Complications & Deaths Measures
20
CMS-tracked
Texas · Acute Care
Baylor Medical Center at Trophy Club
Baylor Medical Center at Trophy Club is a CMS-tracked acute care hospitals in Trophy Club, TX. CMS has not issued an overall star rating for this facility yet.
- 20
- Quality measures
- 6
- Infection types
Data currency: Hospital quality, safety, and patient-experience measures from the CMS Care Compare program (published quarterly), last refreshed May 2026. See our methodology for source dates. Spot a figure that looks wrong? Report a correction.
2850 E State Highway 114, Trophy Club, TX 76262 · Denton County · (817) 837-4600
The verdict
Baylor Medical Center at Trophy Club is Medicare-certified but has no CMS overall star rating yet, typically a sign its reporting volumes fell below CMS thresholds during the latest measurement window. 20 individual quality measures are still on file.
- 0
- measures better than national of 6 compared
- Yes
- emergency department on site
Type
Acute Care Hospitals
Ownership
Proprietary
Emergency Services
Yes
Birthing Friendly
N/A
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
Worse-than-national profile for Baylor Medical Center at Trophy Club
Mortality 1 measure
Safety of care 2 measures
Readmission 3 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 1.04 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.94 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | N/A | Not Available |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | N/A | Not Available |
| Death rate for heart attack patients | N/A | Not Available |
| Death rate for heart failure patients | N/A | Not Available |
| Death rate for pneumonia patients | N/A | Not Available |
| Death rate for stroke patients | N/A | Not Available |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.1 | Same as National |
| Iatrogenic pneumothorax rate | 0.21 | Same as National |
| In-hospital fall-associated fracture rate | 0.31 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.24 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | 1.65 | Same as National |
| Postoperative hemorrhage or hematoma rate | 2.24 | Same as National |
Patient Experience (HCAHPS)
Experience profile vs. the national average
Source: CMS Hospital Compare, HCAHPS patient survey star ratings.
| Survey Question | Star Rating |
|---|---|
| Cleanliness - linear mean score | N/A |
| Cleanliness - star rating | 3 |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | 2 |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | 3 |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | 4 |
| Nurse communication - linear mean score | N/A |
| Nurse communication - star rating | 2 |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | 3 |
| Quietness - linear mean score | N/A |
| Quietness - star rating | 4 |
| Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating | 4 |
| Summary star rating | 3 |
Safety & Infections
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | N/A | Not Available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | N/A | Not Available |
| Clostridium Difficile (C.Diff) | N/A | Not Available |
| MRSA Bacteremia | N/A | Not Available |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | N/A | Not Available |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | N/A | Not Available |
| Heart failure (HF) 30-Day Readmission Rate | N/A | Not Available |
| Hospital return days for heart attack patients | N/A | Not Available |
| Hospital return days for heart failure patients | N/A | Not Available |
| Hospital return days for pneumonia patients | N/A | Not Available |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.6 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | N/A | Not Available |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of readmission after hip/knee replacement | 4.2 | Same as National |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | N/A | Not Available |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | N/A | Not Available |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as National |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 1.03 (Above average) |
Maternal Health
CMS maternal-care measures reported for this facility. The Hospital Compare maternal extract lists measure names and reporting windows; it does not publish numeric scores or sample sizes in the corpus we ingest, so those columns are omitted rather than filled with N/A.
| Measure |
|---|
| Cesarean Birth |
| Maternal Morbidity Structural Measure |
| Risk Adjusted Severe Obstetric Complications (All) |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) |
Nationwide hospitals with similar CMS profiles
Peer sets for Baylor Medical Center at Trophy Club outside Texas, keyed to the elevated worse-than-national share.
Similar mortality outcomes
Nearest mortality measures rated better than national, outside TX (0 better here).
Nearby Hospitals in Texas
Other Medicare-certified hospitals in Texas.
One of 467 Medicare-certified hospitals in Texas, 6 are shown here.
Ad Hospital East, LLC
Houston, TX
No rating Acute Care Hospitals
Advanced Dallas Hospitals and Clinics
Dallas, TX
No rating Acute Care Hospitals
Adventhealth Central Texas
Killeen, TX
3/5
Acute Care Hospitals
Adventhealth Rollins Brook
Lampasas, TX
4/5
Critical Access Hospitals
Allegiance Behavioral Health Center of Plainview
Plainview, TX
No rating Psychiatric
Altus Houston Hospital, Lp
Houston, TX
No rating Acute Care Hospitals
Compare Baylor Medical Center at Trophy Club vs Ad Hospital East, LLC →
What to do with Baylor Medical Center at Trophy Club
Use this page's CMS-sourced figures as a starting filter, not a final verdict.
- See how every Texas hospital compares on star rating and the same quality measures. Texas hospitals
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Frequently Asked Questions
How does Baylor Medical Center at Trophy Club compare to other hospitals on CMS star rating?
Baylor Medical Center at Trophy Club has no CMS overall star rating, so it is excluded from the rated-hospital corpus placement (unrated).
What is the CMS star rating for Baylor Medical Center at Trophy Club?
Baylor Medical Center at Trophy Club does not currently have a CMS star rating, typically because reporting volumes fell below CMS's calculation threshold.
How does Baylor Medical Center at Trophy Club perform on quality measures?
1 of 6 compared measures rate worse than national at Baylor Medical Center at Trophy Club (elevated worse-share tercile); 0 rate better (sparse).
What do patients say about Baylor Medical Center at Trophy Club?
Baylor Medical Center at Trophy Club reports 17 HCAHPS patient-experience domain scores. Star ratings range from 2 to 4 out of 5.
What are the infection rates at Baylor Medical Center at Trophy Club?
Baylor Medical Center at Trophy Club tracks 6 healthcare-associated infection types (CDC NHSN). 0 are better than the national benchmark, 0 are worse, and 0 are at the national average.
Does Baylor Medical Center at Trophy Club have emergency services?
Yes, Baylor Medical Center at Trophy Club provides emergency services.
What type of hospital is Baylor Medical Center at Trophy Club?
Baylor Medical Center at Trophy Club is a Acute Care Hospitals facility with Proprietary ownership, located in Trophy Club, TX.
How much does Medicare spend at Baylor Medical Center at Trophy Club?
1 Medicare spending category is on file for Baylor Medical Center at Trophy Club, per episode vs. the national median.
Does Baylor Medical Center at Trophy Club offer maternal health services?
Yes, Baylor Medical Center at Trophy Club reports 4 maternal health measures.