JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

de Tar Hospital Navarro

2 / 5

At a glance

de Tar Hospital Navarro carries a 2-star CMS overall rating — below 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 Limit0.610Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.634Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2586Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.082Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.921Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.018Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.823Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3363Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.706Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.370Same as national
SSI - Colon Surgery: Lower Confidence Limit0.016Same as national
SSI - Colon Surgery: Upper Confidence Limit1.615Same as national
SSI - Colon Surgery: Number of Procedures108Same as national
SSI - Colon Surgery: Predicted Cases3.054Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.327Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures81Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.772Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.201Same as national
MRSA Bacteremia: Upper Confidence Limit3.964Same as national
MRSA Bacteremia: Patient Days32823Same as national
MRSA Bacteremia: Predicted Cases1.667Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.200Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.195Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.880Better than national
Clostridium Difficile (C.Diff): Patient Days31266Better than national
Clostridium Difficile (C.Diff): Predicted Cases15.728Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.445Better 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 Rate5Same as national759
Death rate for heart attack patients13.5Same as national161
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10Same as national62
Death rate for heart failure patients10.2Same as national232
Death rate for pneumonia patients15.8Same as national212
Death rate for stroke patients13.2Same as national72
Pressure ulcer rate0.25Same as national2418
Death rate among surgical inpatients with serious treatable complications174.08Same as national27
Iatrogenic pneumothorax rate0.17Same as national3237
In-hospital fall-associated fracture rate0.24Same as national3227
Postoperative hemorrhage or hematoma rate2.32Same as national585
Postoperative acute kidney injury requiring dialysis rate1.62Same as national130
Postoperative respiratory failure rate9.34Same as national140
Perioperative pulmonary embolism or deep vein thrombosis rate2.76Same as national592
Postoperative sepsis rate4.88Same as national108
Postoperative wound dehiscence rate2.00Same as national150
Abdominopelvic accidental puncture or laceration rate0.93Same as national498
CMS Medicare PSI 90: Patient safety and adverse events composite0.83Same 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 patients49.9Not available140
Hospital return days for heart failure patients-14.6Not available270
Hospital return days for pneumonia patients-33.1Not available220
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national1178
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national235
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national83
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy7.9Same as national83
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national242
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.2Same as national140
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national62
Heart failure (HF) 30-Day Readmission Rate19.3Same as national270
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national220

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 rating2490
Doctor communication - star rating3490
Communication about medicines - star rating2490
Discharge information - star rating3490
Cleanliness - star rating3490
Quietness - star rating3490
Overall hospital rating - star rating3490
Recommend hospital - star rating3490
Summary star rating3490

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 Hypoglycemia12261
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination761471
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 better129418
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 better129408
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen239003
Head CT results7914
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9764
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing121495
Appropriate care for severe sepsis and septic shock61123
Septic Shock 3-Hour Bundle5044
Septic Shock 6-Hour Bundle8520
Severe Sepsis 3-Hour Bundle83123
Severe Sepsis 6-Hour Bundle9767
Discharged on Antithrombotic Therapy8676
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29668
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 MeasureNo

Frequently asked questions

How is de Tar Hospital Navarro rated?
de Tar Hospital Navarro has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does de Tar Hospital Navarro have emergency services?
Yes. de Tar Hospital Navarro operates a 24/7 emergency department.
Where is de Tar Hospital Navarro located?
de Tar Hospital Navarro is located at 506 E San Antonio St, Victoria, TX 77901.
What type of hospital is de Tar Hospital Navarro?
de Tar Hospital Navarro 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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