JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Christus Mother Frances Hospital Sulphur Springs

4 / 5

At a glance

Christus Mother Frances Hospital Sulphur Springs 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days930Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.653Not 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 Limit0.031Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.075Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2328Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.604Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.623Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures28Not available
SSI - Colon Surgery: Predicted Cases0.637Not 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 Procedures39Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.317Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days11441Not available
MRSA Bacteremia: Predicted Cases0.461Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.540Better than national
Clostridium Difficile (C.Diff): Patient Days10852Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.551Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national469
Death rate for heart attack patients10.9Same as national101
Death rate for CABG surgery patientsNot available
Death rate for COPD patients12.5Same as national63
Death rate for heart failure patients11.7Same as national169
Death rate for pneumonia patients17.3Same as national254
Death rate for stroke patients13.2Same as national87
Pressure ulcer rate0.38Same as national1457
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1815
In-hospital fall-associated fracture rate0.26Same as national1783
Postoperative hemorrhage or hematoma rate2.26Same as national193
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate4.18Same as national206
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.74Same as national35
Abdominopelvic accidental puncture or laceration rate1.30Same as national185
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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-11.1Not available86
Hospital return days for heart failure patients19.3Not available181
Hospital return days for pneumonia patients2.7Not available260
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Same as national715
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national518
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national38
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national38
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national248
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national86
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national63
Heart failure (HF) 30-Day Readmission Rate18.5Same as national181
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national260

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 rating5357
Doctor communication - star rating3357
Communication about medicines - star rating3357
Discharge information - star rating4357
Cleanliness - star rating5357
Quietness - star rating4357
Overall hospital rating - star rating4357
Recommend hospital - star rating5357
Summary star rating4357

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 Hyperglycemia43389
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination89810
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 better144619
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 better139581
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26116
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better34828
Left before being seen026986
Head CT results8312
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99248
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161215
Appropriate care for severe sepsis and septic shock81114
Septic Shock 3-Hour Bundle8946
Septic Shock 6-Hour Bundle9327
Severe Sepsis 3-Hour Bundle93114
Severe Sepsis 6-Hour Bundle8962
Discharged on Antithrombotic Therapy10079
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210060
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Christus Mother Frances Hospital Sulphur Springs rated?
Christus Mother Frances Hospital Sulphur Springs has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Christus Mother Frances Hospital Sulphur Springs have emergency services?
Yes. Christus Mother Frances Hospital Sulphur Springs operates a 24/7 emergency department.
Where is Christus Mother Frances Hospital Sulphur Springs located?
Christus Mother Frances Hospital Sulphur Springs is located at 115 Airport Rd, Sulphur Springs, TX 75482.
What type of hospital is Christus Mother Frances Hospital Sulphur Springs?
Christus Mother Frances Hospital Sulphur Springs 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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