United Regional Health Care System Inc

Doing business as United Regional Health Care System

Hospital in Wichita Falls, TX, Medicare certification number 450010. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 450010The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Nov 7, 1967
Last certification: Aug 22, 2012
Beds: 565
Overall star rating: 3 of 5Care Compare
Address: 1600 11TH Street
Wichita Falls, TX 76301
(940) 764-3055

NPI records for this facility (CCN to NPI Mapping) 1

United Regional Health Care System Inc

dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.71 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.67 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.07 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.96 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.28 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.32 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better5 of 5
- State average 3.82 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.69 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 461

Page 7 of 19Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Sven Markus Hochheimer, M.D.
- Neurological Surgery Physician
- Wichita Falls, TX
- NPI 1629089685
Jason Thomas Hoffman Jr., D.O.
- Adult Reconstructive Orthopaedic Surgery Physician
- Wichita Falls, TX
- NPI 1396193447
Jami Hogue, FNP-C
- Family Nurse Practitioner
- Wichita Falls, TX
- NPI 1043968886
Sylvia M Holtman, D.O.
- Neurology Physician
- Wichita Falls, TX
- NPI 1518543354
David Michael Hoodenpyle II, FNP-C, ACNP-BC
- Nurse Practitioner
- Wichita Falls, TX
- NPI 1740426030
John Gaston Horner, M.D.
- Family Medicine Physician
- Olney, TX
- NPI 1598997298
Eva Horvath, MD
- Family Medicine Physician
- Wichita Falls, TX
- NPI 1922072214
Cari Howard-Shaw, FNP B-C
- Family Nurse Practitioner
- Henrietta, TX
- NPI 1215532080
Larry Howard, PA
- Physician Assistant
- Seymour, TX
- NPI 1861605107
San Myat Htun
- Internal Medicine Physician
- Wichita Falls, TX
- NPI 1487216354
Yao J Huang, MD
- Family Medicine Physician
- Wichita Falls, TX
- NPI 1902875552
Matthew Gregory Hudkins, M.D.
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1356331136
Julia L Humphrey, MD
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1215078076
Ky Huynh, M.D.
- Anesthesiology Physician
- Wichita Falls, TX
- NPI 1023471539
Sulaiman Iftikhar, MD
- Neurology Physician
- Wichita Falls, TX
- NPI 1902238215
Amber Jackson, FNP-C
- Family Nurse Practitioner
- Wichita Falls, TX
- NPI 1346859378
Palashkumar Shaileshkumar Jaiswal, MD
- Gastroenterology Physician
- Wichita Falls, TX
- NPI 1184004301
Radhika Jaiswal
- Endocrinology, Diabetes & Metabolism Physician
- Wichita Falls, TX
- NPI 1093179079
John James, MD
- Diagnostic Radiology Physician
- Wichita Falls, TX
- NPI 1770787830
Timothy Ray Jeffries, CRNA
- Certified Registered Nurse Anesthetist
- Wichita Falls, TX
- NPI 1467263574
Kenneth James Jenkins Jr., PA-C
- Physician Assistant
- Wichita Falls, TX
- NPI 1982171914
Megan Paige Jenkins, PA-C
- Physician Assistant
- Wichita Falls, TX
- NPI 1326520271
Dhiresh Rohan Jeyarajah, M.D.
- Surgery Physician
- Richardson, TX
- NPI 1235186446
Mili Jhaveri
- Physician Assistant
- Richardson, TX
- NPI 1205621612
Jeremy Wayne Johnson, D.O.
- Family Medicine Physician
- Fort Worth, TX
- NPI 1457521874

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.01
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 1,319 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.34
- State average 0.97 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected184.72
- State average 166 (computed here)
- National average 173.3
- No different than the national rate
- 116 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected4.9
- State average 2.71 (computed here)
- National average 2.4
- No different than the national rate
- 85 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.6
- State average 8.7 (computed here)
- National average 8.6
- No different than the national rate
- 293 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.1
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 266 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.3
- State average 10.52 (computed here)
- National average 11.1
- No different than the national rate
- 646 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.2
- State average 14.69 (computed here)
- National average 15.2
- No different than the national rate
- 1,081 patients
- Period from 07/01/2022
Death rate for stroke patients Better8
- State average 12.01 (computed here)
- National average 11.9
- Better than the national rate
- 317 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.3
- State average 3.89 (computed here)
- National average 3.9
- No different than the national rate
- 3,192 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate Worse0.45
- State average 0.21 (computed here)
- National average 0.21
- Worse than the national rate
- 10,579 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 10,578 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.76
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 1,826 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.75
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 637 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected3.31
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 1,772 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected14.47
- State average 10.06 (computed here)
- National average 9.42
- No different than the national rate
- 640 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.41
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 617 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.56
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 404 patients
- Period from 07/01/2022
Pressure ulcer rate As expected1.14
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 8,154 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.3
- State average 4.14 (computed here)
- National average 4.1
- No different than the national rate
- 32 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.27
- State average 0.35
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0
- State average 0.48
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.1
- State average 0.24
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.27
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.59
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 7
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.5
- State average 6.86 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.18
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 98
- State average 92.48 (computed here)
- National average 92.79 (computed here)
- 264 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 69
- State average 68
- National average 65
- 625 patients
- Period from 10/01/2024
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 176
- State average 150
- National average 168
- 404 patients
- Period from 10/01/2024
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 172
- State average 145
- National average 162
- 390 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 93.64 (computed here)
- National average 96.1 (computed here)
- 301 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 94
- State average 92
- National average 93
- 16 patients
- Period from 01/01/2024
Head CT results 56
- State average 67
- National average 69
- 18 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 77
- State average 74
- National average 78
- 2,790 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 93.78 (computed here)
- National average 93.49 (computed here)
- 1,609 patients
- Period from 01/01/2024
Left before being seen 3
- State average 1
- National average 2
- 67,763 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 14
- National average 15
- 4,474 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 81
- State average 74
- National average 73
- 186 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 91
- State average 89
- National average 87
- 120 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 82
- State average 83
- National average 81
- 628 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 93
- National average 93
- 271 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (15)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.6
- State average 14.48 (computed here)
- National average 14.4
- No different than the national rate
- 326 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected23.9
- State average 21.26 (computed here)
- National average 21.3
- No different than the national rate
- 806 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 13.7
- State average 11.3 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 284 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -25.4
- State average -1.32 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 730 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -13.4
- State average 2.42 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 1,186 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate Worse21.5
- State average 17.32 (computed here)
- National average 17.3
- Worse than the national rate
- 1,310 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.2
- State average 5.29 (computed here)
- National average 5.4
- No different than the national rate
- 34 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.8
- State average 10.89 (computed here)
- National average 10.7
- No different than the national rate
- 34 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected13.2
- State average 11.35 (computed here)
- National average 11
- No different than the national rate
- 86 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.7
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 410 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.3
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 384 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 652 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1

Other hospitals in Wichita Falls, TX

Bethania Regional Health Care Center terminated
Kell West Regional Hospital terminated
North Texas State Hospital
Red River Hospital
Wichita Valley Rehabilitation Hospital terminated

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.