Acute Care Hospitals · Government - Hospital District or Authority
University Health System
- 4502 Medical Dr, San Antonio, TX 78229
- (210) 358-2637
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
University Health System 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 24 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.201 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.524 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 45330 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 50.866 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 17 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.334 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.192 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.516 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 27414 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 49.303 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 16 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.325 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.413 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.366 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 445 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 13.995 | Same as national |
| SSI - Colon Surgery: Observed Cases | 11 | Same as national |
| SSI - Colon Surgery | 0.786 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 1.408 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 223 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.127 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Same as national |
| SSI - Abdominal Hysterectomy | 0.000 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.095 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.573 | Better than national |
| MRSA Bacteremia: Patient Days | 255888 | Better than national |
| MRSA Bacteremia: Predicted Cases | 19.335 | Better than national |
| MRSA Bacteremia: Observed Cases | 5 | Better than national |
| MRSA Bacteremia | 0.259 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.306 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.483 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 223189 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 191.258 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 74 | Better than national |
| Clostridium Difficile (C.Diff) | 0.387 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.2 | Same as national | 1239 |
| Death rate for heart attack patients | 13.4 | Same as national | 73 |
| Death rate for CABG surgery patients | 2.6 | Same as national | 43 |
| Death rate for COPD patients | 8.6 | Same as national | 38 |
| Death rate for heart failure patients | 11.1 | Same as national | 145 |
| Death rate for pneumonia patients | 14 | Same as national | 146 |
| Death rate for stroke patients | 12.8 | Same as national | 147 |
| Pressure ulcer rate | 0.93 | Same as national | 6250 |
| Death rate among surgical inpatients with serious treatable complications | 150.43 | Same as national | 136 |
| Iatrogenic pneumothorax rate | 0.15 | Same as national | 6576 |
| In-hospital fall-associated fracture rate | 0.21 | Same as national | 6682 |
| Postoperative hemorrhage or hematoma rate | 1.78 | Same as national | 2029 |
| Postoperative acute kidney injury requiring dialysis rate | 2.22 | Same as national | 678 |
| Postoperative respiratory failure rate | 6.56 | Same as national | 778 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.61 | Same as national | 2071 |
| Postoperative sepsis rate | 5.58 | Same as national | 759 |
| Postoperative wound dehiscence rate | 2.12 | Same as national | 509 |
| Abdominopelvic accidental puncture or laceration rate | 0.75 | Same as national | 1792 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.97 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -21.6 | Not available | 69 |
| Hospital return days for heart failure patients | 10.8 | Not available | 164 |
| Hospital return days for pneumonia patients | 0.8 | Not available | 152 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.1 | Same as national | 2215 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.2 | Same as national | 492 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.8 | Same as national | 73 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5 | Same as national | 73 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 362 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.1 | Same as national | 69 |
| Rate of readmission for CABG | 10.8 | Same as national | 42 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.5 | Same as national | 37 |
| Heart failure (HF) 30-Day Readmission Rate | 20.3 | Same as national | 164 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 15.5 | Same as national | 152 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 2306 |
| Doctor communication - star rating | 3 | 2306 |
| Communication about medicines - star rating | 3 | 2306 |
| Discharge information - star rating | 3 | 2306 |
| Cleanliness - star rating | 4 | 2306 |
| Quietness - star rating | 3 | 2306 |
| Overall hospital rating - star rating | 4 | 2306 |
| Recommend hospital - star rating | 4 | 2306 |
| Summary star rating | 3 | 2306 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 vaccination | 99 | 17572 |
| 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 better | 388 | 373 |
| 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 better | 374 | 351 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 526 | 20 |
| 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 seen | 2 | 128672 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 97 | 97 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 11 | 7667 |
| Appropriate care for severe sepsis and septic shock | 82 | 714 |
| Septic Shock 3-Hour Bundle | 86 | 173 |
| Septic Shock 6-Hour Bundle | 92 | 113 |
| Severe Sepsis 3-Hour Bundle | 90 | 715 |
| Severe Sepsis 6-Hour Bundle | 96 | 266 |
| Discharged on Antithrombotic Therapy | 95 | 329 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 75 | 59 |
| Antithrombotic Therapy by End of Hospital Day 2 | 85 | 305 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is University Health System rated?
- University Health System has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does University Health System have emergency services?
- Yes. University Health System operates a 24/7 emergency department.
- Where is University Health System located?
- University Health System is located at 4502 Medical Dr, San Antonio, TX 78229.
- What type of hospital is University Health System?
- University Health System is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).
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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.