JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Bsa Hospital

2 / 5

At a glance

Bsa Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.403Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.264Same as national
Central Line Associated Bloodstream Infection: Number of Device Days15073Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases16.142Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases12Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.743Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.318Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.050Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12544Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases18.215Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.604Same as national
SSI - Colon Surgery: Lower Confidence Limit0.035Better than national
SSI - Colon Surgery: Upper Confidence Limit0.696Better than national
SSI - Colon Surgery: Number of Procedures343Better than national
SSI - Colon Surgery: Predicted Cases9.490Better than national
SSI - Colon Surgery: Observed Cases2Better than national
SSI - Colon Surgery0.211Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.007Same as national
SSI - Abdominal Hysterectomy: Number of Procedures318Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.976Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.040Better than national
MRSA Bacteremia: Upper Confidence Limit0.782Better than national
MRSA Bacteremia: Patient Days121687Better than national
MRSA Bacteremia: Predicted Cases8.447Better than national
MRSA Bacteremia: Observed Cases2Better than national
MRSA Bacteremia0.237Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.156Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.432Better than national
Clostridium Difficile (C.Diff): Patient Days114329Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.010Better than national
Clostridium Difficile (C.Diff): Observed Cases15Better than national
Clostridium Difficile (C.Diff)0.268Better 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 patients4.3Same as national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national3154
Death rate for heart attack patients12.5Same as national323
Death rate for CABG surgery patients6.5Worse than national157
Death rate for COPD patients10.9Same as national197
Death rate for heart failure patients13.1Same as national643
Death rate for pneumonia patients17.6Same as national795
Death rate for stroke patients12.8Same as national353
Pressure ulcer rate0.98Same as national9468
Death rate among surgical inpatients with serious treatable complications184.18Same as national142
Iatrogenic pneumothorax rate0.35Same as national11369
In-hospital fall-associated fracture rate0.28Same as national11580
Postoperative hemorrhage or hematoma rate4.01Worse than national2934
Postoperative acute kidney injury requiring dialysis rate1.75Same as national1043
Postoperative respiratory failure rate10.80Same as national1051
Perioperative pulmonary embolism or deep vein thrombosis rate3.26Same as national3001
Postoperative sepsis rate5.35Same as national1013
Postoperative wound dehiscence rate1.43Same as national712
Abdominopelvic accidental puncture or laceration rate1.30Same as national2188
CMS Medicare PSI 90: Patient safety and adverse events composite1.19Same 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 patients20.3Not available330
Hospital return days for heart failure patients-4.9Not available728
Hospital return days for pneumonia patients-8.2Not available781
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national4914
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national215
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.9Same as national205
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national205
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national605
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national330
Rate of readmission for CABG12.4Same as national145
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national195
Heart failure (HF) 30-Day Readmission Rate19.1Same as national728
Rate of readmission after hip/knee replacement6.3Same as national47
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national781

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 rating31324
Doctor communication - star rating31324
Communication about medicines - star rating21324
Discharge information - star rating31324
Cleanliness - star rating41324
Quietness - star rating31324
Overall hospital rating - star rating41324
Recommend hospital - star rating41324
Summary star rating31324

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 volumevery 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 vaccination973063
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 better222392
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 better217381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29711
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 seen162971
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8479
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)8030
Safe Use of Opioids - Concurrent Prescribing176078
Appropriate care for severe sepsis and septic shock671061
Septic Shock 3-Hour Bundle77399
Septic Shock 6-Hour Bundle92219
Severe Sepsis 3-Hour Bundle811063
Severe Sepsis 6-Hour Bundle96562
Discharged on Antithrombotic Therapy97451
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9710537
Intensive Care Unit Venous Thromboembolism Prophylaxis985370

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 Bsa Hospital rated?
Bsa Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Bsa Hospital have emergency services?
Yes. Bsa Hospital operates a 24/7 emergency department.
Where is Bsa Hospital located?
Bsa Hospital is located at 1600 Wallace Blvd, Amarillo, TX 79106.
What type of hospital is Bsa Hospital?
Bsa Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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