Acute Care Hospitals · Proprietary
Medical City Denton
- 3535 South I35 East, Denton, TX 76210
- (940) 384-3535
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Medical City Denton carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.007 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.662 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 7796 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 7.450 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.134 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.315 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 8693 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 9.522 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.010 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.950 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 187 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 5.189 | Better than national |
| SSI - Colon Surgery: Observed Cases | 1 | Better than national |
| SSI - Colon Surgery | 0.193 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 67 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.542 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.083 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.643 | Same as national |
| MRSA Bacteremia: Patient Days | 74120 | Same as national |
| MRSA Bacteremia: Predicted Cases | 4.022 | Same as national |
| MRSA Bacteremia: Observed Cases | 2 | Same as national |
| MRSA Bacteremia | 0.497 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.046 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.281 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 73398 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 39.421 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 5 | Better than national |
| Clostridium Difficile (C.Diff) | 0.127 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.3 | Same as national | 34 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as national | 1403 |
| Death rate for heart attack patients | 11.4 | Same as national | 97 |
| Death rate for CABG surgery patients | 2.8 | Same as national | 29 |
| Death rate for COPD patients | 8.8 | Same as national | 91 |
| Death rate for heart failure patients | 9 | Same as national | 224 |
| Death rate for pneumonia patients | 16.3 | Same as national | 451 |
| Death rate for stroke patients | 14.5 | Same as national | 124 |
| Pressure ulcer rate | 0.16 | Same as national | 4671 |
| Death rate among surgical inpatients with serious treatable complications | 179.69 | Same as national | 82 |
| Iatrogenic pneumothorax rate | 0.21 | Same as national | 5881 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 5650 |
| Postoperative hemorrhage or hematoma rate | 1.88 | Same as national | 1377 |
| Postoperative acute kidney injury requiring dialysis rate | 1.56 | Same as national | 340 |
| Postoperative respiratory failure rate | 14.20 | Same as national | 396 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.44 | Same as national | 1397 |
| Postoperative sepsis rate | 4.24 | Same as national | 360 |
| Postoperative wound dehiscence rate | 1.61 | Same as national | 264 |
| Abdominopelvic accidental puncture or laceration rate | 0.84 | Same as national | 999 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.88 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 20.7 | Not available | 97 |
| Hospital return days for heart failure patients | 22.1 | Not available | 283 |
| Hospital return days for pneumonia patients | 21.2 | Not available | 513 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.5 | Same as national | 2323 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.1 | Same as national | 43 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.3 | Same as national | 27 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.3 | Same as national | 27 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 611 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.9 | Same as national | 97 |
| Rate of readmission for CABG | 11.1 | Same as national | 26 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.8 | Same as national | 100 |
| Heart failure (HF) 30-Day Readmission Rate | 20.9 | Same as national | 283 |
| Rate of readmission after hip/knee replacement | 5 | Same as national | 34 |
| Pneumonia (PN) 30-Day Readmission Rate | 17.4 | Same as national | 513 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 2 | 1105 |
| Doctor communication - star rating | 2 | 1105 |
| Communication about medicines - star rating | 2 | 1105 |
| Discharge information - star rating | 2 | 1105 |
| Cleanliness - star rating | 4 | 1105 |
| Quietness - star rating | 3 | 1105 |
| Overall hospital rating - star rating | 2 | 1105 |
| Recommend hospital - star rating | 3 | 1105 |
| Summary star rating | 2 | 1105 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 vaccination | 67 | 2875 |
| 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 better | 131 | 449 |
| 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 better | 129 | 425 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 189 | 13 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 247 | 11 |
| Left before being seen | 0 | 64729 |
| Head CT results | 77 | 30 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 91 | 11 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 37 | 30 |
| Safe Use of Opioids - Concurrent Prescribing | 18 | 4961 |
| Appropriate care for severe sepsis and septic shock | 70 | 161 |
| Septic Shock 3-Hour Bundle | 67 | 46 |
| Septic Shock 6-Hour Bundle | 92 | 26 |
| Severe Sepsis 3-Hour Bundle | 86 | 162 |
| Severe Sepsis 6-Hour Bundle | 94 | 101 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 225 |
| Venous Thromboembolism Prophylaxis | 88 | 8436 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 91 | 2391 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Medical City Denton rated?
- Medical City Denton has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Medical City Denton have emergency services?
- Yes. Medical City Denton operates a 24/7 emergency department.
- Where is Medical City Denton located?
- Medical City Denton is located at 3535 South I35 East, Denton, TX 76210.
- What type of hospital is Medical City Denton?
- Medical City Denton is classified by CMS as a Acute Care Hospitals facility (Proprietary).
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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.