JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ascension Providence

2 / 5

At a glance

Ascension Providence carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.069Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.360Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5385Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.859Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.412Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.247Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.493Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6074Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.421Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.674Same as national
SSI - Colon Surgery: Lower Confidence Limit0.106Same as national
SSI - Colon Surgery: Upper Confidence Limit2.096Same as national
SSI - Colon Surgery: Number of Procedures114Same as national
SSI - Colon Surgery: Predicted Cases3.153Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.634Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures40Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.402Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.019Same as national
MRSA Bacteremia: Upper Confidence Limit1.871Same as national
MRSA Bacteremia: Patient Days44342Same as national
MRSA Bacteremia: Predicted Cases2.636Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.379Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.003Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.283Better than national
Clostridium Difficile (C.Diff): Patient Days40781Better than national
Clostridium Difficile (C.Diff): Predicted Cases17.425Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.057Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.7Same as national89
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national774
Death rate for heart attack patients14.2Same as national185
Death rate for CABG surgery patients2.7Same as national80
Death rate for COPD patients9.2Same as national116
Death rate for heart failure patients14Same as national410
Death rate for pneumonia patients20.6Worse than national331
Death rate for stroke patients14.4Same as national199
Pressure ulcer rate0.50Same as national3167
Death rate among surgical inpatients with serious treatable complications158.07Same as national42
Iatrogenic pneumothorax rate0.21Same as national4389
In-hospital fall-associated fracture rate0.27Same as national4519
Postoperative hemorrhage or hematoma rate2.48Same as national1175
Postoperative acute kidney injury requiring dialysis rate1.34Same as national674
Postoperative respiratory failure rate13.85Same as national663
Perioperative pulmonary embolism or deep vein thrombosis rate3.73Same as national1252
Postoperative sepsis rate6.28Same as national642
Postoperative wound dehiscence rate1.96Same as national219
Abdominopelvic accidental puncture or laceration rate1.39Same as national835
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-7.5Not available181
Hospital return days for heart failure patients19.7Not available483
Hospital return days for pneumonia patients-4.2Not available339
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national1091
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national151
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national100
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national181
Rate of readmission for CABG9.4Same as national77
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national125
Heart failure (HF) 30-Day Readmission Rate20.9Same as national483
Rate of readmission after hip/knee replacement4.7Same as national66
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national339

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating3269
Doctor communication - star rating4269
Communication about medicines - star rating3269
Discharge information - star rating3269
Cleanliness - star rating3269
Quietness - star rating4269
Overall hospital rating - star rating4269
Recommend hospital - star rating4269
Summary star rating3269

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volume
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination922446
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better222304
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better216286
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40613
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen
Head CT results7218
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock40122
Septic Shock 3-Hour Bundle5737
Septic Shock 6-Hour Bundle6015
Severe Sepsis 3-Hour Bundle74122
Severe Sepsis 6-Hour Bundle7162
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural Measure

Frequently asked questions

How is Ascension Providence rated?
Ascension Providence has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension Providence have emergency services?
Yes. Ascension Providence operates a 24/7 emergency department.
Where is Ascension Providence located?
Ascension Providence is located at 6901 Medical Parkway, Waco, TX 76712.
What type of hospital is Ascension Providence?
Ascension Providence is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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