JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

North Texas Medical Center

4 / 5

At a glance

North Texas Medical Center carries a 4-star CMS overall rating — above the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1115Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.685Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.422Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2466Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.237Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures2Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.017Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days6604Not available
MRSA Bacteremia: Predicted Cases0.159Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.245Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.860Same as national
Clostridium Difficile (C.Diff): Patient Days6279Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.186Same as national
Clostridium Difficile (C.Diff): Observed Cases4Same as national
Clostridium Difficile (C.Diff)0.771Same as 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 patients3.2Same as national26
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national246
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national46
Death rate for heart failure patients11Same as national50
Death rate for pneumonia patients14.3Same as national147
Death rate for stroke patients13.6Same as national27
Pressure ulcer rate1.06Same as national862
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national952
In-hospital fall-associated fracture rate0.26Same as national941
Postoperative hemorrhage or hematoma rate2.31Same as national84
Postoperative acute kidney injury requiring dialysis rate1.67Same as national35
Postoperative respiratory failure rate12.05Same as national34
Perioperative pulmonary embolism or deep vein thrombosis rate3.90Same as national85
Postoperative sepsis rate5.22Same as national31
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.05Same as national46
CMS Medicare PSI 90: Patient safety and adverse events composite1.21Same 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 patients-56Not available52
Hospital return days for pneumonia patients-7.2Not available159
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national412
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national473
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 surgery0.9Same as national52
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national54
Heart failure (HF) 30-Day Readmission Rate19.2Same as national52
Rate of readmission after hip/knee replacement4.8Same as national27
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national159

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 rating5315
Doctor communication - star rating2315
Communication about medicines - star rating4315
Discharge information - star rating4315
Cleanliness - star rating4315
Quietness - star rating4315
Overall hospital rating - star rating3315
Recommend hospital - star rating4315
Summary star rating4315

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 volumelow
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 vaccination90572
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 better127391
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 better121361
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better13811
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better23919
Left before being seen217723
Head CT results6916
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9864
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing11284
Appropriate care for severe sepsis and septic shock7958
Septic Shock 3-Hour Bundle7512
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle9158
Severe Sepsis 6-Hour Bundle9542
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis97225

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 North Texas Medical Center rated?
North Texas Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does North Texas Medical Center have emergency services?
Yes. North Texas Medical Center operates a 24/7 emergency department.
Where is North Texas Medical Center located?
North Texas Medical Center is located at 1900 Hospital Blvd, Gainesville, TX 76240.
What type of hospital is North Texas Medical Center?
North Texas 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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