JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Texas Health Presbyterian Hospital Denton

5 / 5

At a glance

Texas Health Presbyterian Hospital Denton carries a 5-star CMS overall rating — above 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.714Better than national
Central Line Associated Bloodstream Infection: Number of Device Days4526Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.196Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.107Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.108Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3173Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.134Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.638Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.462Same as national
SSI - Colon Surgery: Number of Procedures74Same as national
SSI - Colon Surgery: Predicted Cases2.049Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures70Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.636Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.068Same as national
MRSA Bacteremia: Patient Days62588Same as national
MRSA Bacteremia: Predicted Cases2.805Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.001Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.141Better than national
Clostridium Difficile (C.Diff): Patient Days55406Better than national
Clostridium Difficile (C.Diff): Predicted Cases34.937Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.029Better 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 Rate3.8Same as national1233
Death rate for heart attack patients12.4Same as national140
Death rate for CABG surgery patients1.8Same as national59
Death rate for COPD patients10Same as national93
Death rate for heart failure patients10Same as national315
Death rate for pneumonia patients14.4Same as national472
Death rate for stroke patients12.7Same as national141
Pressure ulcer rate0.46Same as national3539
Death rate among surgical inpatients with serious treatable complications155.49Same as national56
Iatrogenic pneumothorax rate0.16Same as national4649
In-hospital fall-associated fracture rate0.23Same as national4970
Postoperative hemorrhage or hematoma rate1.85Same as national918
Postoperative acute kidney injury requiring dialysis rate1.82Same as national305
Postoperative respiratory failure rate8.92Same as national274
Perioperative pulmonary embolism or deep vein thrombosis rate2.43Same as national1011
Postoperative sepsis rate5.56Same as national297
Postoperative wound dehiscence rate2.01Same as national226
Abdominopelvic accidental puncture or laceration rate1.13Same as national797
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-21.7Not available169
Hospital return days for heart failure patients-23Not available352
Hospital return days for pneumonia patients-5.3Not available517
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national2022
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national169
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 national393
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.5Same as national169
Rate of readmission for CABG10.6Same as national59
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national102
Heart failure (HF) 30-Day Readmission Rate17.5Same as national352
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national517

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 rating4988
Doctor communication - star rating3988
Communication about medicines - star rating3988
Discharge information - star rating3988
Cleanliness - star rating4988
Quietness - star rating4988
Overall hospital rating - star rating4988
Recommend hospital - star rating5988
Summary star rating4988

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 volumehigh
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 vaccination962049
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 better163431
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 better158401
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36519
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32211
Left before being seen249359
Head CT results9225
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8928
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing143229
Appropriate care for severe sepsis and septic shock89223
Septic Shock 3-Hour Bundle8636
Septic Shock 6-Hour Bundle9521
Severe Sepsis 3-Hour Bundle94223
Severe Sepsis 6-Hour Bundle95114
Discharged on Antithrombotic Therapy100158
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis1005821
Intensive Care Unit Venous Thromboembolism Prophylaxis100889

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 Denton rated?
Texas Health Presbyterian Hospital Denton has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Texas Health Presbyterian Hospital Denton have emergency services?
Yes. Texas Health Presbyterian Hospital Denton operates a 24/7 emergency department.
Where is Texas Health Presbyterian Hospital Denton located?
Texas Health Presbyterian Hospital Denton is located at 3000 N I-35, Denton, TX 76201.
What type of hospital is Texas Health Presbyterian Hospital Denton?
Texas Health Presbyterian Hospital Denton 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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