JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Hca Houston Healthcare Northwest

2 / 5

At a glance

Hca Houston Healthcare Northwest 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.

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 Limit0.078Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.545Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4885Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.276Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.468Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.009Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.842Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5601Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.859Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.171Better than national
SSI - Colon Surgery: Lower Confidence Limit0.014Same as national
SSI - Colon Surgery: Upper Confidence Limit1.383Same as national
SSI - Colon Surgery: Number of Procedures127Same as national
SSI - Colon Surgery: Predicted Cases3.566Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.280Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures80Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.618Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.145Same as national
MRSA Bacteremia: Patient Days79338Same as national
MRSA Bacteremia: Predicted Cases2.617Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.102Better than national
Clostridium Difficile (C.Diff): Patient Days71230Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.286Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national427
Death rate for heart attack patients12.5Same as national29
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients10.4Same as national87
Death rate for pneumonia patients14.4Same as national99
Death rate for stroke patients11Same as national62
Pressure ulcer rate0.54Same as national1957
Death rate among surgical inpatients with serious treatable complications161.26Same as national47
Iatrogenic pneumothorax rate0.25Same as national2280
In-hospital fall-associated fracture rate0.25Same as national2274
Postoperative hemorrhage or hematoma rate2.00Same as national555
Postoperative acute kidney injury requiring dialysis rate1.62Same as national159
Postoperative respiratory failure rate17.21Same as national177
Perioperative pulmonary embolism or deep vein thrombosis rate3.28Same as national510
Postoperative sepsis rate4.69Same as national162
Postoperative wound dehiscence rate1.72Same as national117
Abdominopelvic accidental puncture or laceration rate0.97Same as national494
CMS Medicare PSI 90: Patient safety and adverse events composite1.14Same 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 patientsNot available
Hospital return days for heart failure patients40.2Not available99
Hospital return days for pneumonia patients37.2Not available107
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national757
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national420
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 surgery1Same as national52
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national32
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate21.1Same as national99
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national107

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 rating2710
Doctor communication - star rating2710
Communication about medicines - star rating2710
Discharge information - star rating2710
Cleanliness - star rating3710
Quietness - star rating3710
Overall hospital rating - star rating2710
Recommend hospital - star rating2710
Summary star rating2710

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 volumevery high
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 vaccination661934
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 better151443
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 better140414
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better139326
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 seen179268
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients77101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing104142
Appropriate care for severe sepsis and septic shock74176
Septic Shock 3-Hour Bundle7752
Septic Shock 6-Hour Bundle9738
Severe Sepsis 3-Hour Bundle85176
Severe Sepsis 6-Hour Bundle9798
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 285249
Venous Thromboembolism Prophylaxis987990
Intensive Care Unit Venous Thromboembolism Prophylaxis1002236

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 Northwest rated?
Hca Houston Healthcare Northwest has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Hca Houston Healthcare Northwest have emergency services?
Yes. Hca Houston Healthcare Northwest operates a 24/7 emergency department.
Where is Hca Houston Healthcare Northwest located?
Hca Houston Healthcare Northwest is located at 710 Cypress Creek Parkway, Houston, TX 77090.
What type of hospital is Hca Houston Healthcare Northwest?
Hca Houston Healthcare Northwest 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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