JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Woodland Heights Medical Center

3 / 5

At a glance

Woodland Heights Medical Center 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.024Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.396Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2818Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.058Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.486Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.018Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.811Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3970Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.724Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.367Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures32Not available
SSI - Colon Surgery: Predicted Cases0.837Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures39Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.322Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.011Same as national
MRSA Bacteremia: Patient Days25393Same as national
MRSA Bacteremia: Predicted Cases1.490Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.030Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.590Better than national
Clostridium Difficile (C.Diff): Patient Days24404Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.195Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.179Better 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 patients4.5Same as national31
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.9Same as national804
Death rate for heart attack patients11.7Same as national98
Death rate for CABG surgery patients5Same as national34
Death rate for COPD patients8.7Same as national81
Death rate for heart failure patients11.3Same as national205
Death rate for pneumonia patients14.5Same as national264
Death rate for stroke patients12.3Same as national103
Pressure ulcer rate0.84Same as national2675
Death rate among surgical inpatients with serious treatable complications150.78Same as national31
Iatrogenic pneumothorax rate0.18Same as national3363
In-hospital fall-associated fracture rate0.37Same as national3383
Postoperative hemorrhage or hematoma rate2.00Same as national578
Postoperative acute kidney injury requiring dialysis rate1.57Same as national182
Postoperative respiratory failure rate11.41Same as national193
Perioperative pulmonary embolism or deep vein thrombosis rate2.81Same as national591
Postoperative sepsis rate4.68Same as national183
Postoperative wound dehiscence rate2.04Same as national124
Abdominopelvic accidental puncture or laceration rate0.94Same as national539
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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-13.4Not available88
Hospital return days for heart failure patients-23.3Not available234
Hospital return days for pneumonia patients-7.3Not available306
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.4Worse than national1267
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national86
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 national299
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national88
Rate of readmission for CABG11.9Same as national31
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national87
Heart failure (HF) 30-Day Readmission Rate18.4Same as national234
Rate of readmission after hip/knee replacement4.6Same as national33
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national306

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 rating2447
Doctor communication - star rating2447
Communication about medicines - star rating2447
Discharge information - star rating2447
Cleanliness - star rating1447
Quietness - star rating3447
Overall hospital rating - star rating2447
Recommend hospital - star rating3447
Summary star rating2447

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 Hypoglycemia81846
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination36976
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 better146418
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 better144403
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17011
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 seen129226
Head CT results7124
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9679
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing121400
Appropriate care for severe sepsis and septic shock38185
Septic Shock 3-Hour Bundle2755
Septic Shock 6-Hour Bundle9315
Severe Sepsis 3-Hour Bundle77185
Severe Sepsis 6-Hour Bundle6790
Discharged on Antithrombotic Therapy94106
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29096
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 Woodland Heights Medical Center rated?
Woodland Heights Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Woodland Heights Medical Center have emergency services?
Yes. Woodland Heights Medical Center operates a 24/7 emergency department.
Where is Woodland Heights Medical Center located?
Woodland Heights Medical Center is located at 505 South John Redditt Drive, Lufkin, TX 75904.
What type of hospital is Woodland Heights Medical Center?
Woodland Heights Medical Center 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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