JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Medical City North Hills

2 / 5

At a glance

Medical City North Hills carries a 2-star CMS overall rating — below 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.886Better than national
Central Line Associated Bloodstream Infection: Number of Device Days4209Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.381Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.020Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2908Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.466Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.406Same as national
SSI - Colon Surgery: Lower Confidence Limit0.293Same as national
SSI - Colon Surgery: Upper Confidence Limit5.771Same as national
SSI - Colon Surgery: Number of Procedures41Same as national
SSI - Colon Surgery: Predicted Cases1.145Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.747Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures10Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.116Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.731Same as national
MRSA Bacteremia: Patient Days33050Same as national
MRSA Bacteremia: Predicted Cases1.731Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.218Better than national
Clostridium Difficile (C.Diff): Patient Days33050Better than national
Clostridium Difficile (C.Diff): Predicted Cases13.739Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate4Same as national627
Death rate for heart attack patients12Same as national70
Death rate for CABG surgery patients2.2Same as national25
Death rate for COPD patients11Same as national59
Death rate for heart failure patients11.8Same as national168
Death rate for pneumonia patients15.9Same as national241
Death rate for stroke patients12.9Same as national65
Pressure ulcer rate0.25Same as national2223
Death rate among surgical inpatients with serious treatable complications169.69Same as national28
Iatrogenic pneumothorax rate0.18Same as national2938
In-hospital fall-associated fracture rate0.24Same as national2947
Postoperative hemorrhage or hematoma rate2.06Same as national468
Postoperative acute kidney injury requiring dialysis rate1.63Same as national122
Postoperative respiratory failure rate17.97Same as national138
Perioperative pulmonary embolism or deep vein thrombosis rate2.90Same as national480
Postoperative sepsis rate5.68Same as national122
Postoperative wound dehiscence rate1.72Same as national86
Abdominopelvic accidental puncture or laceration rate0.98Same as national368
CMS Medicare PSI 90: Patient safety and adverse events composite1.08Same 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 patients14.2Not available74
Hospital return days for heart failure patients8.3Not available188
Hospital return days for pneumonia patients30Not available261
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1041
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national207
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 surgery1.2Same as national68
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national74
Rate of readmission for CABG10.3Same as national25
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national64
Heart failure (HF) 30-Day Readmission Rate20.7Same as national188
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national261

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 rating3487
Doctor communication - star rating2487
Communication about medicines - star rating2487
Discharge information - star rating1487
Cleanliness - star rating4487
Quietness - star rating4487
Overall hospital rating - star rating3487
Recommend hospital - star rating3487
Summary star rating3487

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 vaccination441418
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 better124432
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 better122414
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 seen045212
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7914
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing202948
Appropriate care for severe sepsis and septic shock70144
Septic Shock 3-Hour Bundle5845
Septic Shock 6-Hour Bundle10023
Severe Sepsis 3-Hour Bundle86144
Severe Sepsis 6-Hour Bundle9985
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 291105
Venous Thromboembolism Prophylaxis994876
Intensive Care Unit Venous Thromboembolism Prophylaxis1001072

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Medical City North Hills rated?
Medical City North Hills has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Medical City North Hills have emergency services?
Yes. Medical City North Hills operates a 24/7 emergency department.
Where is Medical City North Hills located?
Medical City North Hills is located at 4401 Booth Calloway Road, North Richland Hills, TX 76180.
What type of hospital is Medical City North Hills?
Medical City North Hills 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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