JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Hca Houston Healthcare Conroe

2 / 5

At a glance

Hca Houston Healthcare Conroe carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.279Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.687Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6173Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.571Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.761Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.005Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.469Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8255Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.508Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.095Better than national
SSI - Colon Surgery: Lower Confidence Limit0.110Same as national
SSI - Colon Surgery: Upper Confidence Limit2.173Same as national
SSI - Colon Surgery: Number of Procedures106Same as national
SSI - Colon Surgery: Predicted Cases3.041Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.658Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures32Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.308Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.257Same as national
MRSA Bacteremia: Upper Confidence Limit1.952Same as national
MRSA Bacteremia: Patient Days75621Same as national
MRSA Bacteremia: Predicted Cases4.942Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.809Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.011Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.208Better than national
Clostridium Difficile (C.Diff): Patient Days71330Better than national
Clostridium Difficile (C.Diff): Predicted Cases31.760Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.063Better 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 Rate4.3Same as national901
Death rate for heart attack patients12.3Same as national120
Death rate for CABG surgery patients2.5Same as national44
Death rate for COPD patients10.6Same as national92
Death rate for heart failure patients8.8Same as national206
Death rate for pneumonia patients16.1Same as national230
Death rate for stroke patients13.7Same as national97
Pressure ulcer rate0.23Same as national3203
Death rate among surgical inpatients with serious treatable complications144.56Same as national44
Iatrogenic pneumothorax rate0.17Same as national4050
In-hospital fall-associated fracture rate0.24Same as national4025
Postoperative hemorrhage or hematoma rate1.91Same as national791
Postoperative acute kidney injury requiring dialysis rate1.60Same as national177
Postoperative respiratory failure rate25.00Worse than national191
Perioperative pulmonary embolism or deep vein thrombosis rate3.41Same as national790
Postoperative sepsis rate4.73Same as national176
Postoperative wound dehiscence rate1.68Same as national146
Abdominopelvic accidental puncture or laceration rate0.94Same as national412
CMS Medicare PSI 90: Patient safety and adverse events composite1.24Same 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 patients34.9Not available117
Hospital return days for heart failure patients-14.7Not available248
Hospital return days for pneumonia patients32.6Not available254
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.9Worse than national1564
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national145
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 surgery0.9Same as national122
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.1Same as national117
Rate of readmission for CABG10.8Same as national42
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national96
Heart failure (HF) 30-Day Readmission Rate20.1Same as national248
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.8Same as national254

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 rating2554
Doctor communication - star rating2554
Communication about medicines - star rating2554
Discharge information - star rating1554
Cleanliness - star rating3554
Quietness - star rating3554
Overall hospital rating - star rating2554
Recommend hospital - star rating2554
Summary star rating2554

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 vaccination411275
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 better160461
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 better156431
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29619
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better35813
Left before being seen149499
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9537
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4127
Safe Use of Opioids - Concurrent Prescribing154608
Appropriate care for severe sepsis and septic shock71156
Septic Shock 3-Hour Bundle6555
Septic Shock 6-Hour Bundle8731
Severe Sepsis 3-Hour Bundle88156
Severe Sepsis 6-Hour Bundle9888
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 297233
Venous Thromboembolism Prophylaxis938337
Intensive Care Unit Venous Thromboembolism Prophylaxis1001906

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 Hca Houston Healthcare Conroe rated?
Hca Houston Healthcare Conroe has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Hca Houston Healthcare Conroe have emergency services?
Yes. Hca Houston Healthcare Conroe operates a 24/7 emergency department.
Where is Hca Houston Healthcare Conroe located?
Hca Houston Healthcare Conroe is located at 504 Medical Center Blvd, Conroe, TX 77304.
What type of hospital is Hca Houston Healthcare Conroe?
Hca Houston Healthcare Conroe 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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