JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Medical City Lewisville

3 / 5

At a glance

Medical City Lewisville 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 6 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.192Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2830Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.513Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.811Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2342Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.654Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures22Not available
SSI - Colon Surgery: Predicted Cases0.623Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures57Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.455Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.544Same as national
MRSA Bacteremia: Upper Confidence Limit5.815Same as national
MRSA Bacteremia: Patient Days36566Same as national
MRSA Bacteremia: Predicted Cases1.404Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia2.137Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.162Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.983Better than national
Clostridium Difficile (C.Diff): Patient Days28395Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.274Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.443Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national564
Death rate for heart attack patients13.4Same as national62
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.8Same as national46
Death rate for heart failure patients11.9Same as national151
Death rate for pneumonia patients13.5Same as national217
Death rate for stroke patients12.5Same as national87
Pressure ulcer rate0.32Same as national1851
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national2364
In-hospital fall-associated fracture rate0.25Same as national2334
Postoperative hemorrhage or hematoma rate2.13Same as national394
Postoperative acute kidney injury requiring dialysis rate1.65Same as national66
Postoperative respiratory failure rate8.17Same as national72
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national393
Postoperative sepsis rate5.96Same as national68
Postoperative wound dehiscence rate1.75Same as national63
Abdominopelvic accidental puncture or laceration rate1.00Same as national250
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients31Not available59
Hospital return days for heart failure patients-3.2Not available183
Hospital return days for pneumonia patients-4.5Not available239
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national942
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national204
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 national59
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national59
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national53
Heart failure (HF) 30-Day Readmission Rate19.3Same as national183
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national239

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 rating3525
Doctor communication - star rating3525
Communication about medicines - star rating3525
Discharge information - star rating3525
Cleanliness - star rating4525
Quietness - star rating4525
Overall hospital rating - star rating3525
Recommend hospital - star rating4525
Summary star rating3525

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 volumehigh
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 vaccination69993
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 better122445
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 better122434
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 seen044857
Head CT results8526
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99111
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing122436
Appropriate care for severe sepsis and septic shock81118
Septic Shock 3-Hour Bundle7637
Septic Shock 6-Hour Bundle9122
Severe Sepsis 3-Hour Bundle92118
Severe Sepsis 6-Hour Bundle10090
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29894
Venous Thromboembolism Prophylaxis943705
Intensive Care Unit Venous Thromboembolism Prophylaxis100630

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 Lewisville rated?
Medical City Lewisville has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Medical City Lewisville have emergency services?
Yes. Medical City Lewisville operates a 24/7 emergency department.
Where is Medical City Lewisville located?
Medical City Lewisville is located at 500 West Main Street, Lewisville, TX 75057.
What type of hospital is Medical City Lewisville?
Medical City Lewisville 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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