JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Memorial Hermann Katy Hospital

3 / 5

At a glance

Memorial Hermann Katy 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 18 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 Limit0.008Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.787Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6287Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.270Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.159Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.006Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.588Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8161Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.394Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.119Better than national
SSI - Colon Surgery: Lower Confidence Limit0.165Same as national
SSI - Colon Surgery: Upper Confidence Limit1.768Same as national
SSI - Colon Surgery: Number of Procedures181Same as national
SSI - Colon Surgery: Predicted Cases4.619Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.649Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.612Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.645Same as national
SSI - Abdominal Hysterectomy: Number of Procedures257Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.077Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy1.926Same as national
MRSA Bacteremia: Lower Confidence Limit0.194Same as national
MRSA Bacteremia: Upper Confidence Limit2.072Same as national
MRSA Bacteremia: Patient Days78306Same as national
MRSA Bacteremia: Predicted Cases3.941Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.761Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.058Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.353Better than national
Clostridium Difficile (C.Diff): Patient Days70462Better than national
Clostridium Difficile (C.Diff): Predicted Cases31.438Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.159Better 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 Rate4.3Same as national1197
Death rate for heart attack patients14.3Same as national108
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.2Same as national79
Death rate for heart failure patients12.6Same as national324
Death rate for pneumonia patients15.8Same as national452
Death rate for stroke patients14.7Same as national109
Pressure ulcer rate0.13Same as national4088
Death rate among surgical inpatients with serious treatable complications184.23Same as national78
Iatrogenic pneumothorax rate0.21Same as national4826
In-hospital fall-associated fracture rate0.27Same as national4555
Postoperative hemorrhage or hematoma rate2.70Same as national1084
Postoperative acute kidney injury requiring dialysis rate1.61Same as national136
Postoperative respiratory failure rate7.39Same as national142
Perioperative pulmonary embolism or deep vein thrombosis rate4.73Same as national1133
Postoperative sepsis rate5.53Same as national112
Postoperative wound dehiscence rate1.65Same as national230
Abdominopelvic accidental puncture or laceration rate0.83Same as national902
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients27Not available86
Hospital return days for heart failure patients6.8Not available371
Hospital return days for pneumonia patients-21.2Not available466
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national1942
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national597
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 surgery1.1Same as national290
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national86
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national84
Heart failure (HF) 30-Day Readmission Rate19.8Same as national371
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.1Same as national466

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 rating3654
Doctor communication - star rating3654
Communication about medicines - star rating2654
Discharge information - star rating3654
Cleanliness - star rating4654
Quietness - star rating4654
Overall hospital rating - star rating3654
Recommend hospital - star rating4654
Summary star rating3654

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 Hyperglycemia821628
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination914572
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 better250420
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 better246401
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 better31712
Left before being seen174116
Head CT results5229
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8324
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing92683
Appropriate care for severe sepsis and septic shock62158
Septic Shock 3-Hour Bundle6543
Septic Shock 6-Hour Bundle8020
Severe Sepsis 3-Hour Bundle77158
Severe Sepsis 6-Hour Bundle9480
Discharged on Antithrombotic Therapy95251
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis898230
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Memorial Hermann Katy Hospital rated?
Memorial Hermann Katy Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hermann Katy Hospital have emergency services?
Yes. Memorial Hermann Katy Hospital operates a 24/7 emergency department.
Where is Memorial Hermann Katy Hospital located?
Memorial Hermann Katy Hospital is located at 23900 Katy Freeway, Katy, TX 77494.
What type of hospital is Memorial Hermann Katy Hospital?
Memorial Hermann Katy Hospital 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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