JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baylor Scott and White Medical Center Lake Pointe

4 / 5

At a glance

Baylor Scott and White Medical Center Lake Pointe carries a 4-star CMS overall rating — above 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.021Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1499Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.482Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.503Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1637Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.197Same 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 Limit0.234Same as national
SSI - Colon Surgery: Upper Confidence Limit2.501Same as national
SSI - Colon Surgery: Number of Procedures117Same as national
SSI - Colon Surgery: Predicted Cases3.265Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.919Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.561Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.003Same as national
SSI - Abdominal Hysterectomy: Number of Procedures167Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.360Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy2.206Same as national
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.399Same as national
MRSA Bacteremia: Patient Days50024Same as national
MRSA Bacteremia: Predicted Cases2.141Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.159Better than national
Clostridium Difficile (C.Diff): Patient Days42726Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.840Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 national32
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1029
Death rate for heart attack patients11.6Same as national107
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national129
Death rate for heart failure patients12.9Same as national265
Death rate for pneumonia patients15.2Same as national291
Death rate for stroke patients14Same as national107
Pressure ulcer rate0.50Same as national3354
Death rate among surgical inpatients with serious treatable complications194.96Same as national45
Iatrogenic pneumothorax rate0.22Same as national4337
In-hospital fall-associated fracture rate0.27Same as national4255
Postoperative hemorrhage or hematoma rate2.75Same as national878
Postoperative acute kidney injury requiring dialysis rate1.57Same as national296
Postoperative respiratory failure rate7.85Same as national304
Perioperative pulmonary embolism or deep vein thrombosis rate2.87Same as national911
Postoperative sepsis rate5.01Same as national282
Postoperative wound dehiscence rate1.66Same as national230
Abdominopelvic accidental puncture or laceration rate0.89Same as national695
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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-15.6Not available87
Hospital return days for heart failure patients6.4Not available297
Hospital return days for pneumonia patients-2.2Not available298
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1650
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national663
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 surgery1.1Same as national416
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national87
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national135
Heart failure (HF) 30-Day Readmission Rate21.8Same as national297
Rate of readmission after hip/knee replacement4.3Same as national29
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national298

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 rating3509
Doctor communication - star rating3509
Communication about medicines - star rating2509
Discharge information - star rating3509
Cleanliness - star rating3509
Quietness - star rating4509
Overall hospital rating - star rating3509
Recommend hospital - star rating3509
Summary star rating3509

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination922017
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 better144396
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 better142382
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25313
Left before being seen237061
Head CT results8211
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9574
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152406
Appropriate care for severe sepsis and septic shock81135
Septic Shock 3-Hour Bundle8041
Septic Shock 6-Hour Bundle9730
Severe Sepsis 3-Hour Bundle89135
Severe Sepsis 6-Hour Bundle9763
Discharged on Antithrombotic Therapy97113
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis953846
Intensive Care Unit Venous Thromboembolism Prophylaxis97877

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 Baylor Scott and White Medical Center Lake Pointe rated?
Baylor Scott and White Medical Center Lake Pointe has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baylor Scott and White Medical Center Lake Pointe have emergency services?
Yes. Baylor Scott and White Medical Center Lake Pointe operates a 24/7 emergency department.
Where is Baylor Scott and White Medical Center Lake Pointe located?
Baylor Scott and White Medical Center Lake Pointe is located at 6800 Scenic Dr, Rowlett, TX 75088.
What type of hospital is Baylor Scott and White Medical Center Lake Pointe?
Baylor Scott and White Medical Center Lake Pointe 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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