JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Texas Health Hospital Mansfield

5 / 5

At a glance

Texas Health Hospital Mansfield carries a 5-star CMS overall rating — above the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days299Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.173Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days274Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.134Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures13Not available
SSI - Colon Surgery: Predicted Cases0.376Not 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 Procedures33Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.294Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days6281Not available
MRSA Bacteremia: Predicted Cases0.242Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.499Same as national
Clostridium Difficile (C.Diff): Patient Days5464Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.999Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same as 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 Rate3.8Same as national99
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 patients9.2Same as national31
Death rate for pneumonia patients17Same as national29
Death rate for stroke patientsNot available
Pressure ulcer rate0.54Same as national276
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national436
In-hospital fall-associated fracture rate0.27Same as national428
Postoperative hemorrhage or hematoma rate2.30Same as national99
Postoperative acute kidney injury requiring dialysis rate1.66Same as national41
Postoperative respiratory failure rate8.91Same as national41
Perioperative pulmonary embolism or deep vein thrombosis rate3.37Same as national101
Postoperative sepsis rate5.14Same as national39
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.03Same as national56
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients-30.5Not available41
Hospital return days for pneumonia patients25Not available30
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national176
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national86
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 national56
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 Rate18.8Same as national41
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national30

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 rating3187
Doctor communication - star rating3187
Communication about medicines - star rating2187
Discharge information - star rating4187
Cleanliness - star rating5187
Quietness - star rating4187
Overall hospital rating - star rating4187
Recommend hospital - star rating5187
Summary star rating4187

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination82838
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 better156436
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 better155407
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better13612
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better18217
Left before being seen116091
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9774
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing11537
Appropriate care for severe sepsis and septic shock90110
Septic Shock 3-Hour Bundle10038
Septic Shock 6-Hour Bundle8020
Severe Sepsis 3-Hour Bundle94110
Severe Sepsis 6-Hour Bundle10082
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis100360
Intensive Care Unit Venous Thromboembolism Prophylaxis100451

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 Texas Health Hospital Mansfield rated?
Texas Health Hospital Mansfield has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Texas Health Hospital Mansfield have emergency services?
Yes. Texas Health Hospital Mansfield operates a 24/7 emergency department.
Where is Texas Health Hospital Mansfield located?
Texas Health Hospital Mansfield is located at 2300 Lone Star Road, Mansfield, TX 76063.
What type of hospital is Texas Health Hospital Mansfield?
Texas Health Hospital Mansfield 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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