Acute Care Hospitals · Voluntary non-profit - Private
Christus Mother Frances Hospital
- 800 East Dawson, Tyler, TX 75701
- (903) 593-8441
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Christus Mother Frances Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 3 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 | 0.076 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.811 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 8701 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 10.071 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 3 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.298 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.022 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.435 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 8856 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 15.198 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 2 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.132 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.409 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.674 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 318 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 9.077 | Same as national |
| SSI - Colon Surgery: Observed Cases | 8 | Same as national |
| SSI - Colon Surgery | 0.881 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.185 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 3.653 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 212 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.809 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 2 | Same as national |
| SSI - Abdominal Hysterectomy | 1.106 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.169 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.022 | Same as national |
| MRSA Bacteremia: Patient Days | 147217 | Same as national |
| MRSA Bacteremia: Predicted Cases | 10.849 | Same as national |
| MRSA Bacteremia: Observed Cases | 5 | Same as national |
| MRSA Bacteremia | 0.461 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.047 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.213 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 134726 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 65.045 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 7 | Better than national |
| Clostridium Difficile (C.Diff) | 0.108 | 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 | 4.2 | Same as national | 33 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.2 | Same as national | 3308 |
| Death rate for heart attack patients | 12.8 | Same as national | 417 |
| Death rate for CABG surgery patients | 2.9 | Same as national | 316 |
| Death rate for COPD patients | 9.2 | Same as national | 242 |
| Death rate for heart failure patients | 13 | Same as national | 804 |
| Death rate for pneumonia patients | 16.8 | Same as national | 1084 |
| Death rate for stroke patients | 15.7 | Worse than national | 642 |
| Pressure ulcer rate | 0.08 | Better than national | 11282 |
| Death rate among surgical inpatients with serious treatable complications | 156.58 | Same as national | 247 |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 12567 |
| In-hospital fall-associated fracture rate | 0.29 | Same as national | 13169 |
| Postoperative hemorrhage or hematoma rate | 4.00 | Worse than national | 3304 |
| Postoperative acute kidney injury requiring dialysis rate | 1.82 | Same as national | 1287 |
| Postoperative respiratory failure rate | 11.11 | Same as national | 1185 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.44 | Same as national | 3829 |
| Postoperative sepsis rate | 3.80 | Same as national | 1206 |
| Postoperative wound dehiscence rate | 1.89 | Same as national | 791 |
| Abdominopelvic accidental puncture or laceration rate | 1.32 | Same as national | 2851 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.83 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -12.6 | Not available | 452 |
| Hospital return days for heart failure patients | 17 | Not available | 899 |
| Hospital return days for pneumonia patients | -5.7 | Not available | 1131 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.6 | Better than national | 5245 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 10.2 | Better than national | 6782 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.2 | Same as national | 162 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.1 | Same as national | 162 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 1944 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 11.7 | Same as national | 452 |
| Rate of readmission for CABG | 8 | Better than national | 310 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 16.9 | Same as national | 243 |
| Heart failure (HF) 30-Day Readmission Rate | 19.7 | Same as national | 899 |
| Rate of readmission after hip/knee replacement | 4.9 | Same as national | 26 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.1 | Same as national | 1131 |
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 | 2 | 514 |
| Doctor communication - star rating | 3 | 514 |
| Communication about medicines - star rating | 2 | 514 |
| Discharge information - star rating | 3 | 514 |
| Cleanliness - star rating | 3 | 514 |
| Quietness - star rating | 4 | 514 |
| Overall hospital rating - star rating | 3 | 514 |
| Recommend hospital - star rating | 4 | 514 |
| Summary star rating | 3 | 514 |
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 | 3 | 43325 |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 83 | 4611 |
| 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 | 108 | 812 |
| 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 | 105 | 777 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 152 | 24 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 391 | 15 |
| Left before being seen | 0 | 175508 |
| Head CT results | 50 | 14 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 105 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 56 | 45 |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 9478 |
| Appropriate care for severe sepsis and septic shock | 81 | 295 |
| Septic Shock 3-Hour Bundle | 90 | 108 |
| Septic Shock 6-Hour Bundle | 93 | 74 |
| Severe Sepsis 3-Hour Bundle | 89 | 295 |
| Severe Sepsis 6-Hour Bundle | 99 | 136 |
| Discharged on Antithrombotic Therapy | 96 | 765 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 91 | 640 |
| 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.
| 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 Christus Mother Frances Hospital rated?
- Christus Mother Frances Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Christus Mother Frances Hospital have emergency services?
- Yes. Christus Mother Frances Hospital operates a 24/7 emergency department.
- Where is Christus Mother Frances Hospital located?
- Christus Mother Frances Hospital is located at 800 East Dawson, Tyler, TX 75701.
- What type of hospital is Christus Mother Frances Hospital?
- Christus Mother Frances Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
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.