JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Methodist Mansfield Medical Center

4 / 5

At a glance

Methodist Mansfield Medical Center carries a 4-star CMS overall rating — above 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 Limit0.220Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.668Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7119Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.785Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.691Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.043Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.853Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6651Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.742Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.258Better than national
SSI - Colon Surgery: Lower Confidence Limit0.407Same as national
SSI - Colon Surgery: Upper Confidence Limit2.460Same as national
SSI - Colon Surgery: Number of Procedures167Same as national
SSI - Colon Surgery: Predicted Cases4.506Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.110Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.427Same as national
SSI - Abdominal Hysterectomy: Number of Procedures259Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.099Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.320Same as national
MRSA Bacteremia: Upper Confidence Limit1.935Same as national
MRSA Bacteremia: Patient Days84642Same as national
MRSA Bacteremia: Predicted Cases5.728Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.873Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.119Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.447Better than national
Clostridium Difficile (C.Diff): Patient Days77699Better than national
Clostridium Difficile (C.Diff): Predicted Cases36.984Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.243Better 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 patients3.4Same as national33
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1030
Death rate for heart attack patients13.8Same as national135
Death rate for CABG surgery patients4.1Same as national49
Death rate for COPD patients10.7Same as national81
Death rate for heart failure patients12.6Same as national296
Death rate for pneumonia patients15.7Same as national239
Death rate for stroke patients12.6Same as national113
Pressure ulcer rate0.17Same as national4037
Death rate among surgical inpatients with serious treatable complications170.59Same as national43
Iatrogenic pneumothorax rate0.21Same as national4492
In-hospital fall-associated fracture rate0.22Same as national4518
Postoperative hemorrhage or hematoma rate2.14Same as national984
Postoperative acute kidney injury requiring dialysis rate1.52Same as national213
Postoperative respiratory failure rate7.29Same as national218
Perioperative pulmonary embolism or deep vein thrombosis rate2.69Same as national1010
Postoperative sepsis rate5.95Same as national204
Postoperative wound dehiscence rate1.69Same as national193
Abdominopelvic accidental puncture or laceration rate0.86Same as national793
CMS Medicare PSI 90: Patient safety and adverse events composite0.78Same 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 patients13.2Not available127
Hospital return days for heart failure patients-3.8Not available312
Hospital return days for pneumonia patients7.2Not available250
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national1690
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.6Same as national504
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 national142
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national127
Rate of readmission for CABG11.1Same as national46
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national85
Heart failure (HF) 30-Day Readmission Rate18.9Same as national312
Rate of readmission after hip/knee replacement4.8Same as national36
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national250

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 rating41482
Doctor communication - star rating41482
Communication about medicines - star rating31482
Discharge information - star rating41482
Cleanliness - star rating41482
Quietness - star rating41482
Overall hospital rating - star rating41482
Recommend hospital - star rating51482
Summary star rating41482

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 vaccination653282
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 better208376
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 better208373
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 seen265835
Head CT results6414
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)031
Safe Use of Opioids - Concurrent Prescribing154336
Appropriate care for severe sepsis and septic shock87195
Septic Shock 3-Hour Bundle9450
Septic Shock 6-Hour Bundle9240
Severe Sepsis 3-Hour Bundle92198
Severe Sepsis 6-Hour Bundle97114
Discharged on Antithrombotic Therapy99249
Anticoagulation Therapy for Atrial Fibrillation/Flutter8360
Antithrombotic Therapy by End of Hospital Day 296229
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 Mansfield Medical Center rated?
Methodist Mansfield Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Methodist Mansfield Medical Center have emergency services?
Yes. Methodist Mansfield Medical Center operates a 24/7 emergency department.
Where is Methodist Mansfield Medical Center located?
Methodist Mansfield Medical Center is located at 2700 E Broad Street, Mansfield, TX 76063.
What type of hospital is Methodist Mansfield Medical Center?
Methodist Mansfield 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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