JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Houston Methodist the Woodlands Hospital

5 / 5

At a glance

Houston Methodist the Woodlands 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. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.817Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9488Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.084Better 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 Limit0.085Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.910Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10136Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.969Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.334Better than national
SSI - Colon Surgery: Lower Confidence Limit0.326Same as national
SSI - Colon Surgery: Upper Confidence Limit1.974Same as national
SSI - Colon Surgery: Number of Procedures219Same as national
SSI - Colon Surgery: Predicted Cases5.614Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.891Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.295Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.812Same as national
SSI - Abdominal Hysterectomy: Number of Procedures145Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.137Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.759Same as national
MRSA Bacteremia: Lower Confidence Limit0.083Same as national
MRSA Bacteremia: Upper Confidence Limit1.629Same as national
MRSA Bacteremia: Patient Days81743Same as national
MRSA Bacteremia: Predicted Cases4.056Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.493Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.052Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.312Better than national
Clostridium Difficile (C.Diff): Patient Days75012Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.515Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.141Better 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 patients3.9Same as national63
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national2329
Death rate for heart attack patients10.5Same as national152
Death rate for CABG surgery patients2.7Same as national124
Death rate for COPD patients8.9Same as national109
Death rate for heart failure patients7.4Better than national642
Death rate for pneumonia patients11Better than national626
Death rate for stroke patients12.4Same as national302
Pressure ulcer rate0.12Same as national6896
Death rate among surgical inpatients with serious treatable complications144.81Same as national113
Iatrogenic pneumothorax rate0.14Same as national8623
In-hospital fall-associated fracture rate0.30Same as national9142
Postoperative hemorrhage or hematoma rate1.70Same as national1745
Postoperative acute kidney injury requiring dialysis rate1.31Same as national634
Postoperative respiratory failure rate2.96Better than national684
Perioperative pulmonary embolism or deep vein thrombosis rate3.02Same as national1868
Postoperative sepsis rate3.34Same as national646
Postoperative wound dehiscence rate1.60Same as national427
Abdominopelvic accidental puncture or laceration rate0.76Same as national1589
CMS Medicare PSI 90: Patient safety and adverse events composite0.55Better than 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-11.9Not available152
Hospital return days for heart failure patients-18.2Not available787
Hospital return days for pneumonia patients-6.9Not available696
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.6Better than national3807
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national1488
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national106
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national106
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national942
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national152
Rate of readmission for CABG11.2Same as national123
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national115
Heart failure (HF) 30-Day Readmission Rate19.1Same as national787
Rate of readmission after hip/knee replacement4.8Same as national68
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national696

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 rating42971
Doctor communication - star rating32971
Communication about medicines - star rating32971
Discharge information - star rating42971
Cleanliness - star rating52971
Quietness - star rating42971
Overall hospital rating - star rating42971
Recommend hospital - star rating52971
Summary star rating42971

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 vaccination703861
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 better222398
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 better219386
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 seen065890
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10083
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing157020
Appropriate care for severe sepsis and septic shock88114
Septic Shock 3-Hour Bundle9735
Septic Shock 6-Hour Bundle9732
Severe Sepsis 3-Hour Bundle92116
Severe Sepsis 6-Hour Bundle9779
Discharged on Antithrombotic Therapy100355
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis999740
Intensive Care Unit Venous Thromboembolism Prophylaxis1001673

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 the Woodlands Hospital rated?
Houston Methodist the Woodlands Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Houston Methodist the Woodlands Hospital have emergency services?
Yes. Houston Methodist the Woodlands Hospital operates a 24/7 emergency department.
Where is Houston Methodist the Woodlands Hospital located?
Houston Methodist the Woodlands Hospital is located at 17201 Interstate 45 South, the Woodlands, TX 77385.
What type of hospital is Houston Methodist the Woodlands Hospital?
Houston Methodist the Woodlands 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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