JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Methodist Charlton Medical Center

3 / 5

At a glance

Methodist Charlton Medical Center 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 Limit0.128Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.974Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10703Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.902Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.404Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.033Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.654Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10121Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.110Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.198Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.621Same as national
SSI - Colon Surgery: Number of Procedures69Same as national
SSI - Colon Surgery: Predicted Cases1.848Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.235Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.640Same as national
SSI - Abdominal Hysterectomy: Number of Procedures162Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.424Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.404Same as national
MRSA Bacteremia: Lower Confidence Limit0.169Same as national
MRSA Bacteremia: Upper Confidence Limit1.808Same as national
MRSA Bacteremia: Patient Days79840Same as national
MRSA Bacteremia: Predicted Cases4.515Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.664Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.376Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.908Better than national
Clostridium Difficile (C.Diff): Patient Days76440Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.427Better than national
Clostridium Difficile (C.Diff): Observed Cases20Better than national
Clostridium Difficile (C.Diff)0.598Better 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 Rate4.4Same as national731
Death rate for heart attack patients11.9Same as national115
Death rate for CABG surgery patients2.4Same as national39
Death rate for COPD patients9.4Same as national75
Death rate for heart failure patients12.1Same as national265
Death rate for pneumonia patients16.9Same as national239
Death rate for stroke patients13.8Same as national118
Pressure ulcer rate0.53Same as national3732
Death rate among surgical inpatients with serious treatable complications203.57Same as national43
Iatrogenic pneumothorax rate0.17Same as national3980
In-hospital fall-associated fracture rate0.23Same as national4122
Postoperative hemorrhage or hematoma rate2.89Same as national550
Postoperative acute kidney injury requiring dialysis rate1.63Same as national68
Postoperative respiratory failure rate9.95Same as national76
Perioperative pulmonary embolism or deep vein thrombosis rate3.58Same as national552
Postoperative sepsis rate4.99Same as national66
Postoperative wound dehiscence rate1.71Same as national110
Abdominopelvic accidental puncture or laceration rate0.94Same as national782
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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 patients9.1Not available110
Hospital return days for heart failure patients42.4Not available321
Hospital return days for pneumonia patients31.1Not available239
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national1249
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national465
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 national64
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national110
Rate of readmission for CABG10.4Same as national38
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national80
Heart failure (HF) 30-Day Readmission Rate20.5Same as national321
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same 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 rating3813
Doctor communication - star rating3813
Communication about medicines - star rating3813
Discharge information - star rating4813
Cleanliness - star rating4813
Quietness - star rating4813
Overall hospital rating - star rating3813
Recommend hospital - star rating3813
Summary star rating3813

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination892780
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 better207379
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 better205363
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24412
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 seen190119
Head CT results7419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients93255
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)029
Safe Use of Opioids - Concurrent Prescribing123319
Appropriate care for severe sepsis and septic shock86215
Septic Shock 3-Hour Bundle9586
Septic Shock 6-Hour Bundle9774
Severe Sepsis 3-Hour Bundle90216
Severe Sepsis 6-Hour Bundle97143
Discharged on Antithrombotic Therapy98251
Anticoagulation Therapy for Atrial Fibrillation/Flutter6844
Antithrombotic Therapy by End of Hospital Day 291253
Venous Thromboembolism Prophylaxis
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 Methodist Charlton Medical Center rated?
Methodist Charlton Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Methodist Charlton Medical Center have emergency services?
Yes. Methodist Charlton Medical Center operates a 24/7 emergency department.
Where is Methodist Charlton Medical Center located?
Methodist Charlton Medical Center is located at 3500 W Wheatland Road, Dallas, TX 75237.
What type of hospital is Methodist Charlton Medical Center?
Methodist Charlton Medical Center 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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