Acute Care Hospitals · Voluntary non-profit - Private
Christus Santa Rosa Medical Center
- 11212 State Hwy 151, San Antonio, TX 78251
- (210) 703-8211
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Christus Santa Rosa Medical Center carries a 3-star CMS overall rating — in line with 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.329 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.988 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 6023 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 5.576 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 5 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.897 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.358 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.837 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6687 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 6.794 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.883 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.222 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.375 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 122 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.438 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 0.873 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.500 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 5.350 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 177 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.526 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Same as national |
| SSI - Abdominal Hysterectomy | 1.966 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.373 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.259 | Same as national |
| MRSA Bacteremia: Patient Days | 85295 | Same as national |
| MRSA Bacteremia: Predicted Cases | 4.906 | Same as national |
| MRSA Bacteremia: Observed Cases | 5 | Same as national |
| MRSA Bacteremia | 1.019 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.018 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.194 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 83773 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 42.060 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 3 | Better than national |
| Clostridium Difficile (C.Diff) | 0.071 | 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 | 4.4 | Same as national | 49 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.7 | Same as national | 2447 |
| Death rate for heart attack patients | 13.9 | Same as national | 462 |
| Death rate for CABG surgery patients | 4.2 | Same as national | 145 |
| Death rate for COPD patients | 9.1 | Same as national | 179 |
| Death rate for heart failure patients | 10.1 | Same as national | 657 |
| Death rate for pneumonia patients | 16 | Same as national | 674 |
| Death rate for stroke patients | 15.3 | Same as national | 219 |
| Pressure ulcer rate | 0.84 | Same as national | 7830 |
| Death rate among surgical inpatients with serious treatable complications | 177.90 | Same as national | 112 |
| Iatrogenic pneumothorax rate | 0.29 | Same as national | 9793 |
| In-hospital fall-associated fracture rate | 0.20 | Same as national | 10075 |
| Postoperative hemorrhage or hematoma rate | 1.95 | Same as national | 2405 |
| Postoperative acute kidney injury requiring dialysis rate | 2.74 | Same as national | 706 |
| Postoperative respiratory failure rate | 18.03 | Worse than national | 769 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.16 | Same as national | 2513 |
| Postoperative sepsis rate | 6.30 | Same as national | 696 |
| Postoperative wound dehiscence rate | 1.55 | Same as national | 512 |
| Abdominopelvic accidental puncture or laceration rate | 0.89 | Same as national | 1769 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.34 | 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 | 7.3 | Not available | 485 |
| Hospital return days for heart failure patients | -3.1 | Not available | 782 |
| Hospital return days for pneumonia patients | -9 | Not available | 730 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.4 | Same as national | 3869 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.4 | Same as national | 265 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.7 | Same as national | 86 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.7 | Same as national | 86 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 1012 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.4 | Same as national | 485 |
| Rate of readmission for CABG | 11.3 | Same as national | 136 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.2 | Same as national | 200 |
| Heart failure (HF) 30-Day Readmission Rate | 19.9 | Same as national | 782 |
| Rate of readmission after hip/knee replacement | 4.8 | Same as national | 36 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.5 | Same as national | 730 |
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 | 470 |
| Doctor communication - star rating | 3 | 470 |
| Communication about medicines - star rating | 2 | 470 |
| Discharge information - star rating | 3 | 470 |
| Cleanliness - star rating | 4 | 470 |
| Quietness - star rating | 4 | 470 |
| Overall hospital rating - star rating | 3 | 470 |
| Recommend hospital - star rating | 4 | 470 |
| Summary star rating | 3 | 470 |
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 | 9 | 36276 |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 82 | 6576 |
| 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 | 180 | 407 |
| 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 | 176 | 376 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 280 | 17 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 297 | 15 |
| Left before being seen | 1 | 111088 |
| Head CT results | 73 | 30 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 46 | 63 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 4892 |
| Appropriate care for severe sepsis and septic shock | 77 | 309 |
| Septic Shock 3-Hour Bundle | 83 | 111 |
| Septic Shock 6-Hour Bundle | 93 | 72 |
| Severe Sepsis 3-Hour Bundle | 91 | 310 |
| Severe Sepsis 6-Hour Bundle | 94 | 205 |
| Discharged on Antithrombotic Therapy | 86 | 181 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 92 | 156 |
| 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 Santa Rosa Medical Center rated?
- Christus Santa Rosa Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Christus Santa Rosa Medical Center have emergency services?
- Yes. Christus Santa Rosa Medical Center operates a 24/7 emergency department.
- Where is Christus Santa Rosa Medical Center located?
- Christus Santa Rosa Medical Center is located at 11212 State Hwy 151, San Antonio, TX 78251.
- What type of hospital is Christus Santa Rosa Medical Center?
- Christus Santa Rosa 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.