JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baylor Scott & White Medical Center - Round Rock

4 / 5

At a glance

Baylor Scott & White Medical Center - Round Rock 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.061Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3335Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.823Same 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 Limit0.012Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.196Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4051Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.125Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.242Same as national
SSI - Colon Surgery: Lower Confidence Limit0.681Same as national
SSI - Colon Surgery: Upper Confidence Limit4.118Same as national
SSI - Colon Surgery: Number of Procedures113Same as national
SSI - Colon Surgery: Predicted Cases2.691Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.858Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures38Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.309Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.156Same as national
MRSA Bacteremia: Upper Confidence Limit3.071Same as national
MRSA Bacteremia: Patient Days58861Same as national
MRSA Bacteremia: Predicted Cases2.152Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.929Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.215Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.104Same as national
Clostridium Difficile (C.Diff): Patient Days56506Same as national
Clostridium Difficile (C.Diff): Predicted Cases11.301Same as national
Clostridium Difficile (C.Diff): Observed Cases6Same as national
Clostridium Difficile (C.Diff)0.531Same 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 patients4.2Same as national53
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national1795
Death rate for heart attack patients11.7Same as national245
Death rate for CABG surgery patients3.5Same as national76
Death rate for COPD patients9Same as national117
Death rate for heart failure patients8.1Better than national394
Death rate for pneumonia patients13.9Same as national373
Death rate for stroke patients13.1Same as national175
Pressure ulcer rate0.72Same as national5047
Death rate among surgical inpatients with serious treatable complications158.02Same as national96
Iatrogenic pneumothorax rate0.19Same as national6435
In-hospital fall-associated fracture rate0.25Same as national6552
Postoperative hemorrhage or hematoma rate2.22Same as national1839
Postoperative acute kidney injury requiring dialysis rate1.31Same as national1007
Postoperative respiratory failure rate8.15Same as national1012
Perioperative pulmonary embolism or deep vein thrombosis rate2.93Same as national1962
Postoperative sepsis rate5.60Same as national982
Postoperative wound dehiscence rate1.92Same as national570
Abdominopelvic accidental puncture or laceration rate0.78Same as national1532
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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-13.6Not available268
Hospital return days for heart failure patients-0.7Not available441
Hospital return days for pneumonia patients-19.3Not available377
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national2814
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national3024
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national269
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national269
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national864
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.6Same as national268
Rate of readmission for CABG12.3Same as national75
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national137
Heart failure (HF) 30-Day Readmission Rate20.3Same as national441
Rate of readmission after hip/knee replacement5.6Same as national51
Pneumonia (PN) 30-Day Readmission Rate14.6Same as national377

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 rating41659
Doctor communication - star rating31659
Communication about medicines - star rating31659
Discharge information - star rating41659
Cleanliness - star rating41659
Quietness - star rating31659
Overall hospital rating - star rating41659
Recommend hospital - star rating51659
Summary star rating41659

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 vaccination933834
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 better196401
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 better195378
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16814
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 seen359618
Head CT results4427
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100100
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing143973
Appropriate care for severe sepsis and septic shock80148
Septic Shock 3-Hour Bundle7637
Septic Shock 6-Hour Bundle9225
Severe Sepsis 3-Hour Bundle91148
Severe Sepsis 6-Hour Bundle9566
Discharged on Antithrombotic Therapy99188
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis928496
Intensive Care Unit Venous Thromboembolism Prophylaxis952218

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 - Round Rock rated?
Baylor Scott & White Medical Center - Round Rock has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baylor Scott & White Medical Center - Round Rock have emergency services?
Yes. Baylor Scott & White Medical Center - Round Rock operates a 24/7 emergency department.
Where is Baylor Scott & White Medical Center - Round Rock located?
Baylor Scott & White Medical Center - Round Rock is located at 300 University Blvd, Round Rock, TX 78664.
What type of hospital is Baylor Scott & White Medical Center - Round Rock?
Baylor Scott & White Medical Center - Round Rock 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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