Citizens Medical Center County of Victoria

Doing business as Citizens Medical Center

Hospital in Victoria, TX, Medicare certification number 450023. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 450023The 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 - Other
Control type: Other
Participating since: Jul 1, 1966
Last certification: Nov 5, 2020
Beds: 265
Overall star rating: 3 of 5Care Compare
Address: 2701 Hospital Drive
Victoria, TX 77901
(361) 573-9181

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

Citizens Medical Center County of Victoria
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
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 Worse2 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 Better4 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 Worse3 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 312

Page 1 of 13Medicare Care Compare

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

Stephanie Abraham, NP
- Nurse Practitioner
- Victoria, TX
- NPI 1124689187
Ashraf Abusara, MD
- Interventional Cardiology Physician
- Victoria, TX
- NPI 1265745715
Robin E Adams, M.D.
- Pulmonary Disease Physician
- Victoria, TX
- NPI 1992815070
Ayo Adu, M.D.
- Sports Medicine (Family Medicine) Physician
- Victoria, TX
- NPI 1992966048
Shah Nawaz Afridi, M.D.
- Internal Medicine Physician
- Victoria, TX
- NPI 1912919952
Peter N Agomuo, M.D
- Diagnostic Radiology Physician
- Lafayette, LA
- NPI 1245236413
Amir R Ahmed, M.D.
- Gastroenterology Physician
- Columbia, SC
- NPI 1205824810
Yimage Ahmed, MD
- Emergency Medicine Physician
- Houston, TX
- NPI 1396368882
Roy John Aimone, MD
- Dermatology Physician
- Victoria, TX
- NPI 1407949613
Mathew Thomas Alexander, MD
- Neurological Surgery Physician
- Corpus Christi, TX
- NPI 1174505887
Wilson Arturo Almonte, M.D
- Interventional Pain Medicine Physician
- Victoria, TX
- NPI 1255566642
Mahmoud Amjad Alnsour, DO
- Emergency Medicine Physician
- Lawton, OK
- NPI 1467193003
Carrie L Anderson, FNP
- Family Nurse Practitioner
- Edna, TX
- NPI 1528253713
Saundra Rae Anderson, D.O.
- Family Medicine Physician
- Delta Junction, AK
- NPI 1861553067
Megan Beth Angerstein, FNP-C
- Family Nurse Practitioner
- Victoria, TX
- NPI 1538849625
Ross Edward Arnold, APRN, FNP
- Family Nurse Practitioner
- Victoria, TX
- NPI 1467218701
Desiree May Arrambide, PA-C
- Physician Assistant
- Victoria, TX
- NPI 1801035225
Sara Ashraf, M.D.
- Hematology & Oncology Physician
- Victoria, TX
- NPI 1689069163
Martha Avila-Adame, FNP-C
- Nurse Practitioner
- Edna, TX
- NPI 1184970816
Aidan Idrees Azher, M.D.
- Vascular Neurology Physician
- Houston, TX
- NPI 1649622846
Anish Badjatiya, MD
- Cardiovascular Disease Physician
- Sugar Land, TX
- NPI 1821520651
Jaya Bajaj
- Anatomic Pathology & Clinical Pathology Physician
- Glen Oaks, NY
- NPI 1578853495
Zachary Barber
- Family Nurse Practitioner
- Victoria, TX
- NPI 1366098915
Pamella Michelle Barrett, NP-C
- Family Nurse Practitioner
- Victoria, TX
- NPI 1033863733
Jeremiah E Bast, FNP-C
- Family Nurse Practitioner
- Victoria, TX
- NPI 1790270106

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.17
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 489 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.9
- State average 0.97 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected170.07
- State average 166 (computed here)
- National average 173.3
- No different than the national rate
- 27 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.5
- State average 2.71 (computed here)
- National average 2.4
- No different than the national rate
- 34 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.4
- State average 8.7 (computed here)
- National average 8.6
- No different than the national rate
- 87 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.4
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 137 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.1
- State average 10.52 (computed here)
- National average 11.1
- No different than the national rate
- 336 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected18.4
- State average 14.69 (computed here)
- National average 15.2
- No different than the national rate
- 279 patients
- Period from 07/01/2022
Death rate for stroke patients As expected16.6
- State average 12.01 (computed here)
- National average 11.9
- No different than the national rate
- 139 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
- 2,037 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.28
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 3,499 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.24
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 3,521 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.92
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 705 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.58
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 196 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.99
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 683 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.06
- State average 10.06 (computed here)
- National average 9.42
- No different than the national rate
- 205 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.36
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 177 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 162 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.64
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 2,578 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.16
- 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) Better0.5
- State average 0.24
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.87
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0
- 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 13.3
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.1
- 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) 1.22
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 95
- State average 92.48 (computed here)
- National average 92.79 (computed here)
- 78 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 56
- State average 68
- National average 65
- 95 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 212
- State average 150
- National average 168
- 378 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 504
- State average 260
- National average 287
- 12 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 200
- State average 145
- National average 162
- 352 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 322
- State average 233
- National average 257
- 14 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 92
- National average 93
- 380 patients
- Period from 01/01/2024
Head CT results 90
- State average 67
- National average 69
- 20 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 67
- State average 74
- National average 78
- 1,741 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 9
- State average 6.38 (computed here)
- National average 8.08 (computed here)
- 12,324 patients
- Period from 01/01/2024
Left before being seen 3
- State average 1
- National average 2
- 39,579 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 18
- State average 14
- National average 15
- 1,740 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 71
- State average 74
- National average 73
- 35 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 88
- State average 89
- National average 87
- 25 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 72
- State average 83
- National average 81
- 95 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 93
- National average 93
- 49 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 88
- State average 78.56 (computed here)
- National average 82.23 (computed here)
- 4,445 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — medium
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 Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14
- State average 14.48 (computed here)
- National average 14.4
- No different than the national rate
- 225 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.2
- State average 21.26 (computed here)
- National average 21.3
- No different than the national rate
- 592 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 13.3
- State average 11.3 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 150 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 16.3
- State average -1.32 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 424 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 2.5
- State average 2.42 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 301 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.7
- State average 17.32 (computed here)
- National average 17.3
- No different than the national rate
- 428 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.3
- State average 5.29 (computed here)
- National average 5.4
- No different than the national rate
- 96 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.9
- State average 10.89 (computed here)
- National average 10.7
- No different than the national rate
- 96 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected11.2
- State average 11.35 (computed here)
- National average 11
- No different than the national rate
- 36 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.9
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 173 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.9
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 1,353 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 371 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 Victoria, TX

De Tar Hospital Navarro
Detar Hospital North terminated
Pam Specialty Hospital of Victoria South 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.