JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baylor Scott & White Medical Center Grapevine

4 / 5

At a glance

Baylor Scott & White Medical Center Grapevine 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 Limit0.098Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.931Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3963Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.422Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.584Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.077Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.514Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5019Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.363Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.458Same as national
SSI - Colon Surgery: Lower Confidence Limit0.315Same as national
SSI - Colon Surgery: Upper Confidence Limit1.904Same as national
SSI - Colon Surgery: Number of Procedures228Same as national
SSI - Colon Surgery: Predicted Cases5.822Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.859Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.298Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.879Same as national
SSI - Abdominal Hysterectomy: Number of Procedures145Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.124Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.779Same as national
MRSA Bacteremia: Lower Confidence Limit0.088Same as national
MRSA Bacteremia: Upper Confidence Limit1.727Same as national
MRSA Bacteremia: Patient Days77255Same as national
MRSA Bacteremia: Predicted Cases3.826Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.523Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.136Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.510Better than national
Clostridium Difficile (C.Diff): Patient Days71328Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.380Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.278Better 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 patients5.1Same as national56
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national1973
Death rate for heart attack patients11.1Same as national133
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national156
Death rate for heart failure patients10.4Same as national379
Death rate for pneumonia patients12.2Better than national437
Death rate for stroke patients10.4Same as national275
Pressure ulcer rate0.66Same as national6360
Death rate among surgical inpatients with serious treatable complications169.26Same as national72
Iatrogenic pneumothorax rate0.14Same as national7862
In-hospital fall-associated fracture rate0.35Same as national7637
Postoperative hemorrhage or hematoma rate2.00Same as national1427
Postoperative acute kidney injury requiring dialysis rate1.97Same as national311
Postoperative respiratory failure rate9.18Same as national338
Perioperative pulmonary embolism or deep vein thrombosis rate3.57Same as national1529
Postoperative sepsis rate5.88Same as national280
Postoperative wound dehiscence rate1.94Same as national300
Abdominopelvic accidental puncture or laceration rate0.99Same as national1259
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients37.1Not available123
Hospital return days for heart failure patients-29.2Not available418
Hospital return days for pneumonia patients-1.3Not available466
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national3424
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national138
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 surgery1Same as national527
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national123
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national179
Heart failure (HF) 30-Day Readmission Rate18.6Same as national418
Rate of readmission after hip/knee replacement5.3Same as national59
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national466

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 rating41329
Doctor communication - star rating31329
Communication about medicines - star rating31329
Discharge information - star rating31329
Cleanliness - star rating41329
Quietness - star rating41329
Overall hospital rating - star rating41329
Recommend hospital - star rating51329
Summary star rating41329

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 vaccination942934
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 better191395
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 better189379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25715
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 seen149455
Head CT results8217
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)6030
Safe Use of Opioids - Concurrent Prescribing144392
Appropriate care for severe sepsis and septic shock89190
Septic Shock 3-Hour Bundle8347
Septic Shock 6-Hour Bundle10033
Severe Sepsis 3-Hour Bundle96190
Severe Sepsis 6-Hour Bundle9792
Discharged on Antithrombotic Therapy98305
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis937776
Intensive Care Unit Venous Thromboembolism Prophylaxis991044

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 Grapevine rated?
Baylor Scott & White Medical Center Grapevine has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baylor Scott & White Medical Center Grapevine have emergency services?
Yes. Baylor Scott & White Medical Center Grapevine operates a 24/7 emergency department.
Where is Baylor Scott & White Medical Center Grapevine located?
Baylor Scott & White Medical Center Grapevine is located at 1650 W College St, Grapevine, TX 76051.
What type of hospital is Baylor Scott & White Medical Center Grapevine?
Baylor Scott & White Medical Center Grapevine 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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