JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Luke's Hospital at the Vintage

4 / 5

At a glance

St Luke's Hospital at the Vintage carries a 4-star CMS overall rating — above 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 Limit0.132Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.599Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3732Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.542Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.787Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.679Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2644Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.784Same 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 Limit0.033Same as national
SSI - Colon Surgery: Upper Confidence Limit3.260Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.513Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.661Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days23786Not available
MRSA Bacteremia: Predicted Cases0.986Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.308Better than national
Clostridium Difficile (C.Diff): Patient Days23786Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.716Better 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 Rate4Same as national285
Death rate for heart attack patients12.6Same as national41
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.4Same as national36
Death rate for heart failure patients11.7Same as national95
Death rate for pneumonia patients15.7Same as national96
Death rate for stroke patients13.1Same as national27
Pressure ulcer rate0.34Same as national1143
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1282
In-hospital fall-associated fracture rate0.30Same as national1370
Postoperative hemorrhage or hematoma rate2.25Same as national174
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national170
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.75Same as national46
Abdominopelvic accidental puncture or laceration rate1.01Same as national286
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients3.4Not available107
Hospital return days for pneumonia patients1.6Not available98
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national438
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national200
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 surgery1Same as national90
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national27
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national39
Heart failure (HF) 30-Day Readmission Rate19.9Same as national107
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national98

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 rating4387
Doctor communication - star rating3387
Communication about medicines - star rating3387
Discharge information - star rating2387
Cleanliness - star rating4387
Quietness - star rating4387
Overall hospital rating - star rating4387
Recommend hospital - star rating5387
Summary star rating3387

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 volumemedium
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 vaccination71714
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 better220403
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 better214379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40021
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 seen029509
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9266
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131141
Appropriate care for severe sepsis and septic shock62117
Septic Shock 3-Hour Bundle5233
Septic Shock 6-Hour Bundle10013
Severe Sepsis 3-Hour Bundle81117
Severe Sepsis 6-Hour Bundle9556
Discharged on Antithrombotic Therapy10056
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29653
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis99847

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is St Luke's Hospital at the Vintage rated?
St Luke's Hospital at the Vintage has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Luke's Hospital at the Vintage have emergency services?
Yes. St Luke's Hospital at the Vintage operates a 24/7 emergency department.
Where is St Luke's Hospital at the Vintage located?
St Luke's Hospital at the Vintage is located at 20171 Chasewood Park Drive, Houston, TX 77070.
What type of hospital is St Luke's Hospital at the Vintage?
St Luke's Hospital at the Vintage 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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