Acute Care Hospitals · Voluntary non-profit - Private
Baylor Scott and White All Saints Medical Center
- 1400 Eighth Ave, Fort Worth, TX 76104
- (817) 926-2544
- Acute Care Hospitals
At a glance
Baylor Scott and White All Saints Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.129 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.981 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 8316 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 9.838 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 4 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.407 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.298 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.527 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6258 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 8.172 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.734 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.015 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.484 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 128 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.323 | Same as national |
| SSI - Colon Surgery: Observed Cases | 1 | Same as national |
| SSI - Colon Surgery | 0.301 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.008 | Better than national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 0.744 | Better than national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 806 | Better than national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 6.633 | Better than national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Better than national |
| SSI - Abdominal Hysterectomy | 0.151 | Better than national |
| MRSA Bacteremia: Lower Confidence Limit | 0.218 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.322 | Same as national |
| MRSA Bacteremia: Patient Days | 131977 | Same as national |
| MRSA Bacteremia: Predicted Cases | 8.386 | Same as national |
| MRSA Bacteremia: Observed Cases | 5 | Same as national |
| MRSA Bacteremia | 0.596 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.015 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.156 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 107463 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 52.258 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 3 | Better than national |
| Clostridium Difficile (C.Diff) | 0.057 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.3 | Better than national | 1397 |
| Death rate for heart attack patients | 12.5 | Same as national | 65 |
| Death rate for CABG surgery patients | 2.1 | Same as national | 78 |
| Death rate for COPD patients | 7 | Same as national | 116 |
| Death rate for heart failure patients | 10.5 | Same as national | 302 |
| Death rate for pneumonia patients | 14.8 | Same as national | 230 |
| Death rate for stroke patients | 11.7 | Same as national | 86 |
| Pressure ulcer rate | 0.78 | Same as national | 5896 |
| Death rate among surgical inpatients with serious treatable complications | 189.05 | Same as national | 111 |
| Iatrogenic pneumothorax rate | 0.14 | Same as national | 6891 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 7520 |
| Postoperative hemorrhage or hematoma rate | 2.39 | Same as national | 1660 |
| Postoperative acute kidney injury requiring dialysis rate | 1.55 | Same as national | 794 |
| Postoperative respiratory failure rate | 15.84 | Worse than national | 771 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.72 | Same as national | 1865 |
| Postoperative sepsis rate | 7.31 | Same as national | 878 |
| Postoperative wound dehiscence rate | 1.86 | Same as national | 401 |
| Abdominopelvic accidental puncture or laceration rate | 1.12 | Same as national | 1855 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.23 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 56.6 | Not available | 78 |
| Hospital return days for heart failure patients | 34.7 | Not available | 358 |
| Hospital return days for pneumonia patients | 27.2 | Not available | 247 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.8 | Same as national | 2563 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.2 | Same as national | 377 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.1 | Same as national | 49 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.3 | Same as national | 49 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 326 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.7 | Same as national | 78 |
| Rate of readmission for CABG | 10.4 | Same as national | 78 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.1 | Same as national | 144 |
| Heart failure (HF) 30-Day Readmission Rate | 21.3 | Same as national | 358 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 16.6 | Same as national | 247 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 1144 |
| Doctor communication - star rating | 3 | 1144 |
| Communication about medicines - star rating | 3 | 1144 |
| Discharge information - star rating | 3 | 1144 |
| Cleanliness - star rating | 3 | 1144 |
| Quietness - star rating | 3 | 1144 |
| Overall hospital rating - star rating | 4 | 1144 |
| Recommend hospital - star rating | 4 | 1144 |
| Summary star rating | 3 | 1144 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | high | — |
| 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 vaccination | 93 | 4134 |
| 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 better | 226 | 357 |
| 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 better | 232 | 341 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 167 | 15 |
| 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 | 1 | 51580 |
| Head CT results | 89 | 18 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 96 | 68 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | 0 |
| Safe Use of Opioids - Concurrent Prescribing | 10 | 7983 |
| Appropriate care for severe sepsis and septic shock | 77 | 161 |
| Septic Shock 3-Hour Bundle | 59 | 32 |
| Septic Shock 6-Hour Bundle | 94 | 16 |
| Severe Sepsis 3-Hour Bundle | 89 | 161 |
| Severe Sepsis 6-Hour Bundle | 95 | 56 |
| Discharged on Antithrombotic Therapy | 99 | 137 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 80 | 9234 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 88 | 2584 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Baylor Scott and White All Saints Medical Center rated?
- Baylor Scott and White All Saints Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Baylor Scott and White All Saints Medical Center have emergency services?
- According to CMS records, Baylor Scott and White All Saints Medical Center does not report a 24/7 emergency department.
- Where is Baylor Scott and White All Saints Medical Center located?
- Baylor Scott and White All Saints Medical Center is located at 1400 Eighth Ave, Fort Worth, TX 76104.
- What type of hospital is Baylor Scott and White All Saints Medical Center?
- Baylor Scott and White All Saints Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.