JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Dallas Regional Medical Center

3 / 5

At a glance

Dallas Regional 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.021Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.072Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3274Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.380Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.420Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.015Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.489Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3616Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.312Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.302Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures25Not available
SSI - Colon Surgery: Predicted Cases0.723Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures36Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.340Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.511Same as national
MRSA Bacteremia: Patient Days32401Same as national
MRSA Bacteremia: Predicted Cases1.193Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.049Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.526Better than national
Clostridium Difficile (C.Diff): Patient Days29912Better than national
Clostridium Difficile (C.Diff): Predicted Cases15.535Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.193Better 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 national351
Death rate for heart attack patients13.1Same as national48
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national64
Death rate for heart failure patients10.3Same as national87
Death rate for pneumonia patients19.2Same as national196
Death rate for stroke patients13.7Same as national40
Pressure ulcer rate1.21Same as national1379
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national1925
In-hospital fall-associated fracture rate0.25Same as national1979
Postoperative hemorrhage or hematoma rate2.58Same as national184
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national194
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.75Same as national29
Abdominopelvic accidental puncture or laceration rate1.03Same as national177
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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 patientsNot available
Hospital return days for heart failure patients-63.8Not available101
Hospital return days for pneumonia patients21.9Not available197
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national552
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national78
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national40
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national64
Heart failure (HF) 30-Day Readmission Rate18.2Same as national101
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national197

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 rating2440
Doctor communication - star rating2440
Communication about medicines - star rating2440
Discharge information - star rating1440
Cleanliness - star rating3440
Quietness - star rating3440
Overall hospital rating - star rating3440
Recommend hospital - star rating2440
Summary star rating2440

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia11916
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination721069
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 better168440
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 better168420
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better15013
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 seen339645
Head CT results8040
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8015
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12869
Appropriate care for severe sepsis and septic shock65150
Septic Shock 3-Hour Bundle6961
Septic Shock 6-Hour Bundle9732
Severe Sepsis 3-Hour Bundle80150
Severe Sepsis 6-Hour Bundle9889
Discharged on Antithrombotic Therapy9997
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 297101
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 Dallas Regional Medical Center rated?
Dallas Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Dallas Regional Medical Center have emergency services?
Yes. Dallas Regional Medical Center operates a 24/7 emergency department.
Where is Dallas Regional Medical Center located?
Dallas Regional Medical Center is located at 1011 North Galloway Avenue, Mesquite, TX 75149.
What type of hospital is Dallas Regional Medical Center?
Dallas Regional Medical Center 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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