Hospital Profile

Hca Florida Twin Cities Hospital

Q: What does a 4-star rating mean for Hca Florida Twin Cities Hospital?

CMS rates hospitals 1-5 stars based on mortality, safety, readmission, patient experience, and timely care.

Q: Does Hca Florida Twin Cities Hospital have an emergency room?

Yes, it operates an emergency department.

Q: Does Hca Florida Twin Cities Hospital accept Medicare?

Yes. All hospitals on Medicare Hospital Compare are Medicare-certified. Check your specific plan for in-network status.

2190 Hwy 85 N
Niceville, FL 32578

★★★★☆

4/5 CMS Overall Rating

Licensed Beds

Acute Care

Hospital Type

218

Affiliated Doctors

Moderate

Critical Care

1.1:1

Nurse-to-Bed Ratio

Quick Actions

📞 Call Hospital 🗺️ Get Directions 🏛️ View on Medicare.gov 👨‍⚕️ Find Doctors

(850) 678-4131

Data Source: Hospital data from CMS Hospital Compare (February 2026) and Provider of Services file (Q4 2025). Doctor affiliations from CMS Physician Compare. Quality measures are updated quarterly.
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Hospital Details

Hca Florida Twin Cities Hospital is a 4.00-star acute care hospital located in Niceville, Florida with 65 licensed beds. As a for-profit facility, it operates with a different financial structure than non-profit hospitals in the region.

A 4-star CMS rating places Hca Florida Twin Cities Hospital above the national average for overall quality. 218 physicians are affiliated with this facility, and it provides emergency services. Its critical care footprint covers 3 of 8 unit types (Moderate) with a 1.1:1 nurse-to-bed ratio.

Hospital Type	Acute Care Hospitals
Ownership	Proprietary
Teaching Status	Non-Teaching Hospital

Quality Ratings & Measures

CMS evaluates hospitals across five quality domains. Here's how Hca Florida Twin Cities Hospital compares:

⭐

Overall Rating

of 5 stars

💔

Better than National

Mortality

1 of 3 better

🛡️

Better than National

Safety

1 of 3 better

🔄

Same as National

Readmission

0 of 7 better

😊

All 8 domains reported

Patient Experience

8 measures

💰

0.9800

Medicare Spending Index (MSPB)

Near National Avg

Quality data from CMS Hospital Compare. "Better than national" means statistically significantly better than the national average. Spending uses the CMS MSPB measure (Medicare Spending Per Beneficiary) index, where 1.000 is national average and values above/below 1.000 indicate higher/lower spending.

Patient Experience (HCAHPS Survey)

The HCAHPS survey is a standardized, national survey of hospital patients. It measures how patients perceive their care — including communication with doctors and nurses, responsiveness of staff, cleanliness, and discharge information. Higher percentages indicate better performance.

Measure	Score	Star Rating
Patients who reported that their room and bathroom were "Always" clean	85%	N/A
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean	2%	N/A
Patients who reported that their room and bathroom were "Usually" clean	13%	N/A
Cleanliness - linear mean score	Not Applicable%	N/A
Cleanliness - star rating	Not Applicable%	★★★★★ (5)
Patients who reported that their nurses "Always" communicated well	85%	N/A
Nurse communication - linear mean score	Not Applicable%	N/A
Patients who reported that their nurses "Sometimes" or "Never" communicated well	2%	N/A
Nurse communication - star rating	Not Applicable%	★★★★★ (5)
Patients who reported that their nurses "Usually" communicated well	13%	N/A
Patients who reported that their doctors "Always" communicated well	83%	N/A
Doctor communication - linear mean score	Not Applicable%	N/A
Patients who reported that their doctors "Sometimes" or "Never" communicated well	4%	N/A
Doctor communication - star rating	Not Applicable%	★★★★☆ (4)
Patients who reported that their doctors "Usually" communicated well	13%	N/A
Patients who reported that staff "Always" explained about medicines before giving it to them	64%	N/A
Communication about medicines - linear mean score	Not Applicable%	N/A
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them	17%	N/A
Communication about medicines - star rating	Not Applicable%	★★★☆☆ (3)
Patients who reported that staff "Usually" explained about medicines before giving it to them	19%	N/A
Discharge information - linear mean score	Not Applicable%	N/A
Patients who reported that NO, they were not given information about what to do during their recovery at home	12%	N/A
Discharge information - star rating	Not Applicable%	★★★★☆ (4)
Patients who reported that YES, they were given information about what to do during their recovery at home	88%	N/A
Patients who reported that NO, they did not discuss whether they would need help after discharge	16%	N/A
Patients who reported that YES, they did discuss whether they would need help after discharge	84%	N/A
Patients who reported that their doctors "Always" explained things in a way they could understand	78%	N/A
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand	4%	N/A
Patients who reported that their doctors "Usually" explained things in a way they could understand	18%	N/A
Patients who reported that their doctors "Always" listened carefully to them	81%	N/A
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them	4%	N/A
Patients who reported that their doctors "Usually" listened carefully to them	15%	N/A
Patients who reported that their doctors "Always" treated them with courtesy and respect	89%	N/A
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect	4%	N/A
Patients who reported that their doctors "Usually" treated them with courtesy and respect	7%	N/A
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)	4%	N/A
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)	15%	N/A
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)	81%	N/A
Overall hospital rating - linear mean score	Not Applicable%	N/A
Overall hospital rating - star rating	Not Applicable%	★★★★★ (5)
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for	78%	N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for	7%	N/A
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.	15%	N/A
Patients who reported that their nurses "Always" explained things in a way they could understand	80%	N/A
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand	3%	N/A
Patients who reported that their nurses "Usually" explained things in a way they could understand	17%	N/A
Patients who reported that their nurses "Always" listened carefully to them	84%	N/A
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them	2%	N/A
Patients who reported that their nurses "Usually" listened carefully to them	14%	N/A
Patients who reported that their nurses "Always" treated them with courtesy and respect	92%	N/A
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect	1%	N/A
Patients who reported that their nurses "Usually" treated them with courtesy and respect	7%	N/A
Patients who reported that the area around their room was "Always" quiet at night	62%	N/A
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night	7%	N/A
Patients who reported that the area around their room was "Usually" quiet at night	31%	N/A
Quietness - linear mean score	Not Applicable%	N/A
Quietness - star rating	Not Applicable%	★★★★☆ (4)
Patients who reported NO, they would probably not or definitely not recommend the hospital	2%	N/A
Patients who reported YES, they would definitely recommend the hospital	84%	N/A
Recommend hospital - linear mean score	Not Applicable%	N/A
Patients who reported YES, they would probably recommend the hospital	14%	N/A
Recommend hospital - star rating	Not Applicable%	★★★★★ (5)
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects	51%	N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects	27%	N/A
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects	22%	N/A
Summary star rating	Not Applicable%	★★★★☆ (4)
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge	8%	N/A
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge	92%	N/A

Survey response rate: 26% (387 surveys completed). Data from 04/01/2024 to 03/31/2025 .

Services & Specialties

Hca Florida Twin Cities Hospital offers the following services based on CMS Provider of Services data:

Emergency & Critical Care

Hca Florida Twin Cities Hospital offers 3 of 8 possible critical care capabilities, classified as Moderate. Moderate critical care (3–5 unit types) covers many common emergencies but may require transfers for specialized trauma, burns, or pediatric/neonatal intensive care. Consider whether your likely health needs are covered.

🚨 Emergency Department

🏥 Intensive Care Unit (ICU)

❤️ Coronary Care Unit (CCU)

Surgical Services

🏥 Inpatient Surgery

🏢 Outpatient Surgery

Specialty Services

🧒 Pediatric Services

💉 Chemotherapy

🌬️ Respiratory Care

Service availability is self-reported by the facility. Confirm specific services directly with the hospital. Use our printable question list to prepare for the conversation.

Bed Count, Capacity & Staffing

Hca Florida Twin Cities Hospital has 65 licensed beds (65 Medicare-certified) with a nurse-to-bed ratio of 1.1:1. Higher ratios generally indicate more nursing staff per patient, which research links to better outcomes in medication errors, patient falls, and response times.

Bed Type	Count
Total Licensed Beds	65
CMS Certified Beds	65

Staffing snapshot: 218 affiliated physicians • 73 registered nurses

Doctors Affiliated with Hca Florida Twin Cities Hospital

218 physicians are affiliated with Hca Florida Twin Cities Hospital, including 47 surgeons. Doctor affiliations are sourced from CMS Physician Compare data and indicate physicians who have a formal relationship with this hospital.

218

Total Doctors

Procedural Specialists

Surgeons