Acute Care Hospital

Baylor Scott & White The Heart Hospital - Denton

2801 South Mayhill Road, Denton, TX 76208
24/7 Emergency Services
5 out of 5 Stars Why 5 stars? Baylor Scott & White The Heart Hospital - Denton's 5-star rating reflects above-average performance on Patient Experience and Timely Care.

CMS Overall Hospital Quality Star Rating · Baylor Scott & White The Heart Hospital - Denton

How was Baylor Scott & White The Heart Hospital - Denton's 5-star rating calculated?

The CMS Overall Hospital Quality Star Rating applies to acute care hospitals like Baylor Scott & White The Heart Hospital - Denton. CMS standardizes every underlying measure against the national rate, computes a weighted score for each of five domains, sums them by the fixed weights below, and assigns 1–5 stars using k-means clustering across all reporting hospitals.

Domains that fed Baylor Scott & White The Heart Hospital - Denton's rating
Domain Weight Measures reported Hospital performance vs. national
Mortality 22% 4 of 7 0 better 4 same 0 worse
Safety of Care 22% 9 of 19 0 better 9 same 0 worse
Readmissions 22% 3 of 6 1 better 2 same 0 worse
Timely & Effective Care 12% 11 of 22 6 better 4 same 1 worse
Patient Experience 22% HCAHPS See HCAHPS detail below

How star meaning varies by hospital type. This CMS Overall Star Rating only applies to acute care hospitals. Children's hospitals (Pediatric Quality), psychiatric hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP), long-term acute care hospitals (LTACH QRP), and VA medical centers each use separate quality programs designed for their patient populations. Comparing star ratings across these facility types isn't meaningful — see the methodology page for the full mapping of which program applies to which facility.

How CareRanks computes ratings → · CMS official methodology ↗

Quality measures

Mortality

Same as National Average

Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.

Underlying measures: Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate No Different Than the National Rate Hospital score: 3.60 95% interval: 2.30 – 5.30 Sample size: 316 Reporting period: 07/01/2023 – 06/30/2024 CMS measure id: Hybrid_HWM Death rate for CABG surgery patients No Different Than the National Rate Hospital score: 1.90 95% interval: 1.00 – 3.50 Sample size: 303 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_CABG Death rate for heart attack patients No Different Than the National Rate Hospital score: 11.90 95% interval: 8.50 – 16.30 Sample size: 64 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_AMI Death rate for heart failure patients No Different Than the National Rate Hospital score: 9.50 95% interval: 6.30 – 14.00 Sample size: 98 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_HF Death rate for COPD patients Number of Cases Too Small Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_COPD Death rate for pneumonia patients Number of Cases Too Small Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_PN Death rate for stroke patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_STK

Safety of Care

Same as National Average

Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.

Underlying measures: Iatrogenic pneumothorax rate No Different Than the National Rate Hospital score: 0.18 95% interval: 0.00 – 0.41 Sample size: 670 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_06 In-hospital fall-associated fracture rate No Different Than the National Rate Hospital score: 0.26 95% interval: 0.05 – 0.47 Sample size: 1,047 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_08 Postoperative hemorrhage or hematoma rate No Different Than the National Rate Hospital score: 2.00 95% interval: 0.39 – 3.61 Sample size: 358 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_09 Perioperative pulmonary embolism or deep vein thrombosis rate No Different Than the National Rate Hospital score: 3.53 95% interval: 1.05 – 6.01 Sample size: 517 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_12 Postoperative acute kidney injury requiring dialysis rate No Different Than the National Rate Hospital score: 1.21 95% interval: 0.00 – 2.68 Sample size: 280 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_10 Postoperative respiratory failure rate No Different Than the National Rate Hospital score: 4.60 95% interval: 0.00 – 10.81 Sample size: 293 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_11 Postoperative sepsis rate No Different Than the National Rate Hospital score: 4.29 95% interval: 0.36 – 8.22 Sample size: 294 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_13 Pressure ulcer rate No Different Than the National Rate Hospital score: 1.00 95% interval: 0.00 – 2.15 Sample size: 680 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_03 CMS Medicare PSI 90: Patient safety and adverse events composite No Different Than the National Value Hospital score: 0.92 95% interval: 0.50 – 1.34 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_90 Abdominopelvic accidental puncture or laceration rate Number of Cases Too Small Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_15 Clostridium Difficile (C.Diff) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_6_SIR Catheter Associated Urinary Tract Infections (ICU + select Wards) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_2_SIR Central Line Associated Bloodstream Infection (ICU + select Wards) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_1_SIR Rate of complications for hip/knee replacement patients Not Available Hospital score: — Reporting period: 04/01/2021 – 03/31/2024 CMS measure id: COMP_HIP_KNEE MRSA Bacteremia Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_5_SIR SSI - Abdominal Hysterectomy Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_4_SIR SSI - Colon Surgery Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_3_SIR Death rate among surgical inpatients with serious treatable complications Number of Cases Too Small Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_04 Postoperative wound dehiscence rate Number of Cases Too Small Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_14

Readmissions

Same as National Average

Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.

Underlying measures: 30-day Readmission, Bypass Surgery Better than expected Hospital score: 0.86 Sample size: 299 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-CABG-HRRP 30-day Readmission, Heart Attack As expected Hospital score: 1.02 Sample size: 120 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-AMI-HRRP 30-day Readmission, Heart Failure As expected Hospital score: 1.04 Sample size: 111 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HF-HRRP 30-day Readmission, COPD Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-COPD-HRRP 30-day Readmission, Hip/Knee Replacement Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HIP-KNEE-HRRP 30-day Readmission, Pneumonia Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-PN-HRRP

Patient Experience

Better than National Average

Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.

Patient survey detail — the questions feeding the Patient Experience domain above expand ↓

CMS computes the Patient Experience domain from the federal HCAHPS survey. Each bar below is one survey question; the percentage is the share of Baylor's recent patients who gave the most positive response. HCAHPS percentages aren't directly comparable across all measures — see the methodology page for how CMS weights them.

  • Communication with Nurses 86%
  • Communication with Doctors 84%
  • Hospital Cleanliness 83%
  • Hospital Quietness 73%
  • Staff Responsiveness N/A
  • Discharge Information 92%
  • Overall Hospital Rating (9 or 10) 88%
  • Would Recommend Hospital 86%

Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.

Timely & Effective Care

Better than National Average

Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.

Underlying measures: 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 Better than ~75% of hospitals Hospital score: 122.00 min National median: 154.00 min (lower is better) Sample size: 276 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18a Intensive Care Unit Venous Thromboembolism Prophylaxis Better than ~75% of hospitals Hospital score: 99.00 % National median: 97.00 % (higher is better) Sample size: 781 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: VTE_2 Left before being seen Better than ~75% of hospitals Hospital score: 0.00 % National median: 1.00 % (lower is better) Sample size: 2,505 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_22 Severe Sepsis 3-Hour Bundle Better than ~75% of hospitals Hospital score: 94.00 % National median: 81.00 % (higher is better) Sample size: 18 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_3HR Severe Sepsis 6-Hour Bundle Better than ~75% of hospitals Hospital score: 100.00 % National median: 94.00 % (higher is better) Sample size: 14 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_6HR Healthcare workers given influenza vaccination Better than ~75% of hospitals Hospital score: 92.00 % National median: 79.00 % (higher is better) Sample size: 1,283 Reporting period: 10/01/2024 – 03/31/2025 CMS measure id: IMM_3 Safe Use of Opioids - Concurrent Prescribing Near the national median Hospital score: 13.00 % National median: 15.00 % (lower is better) Sample size: 462 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: SAFE_USE_OF_OPIOIDS 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 Near the national median Hospital score: 120.00 min National median: 148.00 min (lower is better) Sample size: 254 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18b Appropriate care for severe sepsis and septic shock Near the national median Hospital score: 67.00 % National median: 64.00 % (higher is better) Sample size: 18 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_1 Venous Thromboembolism Prophylaxis Near the national median Hospital score: 79.00 % National median: 90.00 % (higher is better) Sample size: 787 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: VTE_1 Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better Worse than ~75% of hospitals Hospital score: 393.00 min National median: 294.00 min (lower is better) Sample size: 21 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18d

Clinical Staff

Baylor Scott & White The Heart Hospital - Denton has 144 CMS-affiliated clinicians on its roster — physicians, advanced practice providers, and other Medicare-enrolled professionals who list this hospital as an affiliated facility.

Top specialties

  • Cardiovascular Disease (Cardiology) 32
  • Anesthesiology 23
  • Nurse Practitioner 16
  • Interventional Cardiology 8
  • Pulmonary Disease 8
  • Diagnostic Radiology 7
  • Family Practice 7
  • Physician Assistant 6

Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.

Practice characteristics

Accept Medicare assignment
143 (99%)

Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.

Offer telehealth
55 (38%)

Indicated by the clinician in their CMS profile as routinely providing virtual visits.

Medicare quality scoring (MIPS)

49 of these clinicians have a published Merit-based Incentive Payment System (MIPS) final score. Of those, 26 (53%) score above the national median of 85.5.

MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores are not a reliable consumer signal. We surface roster-level coverage and the share above the national median instead.

Source: CMS Doctors and Clinicians (Care Compare) national downloadable file and MIPS Performance Year final scores, as of 2026-05-27. Affiliations from the CMS Facility Affiliations dataset. About 16% of small facilities (critical access, rural emergency, freestanding psych, IRF/LTCH) do not appear in the affiliations file and therefore have no panel.

Find a Doctor

Search the 144 clinicians affiliated with Baylor Scott & White The Heart Hospital - Denton. Each name links to that clinician's official Medicare Care Compare profile, where you can see their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.

Showing 30 of 144 clinicians (alphabetical)

Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27. A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS profile, not that they exclusively work here.

Pricing & Costs

This hospital participates in price transparency under the federal Hospital Price Transparency Rule. View 764 published procedures — gross charges, cash prices, and per-payer negotiated rates where available.

View full pricing →

Facility Information

Facility type
Acute Care Hospitals
Ownership
Physician
Emergency services
Yes — 24/7

Nearby Hospitals

About this data

Quality and ratings data are sourced from the U.S. Centers for Medicare & Medicaid Services (CMS) Hospital Compare program. Star ratings are CMS's own calculation; CareRanks does not modify or re-weight them. Facility-level details (address, beds, ownership, teaching status) come from CMS provider files and the CMS Provider of Services file.

Pricing data, where shown, is drawn from the hospital's own Machine-Readable File (MRF) published under the federal Hospital Price Transparency Rule. See our methodology for the full update cadence and limitations.

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