. The leading post-acute destination is Oak Hill Health And Rehabilitation (287 patients, 49.9% share). The hospital’s SNF network includes 6 facilityies with a “Very High” risk category.
The Oak Hill post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Oak Hill’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Oak Hill Health And Rehabilitation | 287 | 49.9% | 47.3% | High |
| Aviata At Spring Hill | 80 | 13.9% | 44.4% | High |
| Evergreen Woods | 80 | 13.9% | 48.5% | High |
| Brooksville Healthcare Center | 41 | 7.1% | 50.5% | High |
| Brooksville Snf Operations Llc | 33 | 5.7% | 46.7% | High |
HCA Florida Bayonet Point Hospital discharged 533 FFS patients to 55 distinct SNF destinations over the analysis period. FSHR stands at 41.9%, -0.7pp vs system average. The leading post-acute destination is Solaris Healthcare Bayonet Point Llc (125 patients, 21.6% share). The hospital’s SNF network includes 8 facilityies with a “Very High” risk category.
The Bayonet Point post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Bayonet Point’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Solaris Healthcare Bayonet Point Llc | 125 | 21.6% | 35.2% | High |
| Bear Creek Nursing Center, Llc | 72 | 12.5% | 41.2% | High |
| Nursing & Rehabilitation Center Of Bayonet Point | 63 | 10.9% | 45.8% | High |
| Oak Hill Health And Rehabilitation | 55 | 9.5% | 43.5% | High |
| Life Care Center Of New Port Richey | 52 | 9.0% | 41.2% | High |
HCA Florida Citrus Hospital discharged 533 FFS patients to 35 distinct SNF destinations over the analysis period. FSHR stands at 38.6%, -4.0pp vs system average. The leading post-acute destination is Diamond Ridge Health & Rehabilitation Center (142 patients, 26.7% share). The hospital’s SNF network includes 5 facilityies with a “Very High” risk category.
The Citrus post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Citrus’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Diamond Ridge Health & Rehabilitation Center | 142 | 26.7% | 36.4% | High |
| Citrus Hills Nursing And Rehab Llc | 99 | 18.6% | 31.5% | High |
| Arbor Trail Rehab & Skilled Nursing Center | 85 | 16.0% | 41.0% | High |
| Citrus Health And Rehabilitation Center | 85 | 16.0% | 36.2% | High |
| Life Care Center Of Citrus County | 38 | 7.1% | 58.1% | High |
HCA Florida Brandon Hospital discharged 487 FFS patients to 55 distinct SNF destinations over the analysis period. FSHR stands at 49.8%, +7.1pp vs system average. The leading post-acute destination is Hawthorne Center For Rehabilitation & Healing Of Brandon (193 patients, 36.8% share). The hospital’s SNF network includes 7 facilityies with a “Very High” risk category.
The Brandon post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Brandon’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Hawthorne Center For Rehabilitation & Healing Of Brandon | 193 | 36.8% | 50.1% | High |
| Brandon Center For Nursing & Rehabilitation | 87 | 16.6% | 56.1% | High |
| Aviata At Central Park | 68 | 13.0% | 46.4% | High |
| Aviata At Oakfield | 36 | 6.9% | 40.0% | High |
| Sun Terrace Health Care Center | 28 | 5.3% | 57.3% | High |
HCA Florida South Shore Hospital discharged 436 FFS patients to 40 distinct SNF destinations over the analysis period. FSHR stands at 40.2%, -2.4pp vs system average. The leading post-acute destination is Sun Terrace Health Care Center (177 patients, 38.7% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.
The South Shore post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at South Shore’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Sun Terrace Health Care Center | 177 | 38.7% | 37.1% | High |
| Plaza West Health Center | 141 | 30.9% | 38.8% | High |
| Palm Garden Of Sun City | 94 | 20.6% | 48.2% | High |
| Brandon Center For Nursing & Rehabilitation | 13 | 2.8% | — | High |
| Hawthorne Center For Rehabilitation & Healing Of Brandon | 11 | 2.4% | — | High |
HCA Florida Largo Hospital discharged 371 FFS patients to 84 distinct SNF destinations over the analysis period. FSHR stands at 44.4%, +1.8pp vs system average. The leading post-acute destination is Freedom Square Health Care Center (54 patients, 11.5% share). The hospital’s SNF network includes 6 facilityies with a “Very High” risk category.
The Largo post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Largo’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Freedom Square Health Care Center | 54 | 11.5% | 39.8% | High |
| Aviata At Bryan Dairy | 43 | 9.1% | 40.5% | High |
| Palm Garden Of Largo | 43 | 9.1% | 43.3% | High |
| J1513, Llc | 41 | 8.7% | 48.1% | High |
| Palm Garden Of Pinellas | 39 | 8.3% | 51.4% | High |
HCA Florida Northside Hospital discharged 366 FFS patients to 57 distinct SNF destinations over the analysis period. FSHR stands at 49.5%, +6.9pp vs system average. The leading post-acute destination is Gulf Shore Nursing And Rehab Llc (71 patients, 14.7% share). The hospital’s SNF network includes 8 facilityies with a “Very High” risk category.
The Northside post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Northside’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Gulf Shore Nursing And Rehab Llc | 71 | 14.7% | 57.0% | High |
| Pinellas Park Fl Opco Llc | 47 | 9.8% | 64.3% | High |
| Lexington Healthcare And Rehabilitation Center Llc | 44 | 9.1% | 47.0% | High |
| Gateway Fl Opco Llc | 38 | 7.9% | 33.7% | High |
| Palm Garden Of Largo | 34 | 7.1% | 33.3% | High |
HCA Florida Sarasota Doctors Hospital discharged 283 FFS patients to 49 distinct SNF destinations over the analysis period. FSHR stands at 31.5%, -11.2pp vs system average. The leading post-acute destination is Sunnyside Nursing Home (45 patients, 11.7% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.
The Sarasota Doctors post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Sarasota Doctors’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Sunnyside Nursing Home | 45 | 11.7% | 27.0% | Elevated |
| Pines Of Sarasota | 38 | 9.8% | 32.9% | High |
| Hawthorne Center For Rehabilitation & Healing Of Sarasota | 29 | 7.5% | 54.8% | High |
| Benderson Family Skilled Nursing And Rehab Center | 25 | 6.5% | 16.9% | High |
| Brookdale Palmer Ranch Snf | 23 | 6.0% | 40.6% | High |
HCA Florida Trinity Hospital discharged 273 FFS patients to 41 distinct SNF destinations over the analysis period. FSHR stands at 44.5%, +1.9pp vs system average. The leading post-acute destination is Life Care Center Of New Port Richey (91 patients, 27.8% share). The hospital’s SNF network includes 5 facilityies with a “Very High” risk category.
The Trinity post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Trinity’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Life Care Center Of New Port Richey | 91 | 27.8% | 50.8% | High |
| Trinity Regional Rehab Center | 89 | 27.2% | 38.5% | High |
| Nursing & Rehabilitation Center Of New Port Richey | 32 | 9.8% | 55.9% | High |
| Madison Pointe Nursing And Rehab Llc | 18 | 5.5% | 40.4% | High |
| Solaris Healthcare Bayonet Point Llc | 17 | 5.2% | 29.4% | High |
HCA Florida Englewood Hospital discharged 148 FFS patients to 22 distinct SNF destinations over the analysis period. FSHR stands at 35.9%, -6.7pp vs system average. The leading post-acute destination is Aviata At Englewood (51 patients, 26.2% share). The hospital’s SNF network includes 3 facilityies with a “Very High” risk category.
The Englewood post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Englewood’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Aviata At Englewood | 51 | 26.2% | 42.0% | High |
| Solaris Healthcare Charlotte Harbor Llc | 25 | 12.8% | 25.0% | High |
| Harbour Health Center | 21 | 10.8% | 42.9% | High |
| Orchid Cove At Venice | 20 | 10.3% | 37.1% | High |
| Port Charlotte Center For Nursing & Rehabilitation | 16 | 8.2% | — | High |
HCA Florida St. Petersburg Hospital discharged 92 FFS patients to 35 distinct SNF destinations over the analysis period. FSHR stands at 57.0%, +14.3pp vs system average. The leading post-acute destination is St. Petersburg Fl Opco Llc (42 patients, 26.1% share). The hospital’s SNF network includes 2 facilityies with a “Very High” risk category.
The St. Petersburg post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Petersburg’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| St. Petersburg Fl Opco Llc | 42 | 26.1% | 57.5% | High |
| The Springs At Boca Ciega Bay | 18 | 11.2% | — | Elevated |
| Lexington Healthcare And Rehabilitation Center Llc | 17 | 10.6% | 56.1% | High |
| Menorah Manor | 15 | 9.3% | 56.4% | High |
| Advanced Nursing And Rehab Llc | <11 | — | — | Moderate |
HCA Florida South Tampa Hospital discharged 66 FFS patients to 31 distinct SNF destinations over the analysis period. FSHR stands at 50.2%, +7.6pp vs system average. The leading post-acute destination is Bayshore Point Nursing & Rehab Center (27 patients, 26.5% share). The hospital’s SNF network includes 1 facilityy with a “Very High” risk category.
The South Tampa post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at South Tampa’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Bayshore Point Nursing & Rehab Center | 27 | 26.5% | 50.5% | High |
| Gandy Fl Opco Llc | 27 | 26.5% | 50.0% | High |
| Canterbury Tower Inc. | 12 | 11.8% | — | High |
| Aventura At The Bay | <11 | — | — | Moderate |
| Aviata At The Bay | <11 | — | — | Moderate |
HCA Florida Lehigh Hospital discharged 57 FFS patients to 11 distinct SNF destinations over the analysis period. FSHR stands at 51.9%, +9.3pp vs system average. The leading post-acute destination is Lehigh Acres Healthcare & Rehab Center Llc (46 patients, 68.7% share). The hospital’s SNF network includes 1 facilityy with a “Very High” risk category.
The Lehigh post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Lehigh’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Lehigh Acres Healthcare & Rehab Center Llc | 46 | 68.7% | 51.9% | Elevated |
| Labelle Health And Rehabilitation Center | 11 | 16.4% | — | High |
| Cedarbrook Health And Rehabilitation Center | <11 | — | — | Moderate |
| Eagleridge Health And Rehabilitation Center | <11 | — | — | Moderate |
| Fm Rnc Llc | <11 | — | — | Moderate |
HCA Florida Pasadena Hospital discharged 47 FFS patients to 26 distinct SNF destinations over the analysis period. FSHR stands at 45.4%, +2.7pp vs system average. The leading post-acute destination is Menorah Manor (18 patients, 19.4% share). The hospital’s SNF network includes 2 facilityies with a “Very High” risk category.
The Pasadena post-acute network illustrates the broader HCA Florida West Florida Division pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Pasadena’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.
| Top SNF Partners | Pts | Share | FSHR | Risk |
|---|---|---|---|---|
| Menorah Manor | 18 | 19.4% | 42.9% | High |
| Egret Cove Center | 15 | 16.1% | 32.6% | High |
| Boca Ciega Center | 14 | 15.1% | 62.2% | High |
| Alhambra Healthcare & Rehabilitation Center Llc | <11 | — | — | Moderate |
| Aventura At The Bay | <11 | — | — | Moderate |
Of the 281 SNF destinations across the HCA Florida West Florida Division network, 183 already serve two or more HCA Florida West Florida Division hospitals simultaneously. These shared facilities are the structural backbone of any preferred-network strategy — existing relationships that can be elevated and formalized without requiring new partnerships to be built from scratch.
Sun Terrace Health Care Center is among the most connected SNFs in the HCA Florida West Florida Division network — serving 6 hospitals with 205 total patients. The other high-volume cross-system facilities represent the tier of shared relationships where a coordinated embedded clinical presence delivers immediate and demonstrable impact across multiple HCA Florida West Florida Division hospitals simultaneously.
Of particular note are cross-system facilities with elevated FSHR: SNFs that already appear in multiple HCA Florida West Florida Division discharge patterns are precisely the facilities where an embedded clinical presence and preferred-network performance standards create the accountability needed to drive measurable FSHR improvement across the system’s post-acute continuum.
The 183 cross-system facilities represent the natural starting cohort for a coordinated HCA Florida West Florida Division preferred network. A structured engagement beginning with these shared partners would immediately extend coverage across the broadest reach of HCA Florida West Florida Division hospitals and create the governance layer for performance tracking across the most consequential downstream relationships in the system.
The priority target analysis identifies SNFs with elevated FSHR rates, meaningful patient volume, and cross-hospital presence across the HCA Florida West Florida Division system. These facilities represent the intersection of high clinical risk and strategic leverage: where an embedded Puzzle clinical presence would deliver immediate impact across multiple HCA Florida West Florida Division hospitals simultaneously.
Hawthorne Center For Rehabilitation & Healing Of Brandon leads the priority target list with a priority score of 15.2 — an FSHR of 50.1% across 3 HCA Florida West Florida Division hospitals and 204 patients. The FSHR elevation at this facility — 7.5% above the system average — represents the type of high-volume, high-FSHR, multi-hospital relationship where an embedded Puzzle clinical presence delivers immediate and measurable return.
Together, the 15 priority targets cover relationships across the majority of HCA Florida West Florida Division’s active hospital portfolio. A coordinated engagement beginning with these facilities would immediately extend Puzzle’s embedded presence into the highest-risk corner of HCA Florida West Florida Division’s post-acute network — without requiring a facility-by-facility cold-call campaign. HCA Florida West Florida Division’s endorsement opens those doors, and Puzzle’s embedded clinical model provides the sustained presence to drive FSHR improvement over time.
Every active HCA Florida West Florida Division hospital is scored on a composite of discharge volume, destination breadth, FSHR elevation, and destination-level facility risk. The index surfaces relative priority — not a critique of any individual hospital’s care quality, but a guide to where systematic post-acute infrastructure delivers the greatest immediate return. FL state SNF utilization benchmark: 16.5% (FFS).
| Hospital | Beds | SNF Pts | Dests | FSHR % | Score | Priority |
|---|---|---|---|---|---|---|
| HCA Florida Northside Hospital | 288 | 366 | 57 | 49.5% | 88 | Immediate |
| HCA Florida Bayonet Point Hospital | 392 | 533 | 55 | 41.9% | 86 | Immediate |
| HCA Florida Brandon Hospital | 479 | 487 | 55 | 49.8% | 86 | Immediate |
| HCA Florida Oak Hill Hospital | 350 | 563 | 46 | 47.7% | 85 | Immediate |
| HCA Florida Largo Hospital | 283 | 371 | 84 | 44.4% | 83 | Immediate |
| HCA Florida Fawcett Hospital | 265 | 760 | 50 | 39.7% | 82 | Immediate |
| HCA Florida Blake Hospital | 383 | 739 | 70 | 38.8% | 82 | Immediate |
| HCA Florida Citrus Hospital | 204 | 533 | 35 | 38.6% | 82 | Immediate |
| HCA Florida South Shore Hospital | 138 | 436 | 40 | 40.2% | 81 | Immediate |
| HCA Florida St. Petersburg Hospital | 215 | 92 | 35 | 57.0% | 69 | Immediate |
| HCA Florida Trinity Hospital | 278 | 273 | 41 | 44.5% | 66 | Immediate |
| HCA Florida Sarasota Doctors Hospital | 155 | 283 | 49 | 31.5% | 57 | Immediate |
| HCA Florida Lehigh Hospital | 88 | 57 | 11 | 51.9% | 56 | Immediate |
| HCA Florida Pasadena Hospital | 307 | 47 | 26 | 45.4% | 52 | Near-Term |
| HCA Florida Englewood Hospital | 100 | 148 | 22 | 35.9% | 39 | Near-Term |
| HCA Florida South Tampa Hospital | 173 | 66 | 31 | 50.2% | 26 | Monitor |
HCA Florida Northside Hospital leads the opportunity ranking with a score of 88 — driven primarily by its FSHR elevation and the breadth of its SNF destination network. A high-volume hospital with elevated FSHR and a large, largely unmanaged SNF network is precisely where a preferred-network infrastructure delivers maximum return on clinical investment.
HCA Florida Bayonet Point Hospital (86 score, Immediate) and other Near-Term hospitals represent the tier where FSHR elevation merits structured attention. Their geographic position across the HCA Florida West Florida Division system means that a preferred-network framework anchored at the top hospitals naturally extends coverage to the Near-Term tier.
Puzzle Healthcare’s engagement model is built around one core insight: the most effective way to improve post-acute outcomes at a health system is to establish an embedded presence inside the SNF network itself. That requires the health system’s endorsement to open the door. When OSF HealthCare did exactly that, it changed the economics of the entire engagement.
The OSF Precedent: When OSF HealthCare partnered with Puzzle Healthcare, the system introduced Puzzle to approximately 60 nursing homes across their post-acute network. That single act of introduction — OSF telling its downstream SNF partners that Puzzle had the health system’s trust and support — opened relationships that would have taken years to build through conventional vendor outreach. The embedded clinical presence that followed enabled real-time visibility, coordinated care management, and measurable FSHR improvement across all 60 facilities simultaneously.
HCA Florida West Florida Division has 281 unique SNF destinations — a network of meaningful scale across West Florida. HCA Florida West Florida Division’s 183 cross-system shared facilities represent the natural introductions cohort: SNFs that already know and trust multiple HCA Florida West Florida Division hospitals, and where a coordinated Puzzle presence would have an immediate and demonstrable impact on FSHR performance. That is 183 introductions — many times the minimum needed to make the engagement economics work — before Puzzle has made a single cold call.
The engagement economics of Puzzle’s model require a minimum scale to be operationally viable: an embedded presence in a facility that receives only 8–10 patients per year cannot be sustained. HCA Florida West Florida Division’s cross-system SNF concentration solves this elegantly. The top cross-system facilities collectively receive enough volume across multiple HCA Florida West Florida Division hospitals to support a full embedded clinical program from day one — and their FSHR elevation makes the case for urgency clear.
The explicit ask mirrors the OSF model: HCA Florida West Florida Division introduces Puzzle to its downstream SNF partners — particularly the 183 cross-system facilities where the relationship already exists — so that Puzzle can establish a coordinated presence across the network. With OSF, 60 such introductions built the foundation for a system-wide preferred network. HCA Florida West Florida Division’s 183 cross-system facilities represent a comparable starting point, with a clear path to expanding across the full 281-destination network as the preferred-network framework matures.
The following sequence is designed to move efficiently from this initial analysis to a working preferred-network engagement, with no disruption to existing care pathways during the design phase.
HCA Florida West Florida Division has built one of the Tampa Bay region’s most expansive community hospital networks, spanning 19 hospitals across the West Florida market. 5,754 FFS patients, 281 SNF destinations, 16 active hospitals, and 183 facilities already embedded in multiple HCA Florida West Florida Division care pathways simultaneously. That is not a system with a post-acute crisis. It is a system with a post-acute opportunity that has not yet been systematically activated.
HCA Florida West Florida Division’s 16-hospital post-acute network currently operates as 16 largely independent discharge patterns, each sending patients to their own set of SNF destinations without shared FSHR standards, systematic accountability, or a unified visibility layer connecting HCA Florida West Florida Division care teams to downstream SNF performance. The 15 priority SNF targets — facilities with FSHR rates significantly above the system average of 42.6% appearing across multiple HCA Florida West Florida Division hospitals — represent the highest-urgency intervention points. But they are part of a larger structural story: 281 SNF destinations, most operating beyond the horizon of HCA Florida West Florida Division’s systematic oversight.
The 183 cross-system SNFs — facilities that already serve multiple HCA Florida West Florida Division hospitals and have demonstrated their relevance to the system’s post-acute continuum — are the proof of concept. These are not hypothetical preferred partners; they are already functioning as the de facto preferred network across West Florida. Puzzle’s role is to formalize it, extend it, and make FSHR performance systematically measurable and accountable.
The explicit ask: Introduce Puzzle to HCA Florida West Florida Division’s downstream SNF partners — beginning with the 183 cross-system facilities and 15 priority targets that already serve multiple hospitals — so that Puzzle can establish a coordinated embedded presence across the network. When OSF HealthCare made that introduction across approximately 60 nursing homes, the result was a system-wide preferred-network program built on existing trust. HCA Florida West Florida Division has the same structural foundation — at a scale that makes the opportunity commensurately significant for the Tampa Bay / West Florida market.
We look forward to the conversation — and to what HCA West Florida Division’s post-acute program looks like with the visibility, FSHR accountability, and coordination infrastructure to match the system’s clinical ambition across West Florida.