JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Round Rock Medical Center

3 / 5

At a glance

Round Rock 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 Limit0.014Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.409Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5014Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.500Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.286Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.767Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5648Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.907Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.533Better than national
SSI - Colon Surgery: Number of Procedures208Better than national
SSI - Colon Surgery: Predicted Cases5.619Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures31Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.243Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.015Same as national
MRSA Bacteremia: Upper Confidence Limit1.524Same as national
MRSA Bacteremia: Patient Days63822Same as national
MRSA Bacteremia: Predicted Cases3.237Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.309Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.085Better than national
Clostridium Difficile (C.Diff): Patient Days59929Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.177Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 national1513
Death rate for heart attack patients13.6Same as national158
Death rate for CABG surgery patients3.5Same as national126
Death rate for COPD patients8.6Same as national61
Death rate for heart failure patients11.9Same as national317
Death rate for pneumonia patients15.4Same as national377
Death rate for stroke patients13.4Same as national192
Pressure ulcer rate0.34Same as national4306
Death rate among surgical inpatients with serious treatable complications179.03Same as national88
Iatrogenic pneumothorax rate0.19Same as national5526
In-hospital fall-associated fracture rate0.28Same as national5449
Postoperative hemorrhage or hematoma rate1.53Same as national1825
Postoperative acute kidney injury requiring dialysis rate1.32Same as national690
Postoperative respiratory failure rate17.68Worse than national696
Perioperative pulmonary embolism or deep vein thrombosis rate2.44Same as national1860
Postoperative sepsis rate6.28Same as national698
Postoperative wound dehiscence rate1.67Same as national297
Abdominopelvic accidental puncture or laceration rate1.07Same as national881
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients-22.8Not available208
Hospital return days for heart failure patients-5.9Not available383
Hospital return days for pneumonia patients-9.8Not available387
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national2565
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national51
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 surgery1.2Same as national300
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.3Same as national208
Rate of readmission for CABG11.1Same as national121
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national61
Heart failure (HF) 30-Day Readmission Rate19.3Same as national383
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national387

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 rating3830
Doctor communication - star rating2830
Communication about medicines - star rating2830
Discharge information - star rating3830
Cleanliness - star rating4830
Quietness - star rating3830
Overall hospital rating - star rating3830
Recommend hospital - star rating3830
Summary star rating3830

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 volumehigh
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 vaccination413188
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 better142451
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 better139430
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 better24513
Left before being seen151828
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9766
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing163663
Appropriate care for severe sepsis and septic shock77124
Septic Shock 3-Hour Bundle5929
Septic Shock 6-Hour Bundle10015
Severe Sepsis 3-Hour Bundle90125
Severe Sepsis 6-Hour Bundle9880
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296178
Venous Thromboembolism Prophylaxis956565
Intensive Care Unit Venous Thromboembolism Prophylaxis1001390

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 Round Rock Medical Center rated?
Round Rock Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Round Rock Medical Center have emergency services?
Yes. Round Rock Medical Center operates a 24/7 emergency department.
Where is Round Rock Medical Center located?
Round Rock Medical Center is located at 2400 Round Rock Ave, Round Rock, TX 78681.
What type of hospital is Round Rock Medical Center?
Round Rock Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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