JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Ascension Seton Cedar Park

3 / 5

At a glance

Ascension Seton Cedar Park carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1293Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.841Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.908Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1577Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.030Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.976Same as national
SSI - Colon Surgery: Number of Procedures54Same as national
SSI - Colon Surgery: Predicted Cases1.516Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures64Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.528Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days22292Not available
MRSA Bacteremia: Predicted Cases0.886Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.120Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.912Better than national
Clostridium Difficile (C.Diff): Patient Days21660Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.575Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.378Better 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 patients3.5Same as national41
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national705
Death rate for heart attack patients11.1Same as national106
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national69
Death rate for heart failure patients11.2Same as national115
Death rate for pneumonia patients17.2Same as national292
Death rate for stroke patients12.6Same as national51
Pressure ulcer rate0.35Same as national1718
Death rate among surgical inpatients with serious treatable complications158.69Same as national32
Iatrogenic pneumothorax rate0.19Same as national2363
In-hospital fall-associated fracture rate0.25Same as national2331
Postoperative hemorrhage or hematoma rate2.14Same as national435
Postoperative acute kidney injury requiring dialysis rate1.63Same as national161
Postoperative respiratory failure rate6.77Same as national180
Perioperative pulmonary embolism or deep vein thrombosis rate2.97Same as national456
Postoperative sepsis rate4.67Same as national163
Postoperative wound dehiscence rate1.73Same as national112
Abdominopelvic accidental puncture or laceration rate0.95Same as national437
CMS Medicare PSI 90: Patient safety and adverse events composite0.79Same 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 patients13.3Not available94
Hospital return days for heart failure patients6.9Not available122
Hospital return days for pneumonia patients23.6Not available302
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1020
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.6Same as national286
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 national161
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.9Same as national94
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national77
Heart failure (HF) 30-Day Readmission Rate20.9Same as national122
Rate of readmission after hip/knee replacement4.9Same as national50
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national302

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 rating2427
Doctor communication - star rating3427
Communication about medicines - star rating2427
Discharge information - star rating2427
Cleanliness - star rating3427
Quietness - star rating3427
Overall hospital rating - star rating2427
Recommend hospital - star rating2427
Summary star rating2427

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 volumemedium
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 Hypoglycemia11213
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination361841
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 better136412
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 better134386
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22021
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 seen132329
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9266
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing111796
Appropriate care for severe sepsis and septic shock63161
Septic Shock 3-Hour Bundle4533
Septic Shock 6-Hour Bundle9315
Severe Sepsis 3-Hour Bundle86161
Severe Sepsis 6-Hour Bundle89108
Discharged on Antithrombotic Therapy9482
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29866
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 MeasureYes

Frequently asked questions

How is Ascension Seton Cedar Park rated?
Ascension Seton Cedar Park has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension Seton Cedar Park have emergency services?
Yes. Ascension Seton Cedar Park operates a 24/7 emergency department.
Where is Ascension Seton Cedar Park located?
Ascension Seton Cedar Park is located at 1401 Medical Parkway, Cedar Park, TX 78613.
What type of hospital is Ascension Seton Cedar Park?
Ascension Seton Cedar Park is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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