JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Houston Methodist Baytown Hospital

5 / 5

At a glance

Houston Methodist Baytown Hospital carries a 5-star CMS overall rating — above 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 Limit0.041Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.816Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10160Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.099Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.247Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.349Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9847Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.582Better 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 Limit0.111Same as national
SSI - Colon Surgery: Upper Confidence Limit2.183Same as national
SSI - Colon Surgery: Number of Procedures109Same as national
SSI - Colon Surgery: Predicted Cases3.027Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.661Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures30Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.302Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.079Same as national
MRSA Bacteremia: Upper Confidence Limit1.564Same as national
MRSA Bacteremia: Patient Days77395Same as national
MRSA Bacteremia: Predicted Cases4.225Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.473Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.111Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.456Better than national
Clostridium Difficile (C.Diff): Patient Days72312Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.340Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.240Better 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 Rate3.3Better than national1086
Death rate for heart attack patients11Same as national115
Death rate for CABG surgery patients2.1Same as national36
Death rate for COPD patients7.1Same as national87
Death rate for heart failure patients7.7Better than national395
Death rate for pneumonia patients13.3Better than national375
Death rate for stroke patients13.7Same as national125
Pressure ulcer rate0.13Same as national4180
Death rate among surgical inpatients with serious treatable complications152.24Same as national46
Iatrogenic pneumothorax rate0.16Same as national4745
In-hospital fall-associated fracture rate0.22Same as national4982
Postoperative hemorrhage or hematoma rate2.69Same as national717
Postoperative acute kidney injury requiring dialysis rate1.40Same as national141
Postoperative respiratory failure rate8.41Same as national154
Perioperative pulmonary embolism or deep vein thrombosis rate3.48Same as national816
Postoperative sepsis rate4.46Same as national146
Postoperative wound dehiscence rate1.66Same as national159
Abdominopelvic accidental puncture or laceration rate0.90Same as national669
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients7.8Not available109
Hospital return days for heart failure patients-20.3Not available464
Hospital return days for pneumonia patients-7.9Not available392
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national1814
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national889
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national64
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6Same as national64
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national210
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national109
Rate of readmission for CABG10Same as national36
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national96
Heart failure (HF) 30-Day Readmission Rate17.4Same as national464
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.4Same as national392

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 rating41498
Doctor communication - star rating31498
Communication about medicines - star rating41498
Discharge information - star rating41498
Cleanliness - star rating51498
Quietness - star rating51498
Overall hospital rating - star rating41498
Recommend hospital - star rating51498
Summary star rating41498

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 Hypoglycemia16050
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination563120
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 better226394
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 better220372
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better56414
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 seen274763
Head CT results9236
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10077
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing114859
Appropriate care for severe sepsis and septic shock72151
Septic Shock 3-Hour Bundle8559
Septic Shock 6-Hour Bundle9544
Severe Sepsis 3-Hour Bundle83151
Severe Sepsis 6-Hour Bundle9396
Discharged on Antithrombotic Therapy99265
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis992538

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 Houston Methodist Baytown Hospital rated?
Houston Methodist Baytown Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Houston Methodist Baytown Hospital have emergency services?
Yes. Houston Methodist Baytown Hospital operates a 24/7 emergency department.
Where is Houston Methodist Baytown Hospital located?
Houston Methodist Baytown Hospital is located at 4401 Garth Road, Baytown, TX 77521.
What type of hospital is Houston Methodist Baytown Hospital?
Houston Methodist Baytown Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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