★☆☆☆☆1 out of 5 StarsWhy 1 stars?Midland Memorial Hospital's 1-star rating reflects below-average performance on Mortality, Readmissions, and Timely Care.
CMS Overall Hospital Quality Star Rating · Midland Memorial Hospital
How was Midland Memorial Hospital's 1-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Midland Memorial Hospital. 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 Midland Memorial Hospital's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
7 of 7
0 better3 same4 worse
Safety of Care
22%
17 of 19
1 better15 same1 worse
Readmissions
22%
5 of 6
0 better3 same2 worse
Timely & Effective Care
12%
17 of 22
1 better10 same6 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.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Midland Memorial Hospital
WorseUS AvgBetter
Underlying measures:Death rate for COPD patientsNo Different Than the National RateHospital score: 10.20 95% interval: 6.70 – 15.20 Sample size: 93Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart failure patientsNo Different Than the National RateHospital score: 15.40 95% interval: 11.50 – 19.70 Sample size: 245Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for stroke patientsNo Different Than the National RateHospital score: 14.20 95% interval: 10.00 – 19.00 Sample size: 130Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKHybrid Hospital-Wide All-Cause Risk Standardized Mortality RateWorse Than the National RateHospital score: 5.10 95% interval: 4.30 – 5.90 Sample size: 990Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for CABG surgery patientsWorse Than the National RateHospital score: 5.90 95% interval: 2.80 – 11.80 Sample size: 51Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for heart attack patientsWorse Than the National RateHospital score: 16.70 95% interval: 12.70 – 21.60 Sample size: 131Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for pneumonia patientsWorse Than the National RateHospital score: 21.90 95% interval: 18.40 – 26.00 Sample size: 368Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PN
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Midland Memorial Hospital
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.21 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.15 95% interval: 0.14 – 2.16 Sample size: 658Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Catheter Associated Urinary Tract Infections (ICU + select Wards)No Different than National BenchmarkHospital score: 0.58 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)No Different than National BenchmarkHospital score: 1.03 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.17 95% interval: 0.00 – 0.38 Sample size: 4,114Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06In-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.27 95% interval: 0.07 – 0.48 Sample size: 4,161Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08MRSA BacteremiaNo Different than National BenchmarkHospital score: 0.49 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRPostoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 1.88 95% interval: 0.32 – 3.44 Sample size: 884Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 2.86 95% interval: 0.63 – 5.09 Sample size: 915Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.48 95% interval: 0.00 – 3.11 Sample size: 279Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative sepsis rateNo Different Than the National RateHospital score: 5.86 95% interval: 1.92 – 9.79 Sample size: 274Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.21 95% interval: 0.00 – 0.99 Sample size: 3,639Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 1.12 95% interval: 0.77 – 1.48 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 2.20 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 162.17 95% interval: 103.62 – 220.71 Sample size: 49Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.64 95% interval: 0.16 – 3.11 Sample size: 196Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Postoperative respiratory failure rateWorse Than the National RateHospital score: 19.73 95% interval: 12.25 – 27.20 Sample size: 302Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Rate of complications for hip/knee replacement patientsNumber of Cases Too SmallHospital score: — Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEESSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIR
Readmissions
Below National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Midland Memorial Hospital
WorseUS AvgBetter
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
Midland'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 Nurses73%
Communication with Doctors74%
Hospital Cleanliness67%
Hospital Quietness57%
Staff ResponsivenessN/A
Discharge Information86%
Overall Hospital Rating (9 or 10)63%
Would Recommend Hospital66%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Below National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Midland Memorial Hospital
WorseUS AvgBetter
Underlying measures:Safe Use of Opioids - Concurrent PrescribingBetter than ~75% of hospitalsHospital score: 9.00 % National median: 15.00 % (lower is better)
Sample size: 2,416Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAntithrombotic Therapy by End of Hospital Day 2Near the national medianHospital score: 95.00 % National median: 94.00 % (higher is better)
Sample size: 121Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_05Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsNear the national medianHospital score: 96.00 % National median: 97.00 % (higher is better)
Sample size: 48Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 256.00 min National median: 248.00 min (lower is better)
Sample size: 16Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cHead CT resultsNear the national medianHospital score: 75.00 % National median: 74.00 % (higher is better)
Sample size: 12Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Appropriate care for severe sepsis and septic shockNear the national medianHospital score: 66.00 % National median: 64.00 % (higher is better)
Sample size: 770Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleNear the national medianHospital score: 65.00 % National median: 72.00 % (higher is better)
Sample size: 255Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSeptic Shock 6-Hour BundleNear the national medianHospital score: 89.00 % National median: 89.00 % (higher is better)
Sample size: 138Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRSevere Sepsis 3-Hour BundleNear the national medianHospital score: 84.00 % National median: 81.00 % (higher is better)
Sample size: 770Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleNear the national medianHospital score: 93.00 % National median: 94.00 % (higher is better)
Sample size: 462Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRST-Segment Elevation Myocardial Infarction (STEMI)Near the national medianHospital score: 57.00 min National median: 53.00 min (lower is better)
Sample size: 28Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_40Average (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 betterWorse than ~75% of hospitalsHospital score: 193.00 min National median: 148.00 min (lower is better)
Sample size: 419Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterWorse than ~75% of hospitalsHospital score: 195.00 min National median: 154.00 min (lower is better)
Sample size: 437Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aIntensive Care Unit Venous Thromboembolism ProphylaxisWorse than ~75% of hospitalsHospital score: 65.00 % National median: 97.00 % (higher is better)
Sample size: 1,374Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Left before being seenWorse than ~75% of hospitalsHospital score: 4.00 % National median: 1.00 % (lower is better)
Sample size: 72,122Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Healthcare workers given influenza vaccinationWorse than ~75% of hospitalsHospital score: 58.00 % National median: 79.00 % (higher is better)
Sample size: 3,008Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Venous Thromboembolism ProphylaxisWorse than ~75% of hospitalsHospital score: 58.00 % National median: 90.00 % (higher is better)
Sample size: 5,376Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1
Clinical Staff
Midland Memorial Hospital has 373 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
Nurse Practitioner57
Internal Medicine41
Certified Registered Nurse Anesthetist (Crna)36
Family Practice30
Physician Assistant29
Emergency Medicine25
Diagnostic Radiology18
Obstetrics/Gynecology14
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
363(97%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
65(17%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
177 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 68
(38%) 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 373 clinicians affiliated with Midland Memorial Hospital.
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.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
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 581 published procedures
— gross charges, cash prices, and per-payer negotiated rates where available.
Across this hospital's priced procedures:
vs. TX median+40%runs 40% above the state median
vs. national median+39%runs 39% above the national median
Median percent difference across the 581 DRGs
where this hospital has a comparable published price and the comparison cohort
has enough hospitals to compute a stable median.
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.