JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Medical City Dallas Hospital

3 / 5

At a glance

Medical City Dallas Hospital carries a 3-star CMS overall rating — in line with 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 Limit0.600Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.299Same as national
Central Line Associated Bloodstream Infection: Number of Device Days29370Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases28.919Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases26Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.899Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.256Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.045Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12603Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.532Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.551Same as national
SSI - Colon Surgery: Lower Confidence Limit0.640Same as national
SSI - Colon Surgery: Upper Confidence Limit2.618Same as national
SSI - Colon Surgery: Number of Procedures204Same as national
SSI - Colon Surgery: Predicted Cases5.802Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery1.379Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.185Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.406Same as national
SSI - Abdominal Hysterectomy: Number of Procedures780Same as national
SSI - Abdominal Hysterectomy: Predicted Cases6.862Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy0.583Same as national
MRSA Bacteremia: Lower Confidence Limit0.207Better than national
MRSA Bacteremia: Upper Confidence Limit0.935Better than national
MRSA Bacteremia: Patient Days220082Better than national
MRSA Bacteremia: Predicted Cases14.809Better than national
MRSA Bacteremia: Observed Cases7Better than national
MRSA Bacteremia0.473Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.338Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.596Better than national
Clostridium Difficile (C.Diff): Patient Days211764Better than national
Clostridium Difficile (C.Diff): Predicted Cases105.961Better than national
Clostridium Difficile (C.Diff): Observed Cases48Better than national
Clostridium Difficile (C.Diff)0.453Better 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 patients4Same as national62
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1903
Death rate for heart attack patients13Same as national102
Death rate for CABG surgery patients1.9Same as national100
Death rate for COPD patients11.4Same as national103
Death rate for heart failure patients9.4Same as national379
Death rate for pneumonia patients16.6Same as national351
Death rate for stroke patients12.4Same as national168
Pressure ulcer rate0.10Same as national7357
Death rate among surgical inpatients with serious treatable complications161.11Same as national126
Iatrogenic pneumothorax rate0.17Same as national8773
In-hospital fall-associated fracture rate0.19Same as national9333
Postoperative hemorrhage or hematoma rate1.21Same as national2599
Postoperative acute kidney injury requiring dialysis rate1.15Same as national1521
Postoperative respiratory failure rate12.10Same as national1757
Perioperative pulmonary embolism or deep vein thrombosis rate2.41Same as national2754
Postoperative sepsis rate2.29Better than national1684
Postoperative wound dehiscence rate1.48Same as national990
Abdominopelvic accidental puncture or laceration rate0.70Same as national2078
CMS Medicare PSI 90: Patient safety and adverse events composite0.69Better 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 patients19Not available141
Hospital return days for heart failure patients-4.7Not available459
Hospital return days for pneumonia patients14.4Not available372
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national3046
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national244
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national41
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national41
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national515
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national141
Rate of readmission for CABG10.1Same as national98
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national109
Heart failure (HF) 30-Day Readmission Rate19.7Same as national459
Rate of readmission after hip/knee replacement5.6Same as national61
Pneumonia (PN) 30-Day Readmission Rate16Same as national372

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 rating21222
Doctor communication - star rating31222
Communication about medicines - star rating21222
Discharge information - star rating21222
Cleanliness - star rating31222
Quietness - star rating41222
Overall hospital rating - star rating31222
Recommend hospital - star rating31222
Summary star rating31222

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 vaccination527096
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 better144456
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 better140427
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29518
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26214
Left before being seen0107570
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95105
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing149955
Appropriate care for severe sepsis and septic shock59135
Septic Shock 3-Hour Bundle6433
Septic Shock 6-Hour Bundle8520
Severe Sepsis 3-Hour Bundle80135
Severe Sepsis 6-Hour Bundle8582
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 292257
Venous Thromboembolism Prophylaxis8714301
Intensive Care Unit Venous Thromboembolism Prophylaxis953908

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 Medical City Dallas Hospital rated?
Medical City Dallas Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Medical City Dallas Hospital have emergency services?
Yes. Medical City Dallas Hospital operates a 24/7 emergency department.
Where is Medical City Dallas Hospital located?
Medical City Dallas Hospital is located at 7777 Forest Lane, Dallas, TX 75230.
What type of hospital is Medical City Dallas Hospital?
Medical City Dallas Hospital 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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