Cornerstone Hospital Conroe

CCN

452107The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Hospital – Long-term

Ownership

For profit

Control type

Private (for profit)

Participating since

Nov 13, 2007

Last certification

May 23, 2024

Beds

41

Most recent change of ownership

Jun 1, 2015 (1 total)

Address

1500 Grand Lake Drive
Conroe, TX 77304
(936) 523-1800

• CHG Hospital Conroe, LLC

  • Long Term Care Hospital
  • Conroe, TX
  • NPI 1073901476
  Medicare enrollment

• Catheter-associated urinary tract infections (CAUTI) 0.48
  • State average 0.7 (computed here)
  • National average 0.73
  • Period from 07/01/2024
• Central line-associated bloodstream infections (CLABSI) 0.68
  • State average 0.55 (computed here)
  • National average 0.7
  • Period from 07/01/2024
• Change in ability to move around for patients admitted on a ventilator (adjusted) 11.11
  • State average 7.64 (computed here)
  • National average 6.94 (computed here)
  • Period from 10/01/2023
• Change in ability to move around for patients admitted on a ventilator (observed) 11.12
  • State average 7.86 (computed here)
  • National average 7.26 (computed here)
  • Period from 10/01/2023
• Clostridium difficile infection (CDI) 0
  • State average 0.24 (computed here)
  • National average 0.25
  • Period from 07/01/2024
• Health care personnel up to date with their COVID-19 vaccines (observed) 0
  • State average 5.11 (computed here)
  • National average 5.2
  • Period from 07/01/2025
• Health care personnel who got a flu shot for the current season (observed) 53.78
  • State average 70.37 (computed here)
  • National average 69.4
  • Period from 10/01/2024
• Medicare spending per beneficiary 0.99
  • State average 1.02 (computed here)
  • National average 1
  • Period from 10/01/2022
• Patients at or above an expected ability to care for themselves and move around at discharge (observed) 66.22
  • State average 49.52 (computed here)
  • National average 49.05
  • Period from 10/01/2024
• Patients given a current medication list at final discharge (observed) 86.54
  • State average 86.72 (computed here)
  • National average 88.61
  • Period from 10/01/2024
• Patients on ventilators assessed for readiness to breathe without one (component 1) 95.4
  • State average 96.13 (computed here)
  • National average 95.77
  • Period from 10/01/2024
• Patients on ventilators assessed for readiness to breathe without one (component 2) 98.57
  • State average 98.85 (computed here)
  • National average 97.49
  • Period from 10/01/2024
• Patients successfully weaned from the ventilator during their stay (adjusted) 60.17
  • State average 59.37 (computed here)
  • National average 60.04 (computed here)
  • Period from 10/01/2024
• Patients successfully weaned from the ventilator during their stay (observed) 54.02
  • State average 54.18 (computed here)
  • National average 54.66
  • Period from 10/01/2024
• Patients up to date with their COVID-19 vaccines (observed) 12.37
  • State average 19.7 (computed here)
  • National average 12.29
  • Period from 07/01/2025
• Patients who experience one or more falls with major injury during their stay (observed) 0
  • State average 0.1 (computed here)
  • National average 0.1
  • Period from 10/01/2024
• Patients whose current medication list was passed to the next health care setting (observed) 74
  • State average 93.43 (computed here)
  • National average 83.85
  • Period from 10/01/2024
• Patients whose medications were reviewed, with follow-up when issues were identified (observed) 98.03
  • State average 98.4 (computed here)
  • National average 95.55
  • Period from 10/01/2024
• Patients with pressure ulcers or injuries that are new or worsened (adjusted) 3.85
  • State average 2.58 (computed here)
  • National average 2.59 (computed here)
  • Period from 10/01/2024
• Patients with pressure ulcers or injuries that are new or worsened (observed) 4.27
  • State average 2.47 (computed here)
  • National average 2.38
  • Period from 10/01/2024
• Potentially preventable hospital readmissions 30 days after discharge (observed) 18.59
  • State average 20.28 (computed here)
  • National average 21.26
  • Period from 10/01/2022
• Potentially preventable hospital readmissions 30 days after discharge (risk-standardized) 20.29
  • State average 21.2 (computed here)
  • National average 21.33 (computed here)
  • Period from 10/01/2022
• Successful return to home or community (observed) 21.8
  • State average 18.54 (computed here)
  • National average 17.01
  • Period from 10/01/2022
• Successful return to home or community (risk-standardized) 21.37
  • State average 16.7 (computed here)
  • National average 17.49 (computed here)
  • Period from 10/01/2022

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

• Rizwan Ali, M.D

  • Internal Medicine Physician
  • Kingwood, TX
  • NPI 1588005276
• Damian Victorio Chaupin, MD

  • Vascular Surgery Physician
  • Houston, TX
  • NPI 1366466914
• Feroze Abid Hussain, MD

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1972702892
• Tricia Punsalan, M.D.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1003020504
• Michael James Walls, M.D.

  • Specialist
  • Conroe, TX
  • NPI 1679579791

• 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.