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Acute Care Hospitals · Physician

Doctors Hosptal at Renaissance

3 / 5

At a glance

Doctors Hosptal at Renaissance 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 18 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.492Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6207Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.084Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.114Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.865Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8582Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.150Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.359Better than national
SSI - Colon Surgery: Lower Confidence Limit0.213Same as national
SSI - Colon Surgery: Upper Confidence Limit1.614Same as national
SSI - Colon Surgery: Number of Procedures213Same as national
SSI - Colon Surgery: Predicted Cases5.979Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.669Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.783Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.945Same as national
SSI - Abdominal Hysterectomy: Number of Procedures193Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.623Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy2.465Same as national
MRSA Bacteremia: Lower Confidence Limit0.241Same as national
MRSA Bacteremia: Upper Confidence Limit1.832Same as national
MRSA Bacteremia: Patient Days102719Same as national
MRSA Bacteremia: Predicted Cases5.267Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.759Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.074Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.335Better than national
Clostridium Difficile (C.Diff): Patient Days94579Better than national
Clostridium Difficile (C.Diff): Predicted Cases41.344Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.169Better 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 patients3.9Same as national52
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national684
Death rate for heart attack patients12.9Same as national88
Death rate for CABG surgery patients3.2Same as national57
Death rate for COPD patients8.5Same as national34
Death rate for heart failure patients12.1Same as national170
Death rate for pneumonia patients15.8Same as national157
Death rate for stroke patients14.2Same as national120
Pressure ulcer rate0.41Same as national3008
Death rate among surgical inpatients with serious treatable complications175.78Same as national50
Iatrogenic pneumothorax rate0.24Same as national3316
In-hospital fall-associated fracture rate0.36Same as national3521
Postoperative hemorrhage or hematoma rate1.99Same as national955
Postoperative acute kidney injury requiring dialysis rate1.40Same as national379
Postoperative respiratory failure rate10.45Same as national432
Perioperative pulmonary embolism or deep vein thrombosis rate2.76Same as national1022
Postoperative sepsis rate3.72Same as national378
Postoperative wound dehiscence rate1.96Same as national264
Abdominopelvic accidental puncture or laceration rate1.11Same as national896
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients38.8Not available95
Hospital return days for heart failure patients-14.1Not available189
Hospital return days for pneumonia patients-5Not available160
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1153
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national1084
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.2Same as national115
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national115
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national405
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national95
Rate of readmission for CABG10.6Same as national53
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national36
Heart failure (HF) 30-Day Readmission Rate19.5Same as national189
Rate of readmission after hip/knee replacement5.5Same as national57
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national160

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 rating33274
Doctor communication - star rating33274
Communication about medicines - star rating23274
Discharge information - star rating33274
Cleanliness - star rating43274
Quietness - star rating33274
Overall hospital rating - star rating43274
Recommend hospital - star rating43274
Summary star rating33274

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 volumehigh
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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination847688
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 better220486
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 better220460
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 better17820
Left before being seen159570
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10094
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing92228
Appropriate care for severe sepsis and septic shock73887
Septic Shock 3-Hour Bundle77235
Septic Shock 6-Hour Bundle87145
Severe Sepsis 3-Hour Bundle82887
Severe Sepsis 6-Hour Bundle98417
Discharged on Antithrombotic Therapy97355
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 291332
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis992416

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 Doctors Hosptal at Renaissance rated?
Doctors Hosptal at Renaissance has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Doctors Hosptal at Renaissance have emergency services?
Yes. Doctors Hosptal at Renaissance operates a 24/7 emergency department.
Where is Doctors Hosptal at Renaissance located?
Doctors Hosptal at Renaissance is located at 5501 South Mccoll, Edinburg, TX 78539.
What type of hospital is Doctors Hosptal at Renaissance?
Doctors Hosptal at Renaissance is classified by CMS as a Acute Care Hospitals facility (Physician).

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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