Acute Care Hospitals · Voluntary non-profit - Private
Baylor University Medical Center
- 3500 Gaston Ave, Dallas, TX 75246
- (214) 820-8082
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Baylor University Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 30 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.303 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.715 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 37422 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 44.100 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 21 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.476 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.285 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.673 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 24544 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 46.887 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 21 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.448 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.638 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.578 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 654 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 18.452 | Same as national |
| SSI - Colon Surgery: Observed Cases | 19 | Same as national |
| SSI - Colon Surgery | 1.030 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Better than national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 0.793 | Better than national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 414 | Better than national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 3.778 | Better than national |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Better than national |
| SSI - Abdominal Hysterectomy | 0.000 | Better than national |
| MRSA Bacteremia: Lower Confidence Limit | 0.303 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.813 | Better than national |
| MRSA Bacteremia: Patient Days | 287439 | Better than national |
| MRSA Bacteremia: Predicted Cases | 31.286 | Better than national |
| MRSA Bacteremia: Observed Cases | 16 | Better than national |
| MRSA Bacteremia | 0.511 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.302 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.510 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 258552 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 141.545 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 56 | Better than national |
| Clostridium Difficile (C.Diff) | 0.396 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 4.5 | Same as national | 80 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3 | Better than national | 2590 |
| Death rate for heart attack patients | 12.6 | Same as national | 28 |
| Death rate for CABG surgery patients | 1.9 | Same as national | 225 |
| Death rate for COPD patients | 7.7 | Same as national | 143 |
| Death rate for heart failure patients | 12.2 | Same as national | 465 |
| Death rate for pneumonia patients | 11.9 | Better than national | 480 |
| Death rate for stroke patients | 12.2 | Same as national | 379 |
| Pressure ulcer rate | 1.96 | Worse than national | 12005 |
| Death rate among surgical inpatients with serious treatable complications | 179.16 | Same as national | 285 |
| Iatrogenic pneumothorax rate | 0.16 | Same as national | 12485 |
| In-hospital fall-associated fracture rate | 0.19 | Same as national | 13415 |
| Postoperative hemorrhage or hematoma rate | 2.37 | Same as national | 3857 |
| Postoperative acute kidney injury requiring dialysis rate | 1.82 | Same as national | 2261 |
| Postoperative respiratory failure rate | 8.44 | Same as national | 2072 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.97 | Same as national | 4364 |
| Postoperative sepsis rate | 5.50 | Same as national | 2101 |
| Postoperative wound dehiscence rate | 1.99 | Same as national | 1287 |
| Abdominopelvic accidental puncture or laceration rate | 1.03 | Same as national | 3795 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.37 | Worse than 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -45 | Not available | 52 |
| Hospital return days for heart failure patients | -38.7 | Not available | 560 |
| Hospital return days for pneumonia patients | 3.7 | Not available | 530 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.9 | Better than national | 4591 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.5 | Same as national | 1313 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.2 | Same as national | 81 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.6 | Same as national | 81 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 743 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.2 | Same as national | 52 |
| Rate of readmission for CABG | 11 | Same as national | 222 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.2 | Same as national | 158 |
| Heart failure (HF) 30-Day Readmission Rate | 17.2 | Better than national | 560 |
| Rate of readmission after hip/knee replacement | 5.6 | Same as national | 89 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.1 | Same as national | 530 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 2284 |
| Doctor communication - star rating | 3 | 2284 |
| Communication about medicines - star rating | 2 | 2284 |
| Discharge information - star rating | 3 | 2284 |
| Cleanliness - star rating | 3 | 2284 |
| Quietness - star rating | 3 | 2284 |
| Overall hospital rating - star rating | 3 | 2284 |
| Recommend hospital - star rating | 4 | 2284 |
| Summary star rating | 3 | 2284 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very high | — |
| 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 vaccination | 95 | 8097 |
| 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 better | 274 | 365 |
| 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 better | 274 | 340 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 217 | 20 |
| 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 seen | 3 | 103412 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 95 | 75 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 11502 |
| Appropriate care for severe sepsis and septic shock | 71 | 125 |
| Septic Shock 3-Hour Bundle | 89 | 28 |
| Septic Shock 6-Hour Bundle | 95 | 20 |
| Severe Sepsis 3-Hour Bundle | 82 | 125 |
| Severe Sepsis 6-Hour Bundle | 86 | 51 |
| Discharged on Antithrombotic Therapy | 98 | 717 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 83 | 25303 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 93 | 7571 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Baylor University Medical Center rated?
- Baylor University Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Baylor University Medical Center have emergency services?
- Yes. Baylor University Medical Center operates a 24/7 emergency department.
- Where is Baylor University Medical Center located?
- Baylor University Medical Center is located at 3500 Gaston Ave, Dallas, TX 75246.
- What type of hospital is Baylor University Medical Center?
- Baylor University Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.