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Overview

Address
128 N FM RD 3167, RIO GRANDE CITY, TX 78582
Phone
(956) 487-5561
Hospital Type
Acute Care
Ownership
Government (District)
Emergency Services
Yes
Birthing Friendly
Yes
Star rating not available
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 1 of 7 measures reported
1
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 1 of 8 measures reported
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 3 of 11 measures reported
3
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
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)
— Not reported
Heart Failure
— Not reported
Pneumonia 73 discharges
1.0419 p76
COPD
0.9952 p48
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

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: 1.0419
Value-Based Purchasing
HAC Reduction
Payment Reduced
HAC Score: 2.1931

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
Hybrid_HWM 4.20 No Different Than the National Rate 65
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG
MORT_30_COPD 7.50 No Different Than the National Rate 27
MORT_30_HF Number of Cases Too Small
MORT_30_PN 17.20 No Different Than the National Rate 80
MORT_30_STK Number of Cases Too Small
PSI_03 0.57 No Different Than the National Rate 261
PSI_04
PSI_06 0.21 No Different Than the National Rate 310
PSI_08 0.27 No Different Than the National Rate 344
PSI_09 Number of Cases Too Small
PSI_10
PSI_11
PSI_12 Number of Cases Too Small
PSI_13
PSI_14
PSI_15 Number of Cases Too Small
PSI_90

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 87%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5%
H_COMP_1_U_P: Nurses "usually" communicated well 8%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 92%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 5%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 87%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 9%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 81%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 9%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 10%
H_COMP_2_A_P: Doctors "always" communicated well 87%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 8%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 90%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 6%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 88%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 3%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 9%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 84%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 9%
H_COMP_5_A_P: Staff "always" explained 71%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 19%
H_COMP_5_U_P: Staff "usually" explained 10%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating
H_MED_FOR_A_P: Staff "always" explained new medications 86%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 5%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 55%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 29%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 16%
H_COMP_6_N_P: No, staff "did not" give patients this information 5%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 95%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 7%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 93%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 3%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 97%
H_CLEAN_HSP_A_P: Room was "always" clean 81%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 5%
H_CLEAN_HSP_U_P: Room was "usually" clean 14%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating
H_QUIET_HSP_A_P: "Always" quiet at night 76%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 5%
H_QUIET_HSP_U_P: "Usually" quiet at night 19%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 6%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 29%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 65%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 5%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 69%
H_RECMND_PY: "YES", patients would probably recommend the hospital 26%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating
H_STAR_RATING: Summary star rating

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
HAI_1_CIUPPER
HAI_1_DOPC
HAI_1_ELIGCASES
HAI_1_NUMERATOR
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC
HAI_2_ELIGCASES
HAI_2_NUMERATOR
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC
HAI_3_ELIGCASES
HAI_3_NUMERATOR
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 3781.000
HAI_5_ELIGCASES 0.068
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER 0.038 No Different than National Benchmark
HAI_6_CIUPPER 3.736 No Different than National Benchmark
HAI_6_DOPC 2550.000 No Different than National Benchmark
HAI_6_ELIGCASES 1.320 No Different than National Benchmark
HAI_6_NUMERATOR 1.000 No Different than National Benchmark
HAI_6_SIR 0.758 No Different than National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV low 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 51.0 Healthcare Personnel Vaccination
OP_18a 205.0 Emergency Department
OP_18b 193.0 Emergency Department
OP_18c 232.0 Emergency Department
OP_18d 370.0 Emergency Department
OP_22 3.0 Emergency Department
OP_23 Emergency Department
OP_29 89.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 16.0 Electronic Clinical Quality Measure
SEP_1 56.0 Sepsis Care
SEP_SH_3HR Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 64.0 Sepsis Care
SEV_SEP_6HR 91.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 42.0 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI Number of Cases Too Small
EDAC_30_HF Number of Cases Too Small
EDAC_30_PN 12.20 Average Days per 100 Discharges
Hybrid_HWR 15.10 No Different Than the National Rate
OP_32 12.80 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD 18.10 No Different Than the National Rate
READM_30_HF Number of Cases Too Small
READM_30_HIP_KNEE
READM_30_PN 16.60 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
1.01

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 Cost-to-Charge Ratio 0.53 metrics.cost_to_charge_ratio
Cost Report Current Ratio 11.36 metrics.current_ratio
Cost Report Employees per Bed 6.04 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $82,070,649 metrics.fund_balance
Cost Report Net Income ($) $8,018,502 metrics.net_income
Cost Report Net Patient Revenue ($) $37,567,541 metrics.net_patient_revenue
Cost Report Operating Margin (%) -27.7% metrics.operating_margin
Cost Report Total Assets ($) $92,436,108 metrics.total_assets
Cost Report Total Costs ($) $40,357,713 metrics.total_costs
Cost Report Total Liabilities ($) $10,365,459 metrics.total_liabilities
Cost Report Total Margin (%) 14.3% metrics.total_margin
Cost Report Uncompensated Care (%) 8.8% metrics.uncompensated_care_pct
General Information Address 128 N FM RD 3167 Address
General Information City/Town RIO GRANDE CITY City/Town
General Information Count of Facility MORT Measures 1 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures Not Available Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 3 Count of Facility READM Measures
General Information Count of Facility Safety Measures 1 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 1 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 3 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 0 Count of Safety Measures Better
General Information Count of Safety Measures No Different 1 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish STARR County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 450654 Facility ID
General Information Facility Name STARR COUNTY MEMORIAL HOSPITAL Facility Name
General Information Hospital overall rating Not Available Hospital overall rating
General Information Hospital overall rating footnote 16 Hospital overall rating footnote
General Information Hospital Ownership Government - Hospital District or Authority 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 5 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 (956) 487-5561 Telephone Number
General Information ZIP Code 78582 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cdi — sir 1.06 measures.cdi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 2.19 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 1.01 Value
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p48 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.8% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Predicted readmission rate 20.7% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.04 0.9955 p76 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.3% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 73 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 16 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 18.1% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →