JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

St David's South Austin Medical Center

3 / 5

At a glance

St David's South Austin 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 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 Limit0.476Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.669Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9911Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.682Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases10Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.936Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.021Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.412Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10973Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.019Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.125Better than national
SSI - Colon Surgery: Lower Confidence Limit0.533Same as national
SSI - Colon Surgery: Upper Confidence Limit2.177Same as national
SSI - Colon Surgery: Number of Procedures255Same as national
SSI - Colon Surgery: Predicted Cases6.977Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery1.147Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures78Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.696Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.751Same as national
MRSA Bacteremia: Upper Confidence Limit2.636Same as national
MRSA Bacteremia: Patient Days107646Same as national
MRSA Bacteremia: Predicted Cases6.762Same as national
MRSA Bacteremia: Observed Cases10Same as national
MRSA Bacteremia1.479Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.104Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.326Better than national
Clostridium Difficile (C.Diff): Patient Days101716Better than national
Clostridium Difficile (C.Diff): Predicted Cases62.628Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.192Better 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 patients3.9Same as national45
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national2242
Death rate for heart attack patients10.4Same as national189
Death rate for CABG surgery patients2.5Same as national97
Death rate for COPD patients9.2Same as national89
Death rate for heart failure patients10.7Same as national492
Death rate for pneumonia patients19.7Worse than national559
Death rate for stroke patients10.6Same as national180
Pressure ulcer rate0.55Same as national6848
Death rate among surgical inpatients with serious treatable complications169.22Same as national107
Iatrogenic pneumothorax rate0.13Same as national8597
In-hospital fall-associated fracture rate0.27Same as national8536
Postoperative hemorrhage or hematoma rate1.66Same as national2140
Postoperative acute kidney injury requiring dialysis rate1.32Same as national717
Postoperative respiratory failure rate16.03Worse than national761
Perioperative pulmonary embolism or deep vein thrombosis rate1.96Same as national2249
Postoperative sepsis rate3.61Same as national732
Postoperative wound dehiscence rate1.89Same as national434
Abdominopelvic accidental puncture or laceration rate0.96Same as national1501
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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 patients12.4Not available204
Hospital return days for heart failure patients-20.3Not available551
Hospital return days for pneumonia patients-1.4Not available561
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national3491
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national339
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.2Same as national29
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national29
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national582
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national204
Rate of readmission for CABG10Same as national94
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national92
Heart failure (HF) 30-Day Readmission Rate17.8Same as national551
Rate of readmission after hip/knee replacement5Same as national42
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national561

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 rating2539
Doctor communication - star rating3539
Communication about medicines - star rating2539
Discharge information - star rating3539
Cleanliness - star rating4539
Quietness - star rating3539
Overall hospital rating - star rating3539
Recommend hospital - star rating3539
Summary star rating3539

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 vaccination503887
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 better156448
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 better149415
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22424
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 seen193768
Head CT results8419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9063
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)028
Safe Use of Opioids - Concurrent Prescribing145053
Appropriate care for severe sepsis and septic shock85170
Septic Shock 3-Hour Bundle8859
Septic Shock 6-Hour Bundle10045
Severe Sepsis 3-Hour Bundle91171
Severe Sepsis 6-Hour Bundle99107
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293210
Venous Thromboembolism Prophylaxis9311732
Intensive Care Unit Venous Thromboembolism Prophylaxis981733

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 St David's South Austin Medical Center rated?
St David's South Austin Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St David's South Austin Medical Center have emergency services?
Yes. St David's South Austin Medical Center operates a 24/7 emergency department.
Where is St David's South Austin Medical Center located?
St David's South Austin Medical Center is located at 901 West Ben White Blvd, Austin, TX 78704.
What type of hospital is St David's South Austin Medical Center?
St David's South Austin 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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