JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Methodist Dallas Medical Center

3 / 5

At a glance

Methodist Dallas 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 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 Limit0.177Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.910Better than national
Central Line Associated Bloodstream Infection: Number of Device Days12831Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases13.720Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.437Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.301Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.230Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9913Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.348Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.648Same as national
SSI - Colon Surgery: Lower Confidence Limit0.342Same as national
SSI - Colon Surgery: Upper Confidence Limit2.067Same as national
SSI - Colon Surgery: Number of Procedures180Same as national
SSI - Colon Surgery: Predicted Cases5.362Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.932Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures109Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.953Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.306Same as national
MRSA Bacteremia: Upper Confidence Limit1.568Same as national
MRSA Bacteremia: Patient Days126487Same as national
MRSA Bacteremia: Predicted Cases7.958Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.754Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.177Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.475Better than national
Clostridium Difficile (C.Diff): Patient Days114591Better than national
Clostridium Difficile (C.Diff): Predicted Cases53.564Better than national
Clostridium Difficile (C.Diff): Observed Cases16Better than national
Clostridium Difficile (C.Diff)0.299Better 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 Rate4.1Same as national744
Death rate for heart attack patients12.8Same as national50
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.6Same as national51
Death rate for heart failure patients11.7Same as national126
Death rate for pneumonia patients14.3Same as national98
Death rate for stroke patients12.6Same as national120
Pressure ulcer rate0.34Same as national3521
Death rate among surgical inpatients with serious treatable complications207.49Same as national83
Iatrogenic pneumothorax rate0.17Same as national3795
In-hospital fall-associated fracture rate0.27Same as national3926
Postoperative hemorrhage or hematoma rate3.74Same as national1248
Postoperative acute kidney injury requiring dialysis rate1.77Same as national446
Postoperative respiratory failure rate10.29Same as national439
Perioperative pulmonary embolism or deep vein thrombosis rate4.58Same as national1319
Postoperative sepsis rate6.44Same as national487
Postoperative wound dehiscence rate1.51Same as national477
Abdominopelvic accidental puncture or laceration rate1.01Same as national1104
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patients34.8Not available139
Hospital return days for pneumonia patients1.7Not available102
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national1227
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national376
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 national149
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national47
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national64
Heart failure (HF) 30-Day Readmission Rate19.2Same as national139
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national102

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 rating31086
Doctor communication - star rating31086
Communication about medicines - star rating31086
Discharge information - star rating31086
Cleanliness - star rating41086
Quietness - star rating31086
Overall hospital rating - star rating41086
Recommend hospital - star rating41086
Summary star rating31086

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 vaccination903548
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 better227366
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 better225350
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26616
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 seen276567
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients90307
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing123735
Appropriate care for severe sepsis and septic shock83166
Septic Shock 3-Hour Bundle9565
Septic Shock 6-Hour Bundle8953
Severe Sepsis 3-Hour Bundle92167
Severe Sepsis 6-Hour Bundle95107
Discharged on Antithrombotic Therapy99343
Anticoagulation Therapy for Atrial Fibrillation/Flutter6586
Antithrombotic Therapy by End of Hospital Day 292342
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 Dallas Medical Center rated?
Methodist Dallas Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Methodist Dallas Medical Center have emergency services?
Yes. Methodist Dallas Medical Center operates a 24/7 emergency department.
Where is Methodist Dallas Medical Center located?
Methodist Dallas Medical Center is located at 1441 North Beckley Avenue, Dallas, TX 75203.
What type of hospital is Methodist Dallas Medical Center?
Methodist Dallas Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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