JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baylor Scott & White Medical Center- College Stati

4 / 5

At a glance

Baylor Scott & White Medical Center- College Stati 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 Limit0.160Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.144Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2743Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.102Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.951Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.570Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.325Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3082Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.231Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.793Same as national
SSI - Colon Surgery: Lower Confidence Limit0.966Same as national
SSI - Colon Surgery: Upper Confidence Limit4.368Same as national
SSI - Colon Surgery: Number of Procedures125Same as national
SSI - Colon Surgery: Predicted Cases3.170Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery2.208Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.031Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.098Same as national
SSI - Abdominal Hysterectomy: Number of Procedures180Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.592Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.628Same as national
MRSA Bacteremia: Lower Confidence Limit0.554Same as national
MRSA Bacteremia: Upper Confidence Limit4.206Same as national
MRSA Bacteremia: Patient Days46267Same as national
MRSA Bacteremia: Predicted Cases2.294Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia1.744Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.018Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.356Better than national
Clostridium Difficile (C.Diff): Patient Days40813Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.553Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.108Better 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 patients2.7Same as national72
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national1009
Death rate for heart attack patients12.5Same as national136
Death rate for CABG surgery patients2.8Same as national65
Death rate for COPD patients8.9Same as national108
Death rate for heart failure patients10.4Same as national235
Death rate for pneumonia patients14.9Same as national258
Death rate for stroke patients11.1Same as national130
Pressure ulcer rate0.45Same as national3344
Death rate among surgical inpatients with serious treatable complications162.31Same as national52
Iatrogenic pneumothorax rate0.27Same as national4089
In-hospital fall-associated fracture rate0.31Same as national4109
Postoperative hemorrhage or hematoma rate2.10Same as national993
Postoperative acute kidney injury requiring dialysis rate1.55Same as national367
Postoperative respiratory failure rate5.82Same as national372
Perioperative pulmonary embolism or deep vein thrombosis rate3.44Same as national1048
Postoperative sepsis rate5.07Same as national348
Postoperative wound dehiscence rate1.97Same as national243
Abdominopelvic accidental puncture or laceration rate1.35Same as national795
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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-8.4Not available137
Hospital return days for heart failure patients20.9Not available272
Hospital return days for pneumonia patients22.9Not available254
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1630
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national1753
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national125
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national125
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national578
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national137
Rate of readmission for CABG10.7Same as national64
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national122
Heart failure (HF) 30-Day Readmission Rate20Same as national272
Rate of readmission after hip/knee replacement5.5Same as national62
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national254

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 rating41137
Doctor communication - star rating41137
Communication about medicines - star rating41137
Discharge information - star rating41137
Cleanliness - star rating41137
Quietness - star rating41137
Overall hospital rating - star rating41137
Recommend hospital - star rating51137
Summary star rating41137

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 volumehigh
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 vaccination952546
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 better212401
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 better211385
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 better29011
Left before being seen240090
Head CT results8715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9978
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing112733
Appropriate care for severe sepsis and septic shock75142
Septic Shock 3-Hour Bundle6840
Septic Shock 6-Hour Bundle8919
Severe Sepsis 3-Hour Bundle89142
Severe Sepsis 6-Hour Bundle9154
Discharged on Antithrombotic Therapy97144
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis994639
Intensive Care Unit Venous Thromboembolism Prophylaxis991489

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 & White Medical Center- College Stati rated?
Baylor Scott & White Medical Center- College Stati has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baylor Scott & White Medical Center- College Stati have emergency services?
Yes. Baylor Scott & White Medical Center- College Stati operates a 24/7 emergency department.
Where is Baylor Scott & White Medical Center- College Stati located?
Baylor Scott & White Medical Center- College Stati is located at 700 Scott & White Drive, College Station, TX 77845.
What type of hospital is Baylor Scott & White Medical Center- College Stati?
Baylor Scott & White Medical Center- College Stati 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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