JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baylor Scott & White Medical Center - Marble Falls

4 / 5

At a glance

Baylor Scott & White Medical Center - Marble Falls carries a 4-star CMS overall rating — above the national norm.

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 Days382Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.222Not 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 LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days870Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.474Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures31Not available
SSI - Colon Surgery: Predicted Cases0.751Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures18Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.129Not 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 Days12522Not available
MRSA Bacteremia: Predicted Cases0.314Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.019Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.881Same as national
Clostridium Difficile (C.Diff): Patient Days11963Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.622Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.381Same as 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 patients3.4Same as national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national423
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.1Same as national103
Death rate for heart failure patients11.8Same as national118
Death rate for pneumonia patients16.6Same as national153
Death rate for stroke patients13.6Same as national59
Pressure ulcer rate0.41Same as national1288
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1590
In-hospital fall-associated fracture rate0.26Same as national1555
Postoperative hemorrhage or hematoma rate2.25Same as national235
Postoperative acute kidney injury requiring dialysis rate1.65Same as national71
Postoperative respiratory failure rate8.81Same as national63
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national241
Postoperative sepsis rate5.02Same as national63
Postoperative wound dehiscence rate2.05Same as national61
Abdominopelvic accidental puncture or laceration rate1.27Same as national202
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patientsNot available
Hospital return days for heart failure patients3.3Not available128
Hospital return days for pneumonia patients-15.8Not available152
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national629
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national1442
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.3Same as national110
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national110
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national314
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national112
Heart failure (HF) 30-Day Readmission Rate19.5Same as national128
Rate of readmission after hip/knee replacement5.2Same as national43
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national152

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 rating4420
Doctor communication - star rating3420
Communication about medicines - star rating4420
Discharge information - star rating5420
Cleanliness - star rating5420
Quietness - star rating4420
Overall hospital rating - star rating4420
Recommend hospital - star rating5420
Summary star rating4420

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 vaccination90797
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 better162405
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 better159376
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20611
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better37718
Left before being seen226674
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10072
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing11587
Appropriate care for severe sepsis and septic shock70104
Septic Shock 3-Hour Bundle7924
Septic Shock 6-Hour Bundle7315
Severe Sepsis 3-Hour Bundle84105
Severe Sepsis 6-Hour Bundle9237
Discharged on Antithrombotic Therapy9847
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis921516
Intensive Care Unit Venous Thromboembolism Prophylaxis97356

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 - Marble Falls rated?
Baylor Scott & White Medical Center - Marble Falls has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baylor Scott & White Medical Center - Marble Falls have emergency services?
Yes. Baylor Scott & White Medical Center - Marble Falls operates a 24/7 emergency department.
Where is Baylor Scott & White Medical Center - Marble Falls located?
Baylor Scott & White Medical Center - Marble Falls is located at 810 W Highway 71, Marble Falls, TX 78654.
What type of hospital is Baylor Scott & White Medical Center - Marble Falls?
Baylor Scott & White Medical Center - Marble Falls 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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