JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Medical City Las Colinas

4 / 5

At a glance

Medical City Las Colinas carries a 4-star CMS overall rating — above the national norm.

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 Limit0.225Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.435Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2066Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.490Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.342Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1166Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.824Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures12Not available
SSI - Colon Surgery: Predicted Cases0.361Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.231Same as national
SSI - Abdominal Hysterectomy: Number of Procedures150Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.343Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days18394Not available
MRSA Bacteremia: Predicted Cases0.590Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.064Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.260Same as national
Clostridium Difficile (C.Diff): Patient Days16004Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.244Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.381Same as 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 Rate3.9Same as national214
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.2Same as national26
Death rate for heart failure patients12.1Same as national62
Death rate for pneumonia patients17.9Same as national116
Death rate for stroke patients13.9Same as national25
Pressure ulcer rate0.45Same as national753
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1046
In-hospital fall-associated fracture rate0.26Same as national1014
Postoperative hemorrhage or hematoma rate2.59Same as national154
Postoperative acute kidney injury requiring dialysis rate1.67Same as national38
Postoperative respiratory failure rate11.75Same as national43
Perioperative pulmonary embolism or deep vein thrombosis rate3.32Same as national151
Postoperative sepsis rate6.13Same as national34
Postoperative wound dehiscence rate1.75Same as national34
Abdominopelvic accidental puncture or laceration rate1.03Same as national127
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patientsNot available
Hospital return days for heart failure patients-2.2Not available73
Hospital return days for pneumonia patients11.8Not available122
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national357
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national50
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national40
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national28
Heart failure (HF) 30-Day Readmission Rate19.7Same as national73
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national122

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 rating2450
Doctor communication - star rating2450
Communication about medicines - star rating2450
Discharge information - star rating2450
Cleanliness - star rating3450
Quietness - star rating4450
Overall hospital rating - star rating3450
Recommend hospital - star rating3450
Summary star rating2450

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 volumemedium
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 vaccination75593
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 better141425
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 better137403
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22313
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 seen132142
Head CT results8614
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9111
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91705
Appropriate care for severe sepsis and septic shock72283
Septic Shock 3-Hour Bundle5979
Septic Shock 6-Hour Bundle9542
Severe Sepsis 3-Hour Bundle87283
Severe Sepsis 6-Hour Bundle97181
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29844
Venous Thromboembolism Prophylaxis951883
Intensive Care Unit Venous Thromboembolism Prophylaxis99573

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 Las Colinas rated?
Medical City Las Colinas has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Medical City Las Colinas have emergency services?
Yes. Medical City Las Colinas operates a 24/7 emergency department.
Where is Medical City Las Colinas located?
Medical City Las Colinas is located at 6800 N Macarthur Blvd, Irving, TX 75039.
What type of hospital is Medical City Las Colinas?
Medical City Las Colinas 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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