Hospital

HCA HOUSTON HEALTHCARE CONROE

CCN: 450222 · CONROE, TX 77304 · MONTGOMERY County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
504 MEDICAL CENTER BLVD, CONROE, TX 77304
Phone
(936) 539-1111
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
★★★★★
CMS Overall Rating
p7
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
2
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 9 of 11 measures reported
7
2
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 9 of 12 measures reported
9 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 117 discharges
1.1348 p97
Heart Failure 248 discharges
1.0241 p66
Pneumonia 254 discharges
1.1161 p94
COPD 96 discharges
1.0159 p65
Hip/Knee Replacement
— Not reported
CABG Surgery
1.0178 p56
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

22.3 p24
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
8.5 p74
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
10.0 p47
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
3.8 p9
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.1348
Value-Based Purchasing
22.3 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.5000

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE — Number of Cases Too Small —
Hybrid_HWM 4.30 No Different Than the National Rate 901
MORT_30_AMI 12.30 No Different Than the National Rate 120
MORT_30_CABG 2.50 No Different Than the National Rate 44
MORT_30_COPD 10.60 No Different Than the National Rate 92
MORT_30_HF 8.80 No Different Than the National Rate 206
MORT_30_PN 16.10 No Different Than the National Rate 230
MORT_30_STK 13.70 No Different Than the National Rate 97
PSI_03 0.23 No Different Than the National Rate 3,203
PSI_04 144.56 No Different Than the National Rate 44
PSI_06 0.17 No Different Than the National Rate 4,050
PSI_08 0.24 No Different Than the National Rate 4,025
PSI_09 1.91 No Different Than the National Rate 791
PSI_10 1.60 No Different Than the National Rate 177
PSI_11 25.00 Worse Than the National Rate 191
PSI_12 3.41 No Different Than the National Rate 790
PSI_13 4.73 No Different Than the National Rate 176
PSI_14 1.68 No Different Than the National Rate 146
PSI_15 0.94 No Different Than the National Rate 412
PSI_90 1.24 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 73% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6% —
H_COMP_1_U_P: Nurses "usually" communicated well 21% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 81% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 15% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 68% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 24% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 69% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23% —
H_COMP_2_A_P: Doctors "always" communicated well 69% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 10% —
H_COMP_2_U_P: Doctors "usually" communicated well 21% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 1
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 77% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 8% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 15% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 65% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 11% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 24% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 66% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 11% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 23% —
H_COMP_5_A_P: Staff "always" explained 55% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 26% —
H_COMP_5_U_P: Staff "usually" explained 19% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 2
H_MED_FOR_A_P: Staff "always" explained new medications 70% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12% —
H_MED_FOR_U_P: Staff "usually" explained new medications 18% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 40% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 39% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 21% —
H_COMP_6_N_P: No, staff "did not" give patients this information 21% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 79% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 24% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 76% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 18% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 82% —
H_CLEAN_HSP_A_P: Room was "always" clean 70% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9% —
H_CLEAN_HSP_U_P: Room was "usually" clean 21% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 3
H_QUIET_HSP_A_P: "Always" quiet at night 64% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 10% —
H_QUIET_HSP_U_P: "Usually" quiet at night 26% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 15% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 62% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 12% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 58% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 30% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 2
H_STAR_RATING: Summary star rating — 2

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.579 No Different than National Benchmark
HAI_1_CIUPPER 2.619 No Different than National Benchmark
HAI_1_DOPC 4888.000 No Different than National Benchmark
HAI_1_ELIGCASES 5.288 No Different than National Benchmark
HAI_1_NUMERATOR 7.000 No Different than National Benchmark
HAI_1_SIR 1.324 No Different than National Benchmark
HAI_2_CILOWER 0.006 Better than the National Benchmark
HAI_2_CIUPPER 0.546 Better than the National Benchmark
HAI_2_DOPC 7049.000 Better than the National Benchmark
HAI_2_ELIGCASES 9.030 Better than the National Benchmark
HAI_2_NUMERATOR 1.000 Better than the National Benchmark
HAI_2_SIR 0.111 Better than the National Benchmark
HAI_3_CILOWER 0.607 No Different than National Benchmark
HAI_3_CIUPPER 3.673 No Different than National Benchmark
HAI_3_DOPC 104.000 No Different than National Benchmark
HAI_3_ELIGCASES 3.017 No Different than National Benchmark
HAI_3_NUMERATOR 5.000 No Different than National Benchmark
HAI_3_SIR 1.657 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 36.000 —
HAI_4_ELIGCASES 0.333 —
HAI_4_NUMERATOR 1.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.071 No Different than National Benchmark
HAI_5_CIUPPER 1.402 No Different than National Benchmark
HAI_5_DOPC 73108.000 No Different than National Benchmark
HAI_5_ELIGCASES 4.714 No Different than National Benchmark
HAI_5_NUMERATOR 2.000 No Different than National Benchmark
HAI_5_SIR 0.424 No Different than National Benchmark
HAI_6_CILOWER 0.011 Better than the National Benchmark
HAI_6_CIUPPER 0.217 Better than the National Benchmark
HAI_6_DOPC 69003.000 Better than the National Benchmark
HAI_6_ELIGCASES 30.408 Better than the National Benchmark
HAI_6_NUMERATOR 2.000 Better than the National Benchmark
HAI_6_SIR 0.066 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV high Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 41.0 Healthcare Personnel Vaccination
OP_18a 166.0 Emergency Department
OP_18b 157.0 Emergency Department
OP_18c 344.0 Emergency Department
OP_18d 291.0 Emergency Department
OP_22 1.0 Emergency Department
OP_23 — Emergency Department
OP_29 95.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 41.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 15.0 Electronic Clinical Quality Measure
SEP_1 69.0 Sepsis Care
SEP_SH_3HR 64.0 Sepsis Care
SEP_SH_6HR 87.0 Sepsis Care
SEV_SEP_3HR 87.0 Sepsis Care
SEV_SEP_6HR 98.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 97.0 Electronic Clinical Quality Measure
VTE_1 93.0 Electronic Clinical Quality Measure
VTE_2 100.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 34.90 More Days Than Average per 100 Discharges
EDAC_30_HF -14.70 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 32.60 More Days Than Average per 100 Discharges
Hybrid_HWR 16.90 Worse Than the National Rate
OP_32 13.90 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI 15.10 No Different Than the National Rate
READM_30_CABG 10.80 No Different Than the National Rate
READM_30_COPD 18.50 No Different Than the National Rate
READM_30_HF 20.10 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 17.80 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.15

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Current Ratio 2.39 — metrics.current_ratio
Cost Report Employees per Bed 3.15 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $438,154,364 — metrics.fund_balance
Cost Report Net Income ($) $80,788,141 — metrics.net_income
Cost Report Net Patient Revenue ($) $302,015,333 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 26.5% — metrics.operating_margin
Cost Report Total Assets ($) $150,632,920 — metrics.total_assets
Cost Report Total Costs ($) $226,939,660 — metrics.total_costs
Cost Report Total Liabilities ($) $-287,521,444 — metrics.total_liabilities
Cost Report Total Margin (%) 26.7% — metrics.total_margin
Cost Report Uncompensated Care (%) 14.2% — metrics.uncompensated_care_pct
General Information Address 504 MEDICAL CENTER BLVD — Address
General Information City/Town CONROE — City/Town
General Information Count of Facility MORT Measures 7 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 9 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 7 — Count of READM Measures No Different
General Information Count of READM Measures Worse 2 — Count of READM Measures Worse
General Information Count of Safety Measures Better 2 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish MONTGOMERY — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 450222 — Facility ID
General Information Facility Name HCA HOUSTON HEALTHCARE CONROE — Facility Name
General Information Hospital overall rating 2 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Proprietary — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation Y — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State TX — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (936) 539-1111 — Telephone Number
General Information ZIP Code 77304 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.22 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.06 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.05 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.91 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.86 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.50 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 1.15 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.13 0.9995 p97 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.5% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 117 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 23 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.2% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.02 1.0000 p56 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.6% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.8% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.02 0.9969 p65 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 17.3% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 96 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 18 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 17.5% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.02 0.9983 p66 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.4% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 248 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 51 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.9% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.12 0.9955 p94 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.0% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 254 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 53 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.9% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 8.50 5.00 p74 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 3.75 8.75 p9 person_community_score
Value-Based Purchasing Safety 10.00 10.00 p47 safety_score
Value-Based Purchasing Total Performance Score 22.25 29.50 p24 total_performance_score
Methodology

Full methodology →