JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

South Texas Health System

4 / 5

At a glance

South Texas Health System 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 Limit0.246Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.260Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9532Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.902Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.606Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.546Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.571Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12338Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.599Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases14Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.959Same as national
SSI - Colon Surgery: Lower Confidence Limit0.289Same as national
SSI - Colon Surgery: Upper Confidence Limit1.483Same as national
SSI - Colon Surgery: Number of Procedures291Same as national
SSI - Colon Surgery: Predicted Cases8.413Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.713Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures65Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.525Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.006Better than national
MRSA Bacteremia: Upper Confidence Limit0.589Better than national
MRSA Bacteremia: Patient Days143442Better than national
MRSA Bacteremia: Predicted Cases8.376Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.119Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.126Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.338Better than national
Clostridium Difficile (C.Diff): Patient Days136541Better than national
Clostridium Difficile (C.Diff): Predicted Cases75.252Better than national
Clostridium Difficile (C.Diff): Observed Cases16Better than national
Clostridium Difficile (C.Diff)0.213Better 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 Rate4.4Same as national948
Death rate for heart attack patients10.2Same as national146
Death rate for CABG surgery patients2.1Same as national45
Death rate for COPD patients6.4Same as national51
Death rate for heart failure patients9.8Same as national299
Death rate for pneumonia patients14.6Same as national276
Death rate for stroke patients14.9Same as national170
Pressure ulcer rate0.71Same as national4007
Death rate among surgical inpatients with serious treatable complications131.50Same as national63
Iatrogenic pneumothorax rate0.22Same as national4696
In-hospital fall-associated fracture rate0.23Same as national4866
Postoperative hemorrhage or hematoma rate1.82Same as national958
Postoperative acute kidney injury requiring dialysis rate2.01Same as national145
Postoperative respiratory failure rate13.17Same as national186
Perioperative pulmonary embolism or deep vein thrombosis rate4.28Same as national948
Postoperative sepsis rate6.26Same as national141
Postoperative wound dehiscence rate1.66Same as national212
Abdominopelvic accidental puncture or laceration rate0.89Same as national786
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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-27.8Not available143
Hospital return days for heart failure patients9.5Not available354
Hospital return days for pneumonia patients51.7Not available277
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national1524
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national153
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 national81
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national143
Rate of readmission for CABG10.4Same as national45
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national60
Heart failure (HF) 30-Day Readmission Rate20.5Same as national354
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.1Same as national277

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 rating21465
Doctor communication - star rating21465
Communication about medicines - star rating21465
Discharge information - star rating21465
Cleanliness - star rating31465
Quietness - star rating31465
Overall hospital rating - star rating31465
Recommend hospital - star rating31465
Summary star rating21465

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 vaccination743564
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 better109409
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 better109396
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better11313
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 seen0230808
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10078
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5435
Safe Use of Opioids - Concurrent Prescribing82962
Appropriate care for severe sepsis and septic shock68228
Septic Shock 3-Hour Bundle8163
Septic Shock 6-Hour Bundle9450
Severe Sepsis 3-Hour Bundle76228
Severe Sepsis 6-Hour Bundle97131
Discharged on Antithrombotic Therapy94496
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294449
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis943407

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 South Texas Health System rated?
South Texas Health System has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does South Texas Health System have emergency services?
Yes. South Texas Health System operates a 24/7 emergency department.
Where is South Texas Health System located?
South Texas Health System is located at 1102 W Trenton Road, Edinburg, TX 78539.
What type of hospital is South Texas Health System?
South Texas Health System 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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