JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Houston Methodist West Hospital

5 / 5

At a glance

Houston Methodist West 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 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 Limit0.152Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.151Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7995Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.383Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.477Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.108Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.823Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9648Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.726Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.341Better than national
SSI - Colon Surgery: Lower Confidence Limit0.080Same as national
SSI - Colon Surgery: Upper Confidence Limit1.568Same as national
SSI - Colon Surgery: Number of Procedures164Same as national
SSI - Colon Surgery: Predicted Cases4.214Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.475Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.135Same as national
SSI - Abdominal Hysterectomy: Number of Procedures186Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.403Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.090Same as national
MRSA Bacteremia: Upper Confidence Limit1.770Same as national
MRSA Bacteremia: Patient Days78038Same as national
MRSA Bacteremia: Predicted Cases3.733Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.536Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.040Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.301Better than national
Clostridium Difficile (C.Diff): Patient Days69680Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.045Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.125Better 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 patients4.8Same as national49
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1602
Death rate for heart attack patients12.4Same as national100
Death rate for CABG surgery patients2.6Same as national46
Death rate for COPD patients8.8Same as national98
Death rate for heart failure patients10.4Same as national446
Death rate for pneumonia patients13.3Better than national542
Death rate for stroke patients11Same as national165
Pressure ulcer rate0.14Same as national4767
Death rate among surgical inpatients with serious treatable complications146.18Same as national54
Iatrogenic pneumothorax rate0.15Same as national6099
In-hospital fall-associated fracture rate0.25Same as national6427
Postoperative hemorrhage or hematoma rate2.31Same as national1406
Postoperative acute kidney injury requiring dialysis rate1.40Same as national629
Postoperative respiratory failure rate9.80Same as national670
Perioperative pulmonary embolism or deep vein thrombosis rate3.27Same as national1485
Postoperative sepsis rate4.08Same as national633
Postoperative wound dehiscence rate1.60Same as national350
Abdominopelvic accidental puncture or laceration rate0.80Same as national1181
CMS Medicare PSI 90: Patient safety and adverse events composite0.78Same 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 patients-30.9Not available94
Hospital return days for heart failure patients10.2Not available494
Hospital return days for pneumonia patients-0.6Not available584
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national2643
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national1215
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.7Same as national104
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national104
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national939
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national94
Rate of readmission for CABG10.1Same as national45
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national110
Heart failure (HF) 30-Day Readmission Rate20.5Same as national494
Rate of readmission after hip/knee replacement6Same as national51
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national584

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 rating32014
Doctor communication - star rating32014
Communication about medicines - star rating32014
Discharge information - star rating42014
Cleanliness - star rating52014
Quietness - star rating32014
Overall hospital rating - star rating42014
Recommend hospital - star rating52014
Summary star rating42014

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 vaccination644333
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 better198395
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 better196388
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 seen165984
Head CT results7427
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9374
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing145449
Appropriate care for severe sepsis and septic shock81151
Septic Shock 3-Hour Bundle8346
Septic Shock 6-Hour Bundle9433
Severe Sepsis 3-Hour Bundle90152
Severe Sepsis 6-Hour Bundle97101
Discharged on Antithrombotic Therapy98258
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296204
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis981973

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 West Hospital rated?
Houston Methodist West Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Houston Methodist West Hospital have emergency services?
Yes. Houston Methodist West Hospital operates a 24/7 emergency department.
Where is Houston Methodist West Hospital located?
Houston Methodist West Hospital is located at 18500 Katy Freeway, Houston, TX 77094.
What type of hospital is Houston Methodist West Hospital?
Houston Methodist West 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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