JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Hca Houston Healthcare West

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At a glance

Hca Houston Healthcare West carries a 1-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 Limit0.173Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.850Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4056Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.413Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.680Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.603Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3541Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.972Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.707Same as national
SSI - Colon Surgery: Upper Confidence Limit7.567Same as national
SSI - Colon Surgery: Number of Procedures41Same as national
SSI - Colon Surgery: Predicted Cases1.079Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery2.780Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures82Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.672Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.145Same as national
MRSA Bacteremia: Upper Confidence Limit2.848Same as national
MRSA Bacteremia: Patient Days43678Same as national
MRSA Bacteremia: Predicted Cases2.320Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.862Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.185Better than national
Clostridium Difficile (C.Diff): Patient Days39192Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.192Better 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 Rate4.2Same as national390
Death rate for heart attack patients10.5Same as national37
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients9.3Same as national126
Death rate for pneumonia patients16Same as national173
Death rate for stroke patients11.8Same as national35
Pressure ulcer rate0.27Same as national1559
Death rate among surgical inpatients with serious treatable complications165.60Same as national34
Iatrogenic pneumothorax rate0.19Same as national1915
In-hospital fall-associated fracture rate0.25Same as national2006
Postoperative hemorrhage or hematoma rate2.68Same as national334
Postoperative acute kidney injury requiring dialysis rate1.50Same as national133
Postoperative respiratory failure rate10.98Same as national141
Perioperative pulmonary embolism or deep vein thrombosis rate3.06Same as national328
Postoperative sepsis rate4.90Same as national129
Postoperative wound dehiscence rate1.73Same as national74
Abdominopelvic accidental puncture or laceration rate1.02Same as national227
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 patientsNot available
Hospital return days for heart failure patients86.4Not available142
Hospital return days for pneumonia patients-3.8Not available176
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national603
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 national69
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national41
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national27
Heart failure (HF) 30-Day Readmission Rate20.5Same as national142
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national176

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 rating2647
Doctor communication - star rating2647
Communication about medicines - star rating1647
Discharge information - star rating1647
Cleanliness - star rating3647
Quietness - star rating3647
Overall hospital rating - star rating2647
Recommend hospital - star rating2647
Summary star rating2647

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 vaccination331843
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 better117427
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 better112403
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better496817
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 seen180779
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing92018
Appropriate care for severe sepsis and septic shock68148
Septic Shock 3-Hour Bundle6537
Septic Shock 6-Hour Bundle9623
Severe Sepsis 3-Hour Bundle84148
Severe Sepsis 6-Hour Bundle9681
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293107
Venous Thromboembolism Prophylaxis694902
Intensive Care Unit Venous Thromboembolism Prophylaxis922031

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 West rated?
Hca Houston Healthcare West has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Hca Houston Healthcare West have emergency services?
Yes. Hca Houston Healthcare West operates a 24/7 emergency department.
Where is Hca Houston Healthcare West located?
Hca Houston Healthcare West is located at 12141 Richmond Ave, Houston, TX 77082.
What type of hospital is Hca Houston Healthcare West?
Hca Houston Healthcare West 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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