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Acute Care - Veterans Administration · Veterans Health Administration

Dallas VA Medical Center VA North Texas Healthcare System)

3 / 5

At a glance

Dallas VA Medical Center VA North Texas Healthcare System) 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 12 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 Limit0.068Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.732Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9194Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.155Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.269Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.052Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.557Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10455Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.653Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.205Better than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient DaysNot available
MRSA Bacteremia: Predicted CasesNot available
MRSA Bacteremia: Observed CasesNot available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient DaysNot available
Clostridium Difficile (C.Diff): Predicted CasesNot available
Clostridium Difficile (C.Diff): Observed CasesNot available
Clostridium Difficile (C.Diff)Not available

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 RateNot available
Death rate for heart attack patients9.5Same as national196
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.1Better than national525
Death rate for heart failure patients5.7Better than national799
Death rate for pneumonia patients9.6Better than national411
Death rate for stroke patientsNot available
Pressure ulcer rate0.49Same as national11398
Death rate among surgical inpatients with serious treatable complications165.62Same as national102
Iatrogenic pneumothorax rate0.17Same as national16572
In-hospital fall-associated fracture rate0.30Same as national17224
Postoperative hemorrhage or hematoma rate2.49Same as national2464
Postoperative acute kidney injury requiring dialysis rate1.08Same as national955
Postoperative respiratory failure rate7.66Same as national945
Perioperative pulmonary embolism or deep vein thrombosis rate4.19Same as national2430
Postoperative sepsis rate5.71Same as national874
Postoperative wound dehiscence rate2.10Same as national532
Abdominopelvic accidental puncture or laceration rate0.88Same as national2503
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patients88.1Not available195
Hospital return days for heart failure patients5.7Not available1013
Hospital return days for pneumonia patients-8.9Not available442
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national5181
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 Rate15.8Same as national195
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.6Same as national654
Heart failure (HF) 30-Day Readmission Rate20.3Same as national1013
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national442

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 rating2453
Doctor communication - star rating3453
Communication about medicines - star rating3453
Discharge information - star rating3453
Cleanliness - star rating3453
Quietness - star rating3453
Overall hospital rating - star rating3453
Recommend hospital - star rating3453
Summary star rating3453

Frequently asked questions

How is Dallas VA Medical Center VA North Texas Healthcare System) rated?
Dallas VA Medical Center VA North Texas Healthcare System) has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Dallas VA Medical Center VA North Texas Healthcare System) have emergency services?
Yes. Dallas VA Medical Center VA North Texas Healthcare System) operates a 24/7 emergency department.
Where is Dallas VA Medical Center VA North Texas Healthcare System) located?
Dallas VA Medical Center VA North Texas Healthcare System) is located at 4500 S. Lancaster Road, Dallas, TX 75216.
What type of hospital is Dallas VA Medical Center VA North Texas Healthcare System)?
Dallas VA Medical Center VA North Texas Healthcare System) is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

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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