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Acute Care Hospitals · Government - Hospital District or Authority

Midland Memorial Hospital

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At a glance

Midland Memorial Hospital carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.416Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.137Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5581Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.840Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.027Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.213Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.288Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6827Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.607Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.581Same as national
SSI - Colon Surgery: Lower Confidence Limit0.964Same as national
SSI - Colon Surgery: Upper Confidence Limit4.360Same as national
SSI - Colon Surgery: Number of Procedures112Same as national
SSI - Colon Surgery: Predicted Cases3.176Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery2.204Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures47Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.435Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.082Same as national
MRSA Bacteremia: Upper Confidence Limit1.616Same as national
MRSA Bacteremia: Patient Days67218Same as national
MRSA Bacteremia: Predicted Cases4.089Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.489Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.094Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.423Better than national
Clostridium Difficile (C.Diff): Patient Days63506Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.729Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.214Better 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 Rate5.1Worse than national990
Death rate for heart attack patients16.7Worse than national131
Death rate for CABG surgery patients5.9Worse than national51
Death rate for COPD patients10.2Same as national93
Death rate for heart failure patients15.4Same as national245
Death rate for pneumonia patients21.9Worse than national368
Death rate for stroke patients14.2Same as national130
Pressure ulcer rate0.21Same as national3639
Death rate among surgical inpatients with serious treatable complications162.17Same as national49
Iatrogenic pneumothorax rate0.17Same as national4114
In-hospital fall-associated fracture rate0.27Same as national4161
Postoperative hemorrhage or hematoma rate1.88Same as national884
Postoperative acute kidney injury requiring dialysis rate1.48Same as national279
Postoperative respiratory failure rate19.73Worse than national302
Perioperative pulmonary embolism or deep vein thrombosis rate2.86Same as national915
Postoperative sepsis rate5.86Same as national274
Postoperative wound dehiscence rate1.64Same as national196
Abdominopelvic accidental puncture or laceration rate1.15Same as national658
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same 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 patients0.4Not available116
Hospital return days for heart failure patients20.8Not available267
Hospital return days for pneumonia patients30Not available364
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1564
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national234
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 surgery0.8Same as national446
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national116
Rate of readmission for CABG11.3Same as national49
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.9Same as national94
Heart failure (HF) 30-Day Readmission Rate18.8Same as national267
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national364

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 rating3790
Doctor communication - star rating3790
Communication about medicines - star rating3790
Discharge information - star rating3790
Cleanliness - star rating3790
Quietness - star rating3790
Overall hospital rating - star rating3790
Recommend hospital - star rating3790
Summary star rating3790

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 vaccination583008
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 better195437
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 better193419
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25616
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 seen472122
Head CT results7512
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9648
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5728
Safe Use of Opioids - Concurrent Prescribing92416
Appropriate care for severe sepsis and septic shock66770
Septic Shock 3-Hour Bundle65255
Septic Shock 6-Hour Bundle89138
Severe Sepsis 3-Hour Bundle84770
Severe Sepsis 6-Hour Bundle93462
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295121
Venous Thromboembolism Prophylaxis585376
Intensive Care Unit Venous Thromboembolism Prophylaxis651374

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 Midland Memorial Hospital rated?
Midland Memorial Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Midland Memorial Hospital have emergency services?
Yes. Midland Memorial Hospital operates a 24/7 emergency department.
Where is Midland Memorial Hospital located?
Midland Memorial Hospital is located at 400 Rosalind Redfern Grover Parkway, Midland, TX 79701.
What type of hospital is Midland Memorial Hospital?
Midland Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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