Fort Duncan Medical Center
Hospital in Eagle Pass, TX, Medicare certification number 450092. CMS publishes 46 quality measures for it.
Medicare certification
Provider of Services- CCN
- 450092
- Status
- Active
- Provider type
- Hospital – Short-term
- Listed by Care Compare as
- Acute Care Hospitals
- Ownership
- Proprietary
- Control type
- Private (for profit)
- Participating since
- Jul 1, 1966
- Last certification
- Jun 6, 2024
- Beds
- 101
- Overall star rating
- Most recent change of ownership
- Sep 15, 2000 (1 total)
- Address
- 3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
(830) 773-5321
NPI records for this facility 1
-
- General Acute Care Hospital
- Eagle Pass, TX
- NPI 1770579591
Medicare enrollment
Patient survey (HCAHPS) 9
Medicare Care Compare-
Cleanliness - star rating Better4
-
Communication about medicines - star rating Better3
-
Discharge information - star rating Worse2
-
Doctor communication - star rating Better4
-
Nurse communication - star rating Worse2
-
Overall hospital rating - star rating Worse2
-
Quietness - star rating Better4
-
Recommend hospital - star rating Worse2
-
Summary star rating Worse3
Complications and deaths 11
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected1.02
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CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.89
-
Death rate for heart failure patients As expected11
-
Death rate for pneumonia patients As expected17.8
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.7
-
Iatrogenic pneumothorax rate As expected0.2
-
In-hospital fall-associated fracture rate As expected0.26
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.32
-
Postoperative hemorrhage or hematoma rate As expected2.28
-
Postoperative wound dehiscence rate As expected1.75
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Pressure ulcer rate As expected0.43
Measures CMS does not publish for this facility (9)
Infections 3
Medicare Care Compare-
Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
-
Clostridium Difficile (C.Diff) Better0
-
SSI - Colon Surgery As expected0
Measures CMS does not publish for this facility (3)
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 1.5
-
Breast Cancer Screening Recall Rates 2
Spending per patient 1
Medicare Care Compare-
Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.2
Timely and effective care 14
Medicare Care Compare-
Appropriate care for severe sepsis and septic shock 44
-
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 180
-
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 418
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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 177
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Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
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Head CT results 75
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Healthcare workers given influenza vaccination 88
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Hospital Harm - Opioid Related Adverse Events 0
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Hospital Harm - Severe Hypoglycemia 2
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Left before being seen 0
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Safe Use of Opioids - Concurrent Prescribing 15
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Septic Shock 3-Hour Bundle 38
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Severe Sepsis 3-Hour Bundle 71
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Severe Sepsis 6-Hour Bundle 79
Measures CMS does not publish for this facility (16)
Unplanned visits 6
Medicare Care Compare-
Heart failure (HF) 30-Day Readmission Rate As expected22.5
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Hospital return days for heart failure patients 74.9
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Hospital return days for pneumonia patients 0.3
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Pneumonia (PN) 30-Day Readmission Rate As expected15.9
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Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.7
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Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.4
Measures CMS does not publish for this facility (8)
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.
- NPPES NPI Registry: the NPI records connected to this certification.