JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

UT Health East Texas Athens Hospital

2 / 5

At a glance

UT Health East Texas Athens Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.686Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit7.342Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1522Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.112Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.698Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.021Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.023Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3058Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.438Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.410Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures37Not available
SSI - Colon Surgery: Predicted Cases0.952Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures41Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.341Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days18550Not available
MRSA Bacteremia: Predicted Cases0.689Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.386Better than national
Clostridium Difficile (C.Diff): Patient Days17403Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.767Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients3.2Same as national28
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.2Worse than national485
Death rate for heart attack patients12.6Same as national43
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national85
Death rate for heart failure patients12.8Same as national121
Death rate for pneumonia patients17.1Same as national292
Death rate for stroke patients12.4Same as national50
Pressure ulcer rate0.39Same as national1496
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1999
In-hospital fall-associated fracture rate0.25Same as national1984
Postoperative hemorrhage or hematoma rate2.24Same as national208
Postoperative acute kidney injury requiring dialysis rate1.66Same as national42
Postoperative respiratory failure rate8.79Same as national50
Perioperative pulmonary embolism or deep vein thrombosis rate3.68Same as national220
Postoperative sepsis rate6.05Same as national42
Postoperative wound dehiscence rate1.72Same as national85
Abdominopelvic accidental puncture or laceration rate0.99Same as national307
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients0.5Not available142
Hospital return days for pneumonia patients24.3Not available299
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.2Same as national717
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national880
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 surgery1.1Same as national209
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national25
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.6Same as national86
Heart failure (HF) 30-Day Readmission Rate19.7Same as national142
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national299

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 rating4309
Doctor communication - star rating4309
Communication about medicines - star rating3309
Discharge information - star rating3309
Cleanliness - star rating4309
Quietness - star rating4309
Overall hospital rating - star rating3309
Recommend hospital - star rating4309
Summary star rating4309

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination66795
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 better159411
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 better149375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better41529
Left before being seen225531
Head CT results6247
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9984
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161145
Appropriate care for severe sepsis and septic shock81216
Septic Shock 3-Hour Bundle9158
Septic Shock 6-Hour Bundle9738
Severe Sepsis 3-Hour Bundle86217
Severe Sepsis 6-Hour Bundle98124
Discharged on Antithrombotic Therapy9841
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis991391
Intensive Care Unit Venous Thromboembolism Prophylaxis991668

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 UT Health East Texas Athens Hospital rated?
UT Health East Texas Athens Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does UT Health East Texas Athens Hospital have emergency services?
Yes. UT Health East Texas Athens Hospital operates a 24/7 emergency department.
Where is UT Health East Texas Athens Hospital located?
UT Health East Texas Athens Hospital is located at 2000 South Palestine St, Athens, TX 75751.
What type of hospital is UT Health East Texas Athens Hospital?
UT Health East Texas Athens Hospital 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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