The Community Hospital of Brazosport
Doing business as CHI St Luke's Health Brazosport
Hospital in Lake Jackson, TX, Medicare certification number 450072. CMS publishes 56 quality measures for it.
Medicare certification
Provider of Services- CCN
- 450072
- 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
- Jul 1, 1966
- Last certification
- Mar 13, 2025
- Beds
- 165
- Overall star rating
- Address
- 100 Medical Drive
Lake Jackson, TX 77566
(979) 297-4411
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Brazosport Memorial Hospital &Brazosport Regional Health System
- General Acute Care Hospital
- Lake Jackson, TX
- NPI 1972581940
Medicare enrollment
Units certified under this facility 1
Provider of ServicesParts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.
Patient survey (HCAHPS) 9
Medicare Care Compare-
Cleanliness - star rating Better4
-
Communication about medicines - star rating Better3
-
Discharge information - star rating Worse3
-
Doctor communication - star rating Better4
-
Nurse communication - star rating Better4
-
Overall hospital rating - star rating Worse3
-
Quietness - star rating Worse3
-
Recommend hospital - star rating Worse3
-
Summary star rating Worse3
Affiliated providers 158
Medicare Care CompareClinicians who list this facility as a hospital or facility affiliation in Care Compare.
-
Emran Abdul Abu Atherah, M.D
- Pulmonary Disease Physician
- Webster, TX
- NPI 1356570220
-
Muhammed Ashar Zaheer Afaq, MD
- Hospitalist Physician
- Sugar Land, TX
- NPI 1841751948
-
Sanjay K Aggarwal, MD
- Pulmonary Disease Physician
- Lake Jackson, TX
- NPI 1801878608
-
Fabio G Aglieco, DO
- Nephrology Physician
- West Columbia, TX
- NPI 1801031992
-
Mahboob Alam, M.D.
- Interventional Cardiology Physician
- Houston, TX
- NPI 1831342641
-
Omar Mahmoud Albustami, MD
- Pulmonary Disease Physician
- Greensboro, NC
- NPI 1205846334
-
Nehme Alkarra, MD
- Internal Medicine Physician
- Dickinson, TX
- NPI 1386636025
-
Demah Alobaidi, MD
- Internal Medicine Physician
- Poway, CA
- NPI 1134787153
-
Manaf A Alroumoh, M.D.
- Nephrology Physician
- Houston, TX
- NPI 1548350614
-
Haider Salam Alwash, M.D.
- Interventional Cardiology Physician
- Galveston, TX
- NPI 1154685279
-
Alkesh C Amin, MD
- Internal Medicine Physician
- Lake Jackson, TX
- NPI 1215977145
-
Naveed Shahid Anwar, M.D.
- Nephrology Physician
- Abilene, TX
- NPI 1497061931
-
Constantin Arghiropol-Grigorescu, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1114280120
-
Basant Arya, M.D
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1851465926
-
Omar Ashour, M.D.
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1588005748
-
Austin Atkins, PA-C
- Medical Physician Assistant
- Lake Jackson, TX
- NPI 1477003812
-
Lee Attema, FNP/ENP
- Family Nurse Practitioner
- Dickinson, TX
- NPI 1861052383
-
Divyang C Ayar, MD
- Vascular & Interventional Radiology Physician
- Pearland, TX
- NPI 1215922786
-
Mustanser Mahmood Badar, MD, MPH, RPVI
- Interventional Cardiology Physician
- Albany, NY
- NPI 1932462140
-
Joseph Arnold Baidoo, MD
- Internal Medicine Physician
- Webster, TX
- NPI 1164798534
-
Elzbieta Janina Baranowska-Daca, MD
- Nephrology Physician
- Houston, TX
- NPI 1154348142
-
Lyndon F Barnwell, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Lake Jackson, TX
- NPI 1205827516
-
Lawrence Owen Baum III, M.D.
- Urology Physician
- Houston, TX
- NPI 1336375484
-
Cecilia Nicole Bell, FNP
- Family Nurse Practitioner
- Lake Jackson, TX
- NPI 1386423903
-
Avnee Bhakta
- Family Nurse Practitioner
- Lake Jackson, TX
- NPI 1912552787
Complications and deaths 14
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected1.02
-
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.91
-
Death rate for COPD patients As expected8.5
-
Death rate for heart attack patients As expected10.6
-
Death rate for heart failure patients As expected11.5
-
Death rate for pneumonia patients As expected14.1
-
Death rate for stroke patients As expected16.2
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4
-
Iatrogenic pneumothorax rate As expected0.2
-
In-hospital fall-associated fracture rate As expected0.3
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.24
-
Postoperative hemorrhage or hematoma rate As expected2.24
-
Postoperative wound dehiscence rate As expected1.73
-
Pressure ulcer rate As expected0.38
Measures CMS does not publish for this facility (6)
Infections 3
Medicare Care Compare-
Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
-
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.92
-
Clostridium Difficile (C.Diff) As expected0.59
Measures CMS does not publish for this facility (3)
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 9.8
-
Breast Cancer Screening Recall Rates 11.3
Spending per patient 1
Medicare Care Compare-
Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.04
Timely and effective care 17
Medicare Care Compare-
Antithrombotic Therapy by End of Hospital Day 2 79
-
Appropriate care for severe sepsis and septic shock 71
-
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 156
-
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 266
-
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 152
-
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 221
-
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 87
-
Head CT results 77
-
Healthcare workers given influenza vaccination 72
-
Hospital Harm - Severe Hypoglycemia 0
-
Intensive Care Unit Venous Thromboembolism Prophylaxis 70
-
Left before being seen 1
-
Safe Use of Opioids - Concurrent Prescribing 5
-
Septic Shock 3-Hour Bundle 76
-
Septic Shock 6-Hour Bundle 79
-
Severe Sepsis 3-Hour Bundle 92
-
Severe Sepsis 6-Hour Bundle 84
Measures CMS does not publish for this facility (13)
Unplanned visits 10
Medicare Care Compare-
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.1
-
Heart failure (HF) 30-Day Readmission Rate As expected23
-
Hospital return days for heart failure patients -11
-
Hospital return days for pneumonia patients 14.5
-
Pneumonia (PN) 30-Day Readmission Rate As expected17.3
-
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.7
-
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.1
-
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.8
-
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.1
-
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
Measures CMS does not publish for this facility (4)
Other hospitals near Lake Jackson, TX
No other hospitals are listed in Lake Jackson, TX; these share its ZIP code area (775xx).
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.