JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Physician

the Medical Center of Southeast Texas

3 / 5

At a glance

the Medical Center of Southeast Texas carries a 3-star CMS overall rating — in line with 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 Days867Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.674Not 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 LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.840Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1442Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.055Same 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures14Not available
SSI - Colon Surgery: Predicted Cases0.346Not 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 Procedures44Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.340Not 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 Days17429Not available
MRSA Bacteremia: Predicted Cases0.541Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.097Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.040Same as national
Clostridium Difficile (C.Diff): Patient Days14175Same as national
Clostridium Difficile (C.Diff): Predicted Cases7.848Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.382Same 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 Rate4.3Same as national292
Death rate for heart attack patients12Same as national64
Death rate for CABG surgery patients2.8Same as national29
Death rate for COPD patients7.6Same as national72
Death rate for heart failure patients9.7Same as national117
Death rate for pneumonia patients15.6Same as national100
Death rate for stroke patients12.3Same as national53
Pressure ulcer rate0.40Same as national1134
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national1527
In-hospital fall-associated fracture rate0.26Same as national1586
Postoperative hemorrhage or hematoma rate2.18Same as national202
Postoperative acute kidney injury requiring dialysis rate2.10Same as national67
Postoperative respiratory failure rate12.07Same as national72
Perioperative pulmonary embolism or deep vein thrombosis rate3.27Same as national209
Postoperative sepsis rate6.93Same as national65
Postoperative wound dehiscence rate1.74Same as national37
Abdominopelvic accidental puncture or laceration rate1.03Same as national141
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same 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 patients46Not available62
Hospital return days for heart failure patients4.5Not available149
Hospital return days for pneumonia patients-31Not available112
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national467
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national1071
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 surgery0.9Same as national105
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national62
Rate of readmission for CABG11.5Same as national28
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national84
Heart failure (HF) 30-Day Readmission Rate19.8Same as national149
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national112

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 rating3308
Doctor communication - star rating3308
Communication about medicines - star rating3308
Discharge information - star rating2308
Cleanliness - star rating3308
Quietness - star rating4308
Overall hospital rating - star rating2308
Recommend hospital - star rating2308
Summary star rating3308

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 Hyperglycemia145009
Hospital Harm - Severe Hypoglycemia3939
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination73924
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 better218375
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 better205337
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32418
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33420
Left before being seen524271
Head CT results3816
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8966
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13617
Appropriate care for severe sepsis and septic shock31110
Septic Shock 3-Hour Bundle4035
Septic Shock 6-Hour Bundle7114
Severe Sepsis 3-Hour Bundle75110
Severe Sepsis 6-Hour Bundle7360
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29253
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 the Medical Center of Southeast Texas rated?
the Medical Center of Southeast Texas has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does the Medical Center of Southeast Texas have emergency services?
Yes. the Medical Center of Southeast Texas operates a 24/7 emergency department.
Where is the Medical Center of Southeast Texas located?
the Medical Center of Southeast Texas is located at 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640.
What type of hospital is the Medical Center of Southeast Texas?
the Medical Center of Southeast Texas is classified by CMS as a Acute Care Hospitals facility (Physician).

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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