JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Luke's Sugar Land Hospital

3 / 5

At a glance

St Luke's Sugar Land Hospital 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 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 Limit0.019Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.860Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3895Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.652Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.377Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.024Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.413Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2983Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.044Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.489Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures41Not available
SSI - Colon Surgery: Predicted Cases0.971Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures35Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.315Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.303Same as national
MRSA Bacteremia: Upper Confidence Limit5.980Same as national
MRSA Bacteremia: Patient Days21102Same as national
MRSA Bacteremia: Predicted Cases1.105Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.810Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.045Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.890Better than national
Clostridium Difficile (C.Diff): Patient Days19172Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.424Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.269Better 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 national190
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients9.4Same as national70
Death rate for pneumonia patients13.5Same as national93
Death rate for stroke patientsNot available
Pressure ulcer rate0.69Same as national991
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1157
In-hospital fall-associated fracture rate0.26Same as national1181
Postoperative hemorrhage or hematoma rate2.58Same as national154
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.19Same as national161
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.72Same as national38
Abdominopelvic accidental puncture or laceration rate1.01Same as national272
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 patientsNot available
Hospital return days for heart failure patients14Not available80
Hospital return days for pneumonia patients49.4Not available97
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national336
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national195
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 surgery1.1Same as national60
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.7Same as national80
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national97

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 rating2299
Doctor communication - star rating3299
Communication about medicines - star rating2299
Discharge information - star rating3299
Cleanliness - star rating4299
Quietness - star rating2299
Overall hospital rating - star rating2299
Recommend hospital - star rating2299
Summary star rating3299

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 Hyperglycemia107232
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination661008
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 better171405
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 better168380
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29621
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 seen019408
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9271
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151200
Appropriate care for severe sepsis and septic shock6593
Septic Shock 3-Hour Bundle6237
Septic Shock 6-Hour Bundle8621
Severe Sepsis 3-Hour Bundle8693
Severe Sepsis 6-Hour Bundle9447
Discharged on Antithrombotic Therapy9540
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis95765

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 Luke's Sugar Land Hospital rated?
St Luke's Sugar Land Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Luke's Sugar Land Hospital have emergency services?
Yes. St Luke's Sugar Land Hospital operates a 24/7 emergency department.
Where is St Luke's Sugar Land Hospital located?
St Luke's Sugar Land Hospital is located at 1317 Lake Pointe Parkway, Sugar Land, TX 77478.
What type of hospital is St Luke's Sugar Land Hospital?
St Luke's Sugar Land Hospital 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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