JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Texas Health Presbyterian Hospital Dallas

4 / 5

At a glance

Texas Health Presbyterian Hospital Dallas carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 3 measures and trails 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 Limit0.069Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.527Better than national
Central Line Associated Bloodstream Infection: Number of Device Days15861Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases18.306Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.219Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.059Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.447Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13002Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases21.609Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.185Better than national
SSI - Colon Surgery: Lower Confidence Limit0.310Same as national
SSI - Colon Surgery: Upper Confidence Limit1.402Same as national
SSI - Colon Surgery: Number of Procedures356Same as national
SSI - Colon Surgery: Predicted Cases9.876Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery0.709Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.480Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.904Same as national
SSI - Abdominal Hysterectomy: Number of Procedures431Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.816Same as national
SSI - Abdominal Hysterectomy: Observed Cases5Same as national
SSI - Abdominal Hysterectomy1.310Same as national
MRSA Bacteremia: Lower Confidence Limit0.169Same as national
MRSA Bacteremia: Upper Confidence Limit1.024Same as national
MRSA Bacteremia: Patient Days146023Same as national
MRSA Bacteremia: Predicted Cases10.828Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.462Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.315Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.570Better than national
Clostridium Difficile (C.Diff): Patient Days127597Better than national
Clostridium Difficile (C.Diff): Predicted Cases102.673Better than national
Clostridium Difficile (C.Diff): Observed Cases44Better than national
Clostridium Difficile (C.Diff)0.429Better 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 patients2.5Same as national327
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national2630
Death rate for heart attack patients11.7Same as national185
Death rate for CABG surgery patients2.8Same as national108
Death rate for COPD patients9.1Same as national110
Death rate for heart failure patients12Same as national593
Death rate for pneumonia patients14.9Same as national563
Death rate for stroke patients14.6Same as national420
Pressure ulcer rate0.50Same as national7743
Death rate among surgical inpatients with serious treatable complications181.30Same as national112
Iatrogenic pneumothorax rate0.24Same as national10476
In-hospital fall-associated fracture rate0.24Same as national10402
Postoperative hemorrhage or hematoma rate2.54Same as national3109
Postoperative acute kidney injury requiring dialysis rate1.75Same as national1237
Postoperative respiratory failure rate9.63Same as national1252
Perioperative pulmonary embolism or deep vein thrombosis rate1.98Same as national3284
Postoperative sepsis rate4.53Same as national1184
Postoperative wound dehiscence rate1.49Same as national527
Abdominopelvic accidental puncture or laceration rate1.39Same as national1859
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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-3.6Not available244
Hospital return days for heart failure patients-21.1Not available720
Hospital return days for pneumonia patients-16.9Not available613
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.8Better than national4414
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national608
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 surgery0.8Same as national722
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.3Same as national244
Rate of readmission for CABG10Same as national107
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national123
Heart failure (HF) 30-Day Readmission Rate16.9Better than national720
Rate of readmission after hip/knee replacement3.2Better than national323
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national613

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 rating21746
Doctor communication - star rating31746
Communication about medicines - star rating21746
Discharge information - star rating31746
Cleanliness - star rating31746
Quietness - star rating31746
Overall hospital rating - star rating31746
Recommend hospital - star rating41746
Summary star rating31746

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 vaccination945514
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 better164438
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 better165418
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better13620
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 seen168500
Head CT results
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)
Safe Use of Opioids - Concurrent Prescribing168762
Appropriate care for severe sepsis and septic shock68158
Septic Shock 3-Hour Bundle8358
Septic Shock 6-Hour Bundle8840
Severe Sepsis 3-Hour Bundle87159
Severe Sepsis 6-Hour Bundle9497
Discharged on Antithrombotic Therapy99513
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9911582
Intensive Care Unit Venous Thromboembolism Prophylaxis1002911

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 Presbyterian Hospital Dallas rated?
Texas Health Presbyterian Hospital Dallas has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Texas Health Presbyterian Hospital Dallas have emergency services?
Yes. Texas Health Presbyterian Hospital Dallas operates a 24/7 emergency department.
Where is Texas Health Presbyterian Hospital Dallas located?
Texas Health Presbyterian Hospital Dallas is located at 8200 Walnut Hill Lane, Dallas, TX 75231.
What type of hospital is Texas Health Presbyterian Hospital Dallas?
Texas Health Presbyterian Hospital Dallas 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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