JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Fort Duncan Medical Center

3 / 5

At a glance

Fort Duncan 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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days955Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.726Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.846Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2110Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.623Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit—Same as national
SSI - Colon Surgery: Upper Confidence Limit2.612Same as national
SSI - Colon Surgery: Number of Procedures40Same as national
SSI - Colon Surgery: Predicted Cases1.147Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures42Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.379Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days11577Not available
MRSA Bacteremia: Predicted Cases0.577Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit—Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.736Better than national
Clostridium Difficile (C.Diff): Patient Days9776Better than national
Clostridium Difficile (C.Diff): Predicted Cases4.071Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national155
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients11Same as national49
Death rate for pneumonia patients18.3Same as national103
Death rate for stroke patients—Not available—
Pressure ulcer rate0.43Same as national650
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national830
In-hospital fall-associated fracture rate0.26Same as national870
Postoperative hemorrhage or hematoma rate2.28Same as national108
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.32Same as national120
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate1.75Same as national36
Abdominopelvic accidental puncture or laceration rate1.02Same as national137
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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 patients—Not available—
Hospital return days for heart failure patients41.2Not available47
Hospital return days for pneumonia patients-13.9Not available102
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national229
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national61
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery—Not available—
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate20.7Same as national47
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national102

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 rating2150
Doctor communication - star rating3150
Communication about medicines - star rating3150
Discharge information - star rating2150
Cleanliness - star rating4150
Quietness - star rating4150
Overall hospital rating - star rating2150
Recommend hospital - star rating2150
Summary star rating3150

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 Hypoglycemia2885
Hospital Harm - Opioid Related Adverse Events01356
Healthcare workers given influenza vaccination88469
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 better182402
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 better179390
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 seen023917
Head CT results6224
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9778
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing15241
Appropriate care for severe sepsis and septic shock5062
Septic Shock 3-Hour Bundle4520
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle7762
Severe Sepsis 6-Hour Bundle8540
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 2——
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 Fort Duncan Medical Center rated?
Fort Duncan Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Fort Duncan Medical Center have emergency services?
Yes. Fort Duncan Medical Center operates a 24/7 emergency department.
Where is Fort Duncan Medical Center located?
Fort Duncan Medical Center is located at 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852.
What type of hospital is Fort Duncan Medical Center?
Fort Duncan 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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