CMS certification 450801
CHRISTUS St Michael Health System
2600 St Michael Dr, Texarkana, TX 75503
CHRISTUS St Michael Health System has a CMS overall rating of 3 out of 5 stars. 68% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. Of the 27 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 1 and worse on 5. Emergency patients spend a median of 2 h 27 min in its emergency department before leaving (US median 2 h 42 min).
Every figure on this page is published by CMS; we arrange and explain it, and score nothing ourselves.
What patients said
Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 587 completed surveys, 18% response rate, Oct 2024 – Sep 2025.
Emergency department
How long emergency patients spent here and how some time-critical care went, from CMS's timely and effective care measures, Oct 2024 – Sep 2025. CMS classes this emergency department's patient volume as very high; busier departments tend to have longer times, so the national median for departments of the same volume is shown too. These are medians over a year of visits, not a live wait time.
| Measure | This hospital | TX | US |
|---|---|---|---|
| Median time in the emergency department before leaving Lower is better · 378 visits sampled · US median for EDs of the same volume: 3 h 21 min | 2 h 27 min | 2 h 25 min | 2 h 42 min |
| Left before being seen Lower is better · 76,012 patients | 3% | 1% | 2% |
| Stroke symptoms: brain scan read within 45 minutes Higher is better · 45 patients | 73% | 67% | 69% |
| Severe sepsis and septic shock: all recommended care given Higher is better · 205 patients | 75% | 68% | 65% |
Deaths
How many patients died within 30 days of admission, adjusted by CMS for how sick they were. Lower is better. Data from Jul 2022 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| All patients, hospital-wide 3,859 cases | Too few cases | 5% | 3.9% |
| Heart attack 269 cases | Too few cases | 14.1% | 11.9% |
| Heart failure 555 cases | Too few cases | 13.3% | 11.1% |
| Pneumonia 747 cases | Too few cases | 19.2% | 15.2% |
| Stroke 342 cases | Too few cases | 13.4% | 11.9% |
| COPD 232 cases | Too few cases | 9.6% | 8.6% |
| Heart bypass surgery (CABG) 142 cases | Too few cases | 3.4% | 2.4% |
Complications
How often patients had serious complications, most of them after surgery, adjusted for how sick they were. Lower is better. Data from Jul 2022 – Jun 2024.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Serious complications, combined measure | No different | 0.84 likely 0.53 – 1.15 | 1 |
| After hip or knee replacement 119 cases | Too few cases | 4% | 4.1% |
| Deaths after a serious but treatable surgical complication 89 cases | No different | 204.88 per 1,000 likely 152.96 per 1,000 – 256.81 per 1,000 | 173.3 per 1,000 |
| Pressure ulcers (bed sores) 6,381 cases | No different | 0.14 per 1,000 likely 0 per 1,000 – 0.77 per 1,000 | 0.63 per 1,000 |
| Collapsed lung caused by a procedure 7,587 cases | No different | 0.19 per 1,000 likely 0 per 1,000 – 0.38 per 1,000 | 0.21 per 1,000 |
| Broken bones from falls in the hospital 7,817 cases | No different | 0.24 per 1,000 likely 0.05 per 1,000 – 0.43 per 1,000 | 0.27 per 1,000 |
| Bleeding or hematoma after surgery 1,977 cases | No different | 2.96 per 1,000 likely 1.58 per 1,000 – 4.34 per 1,000 | 2.34 per 1,000 |
| Kidney injury needing dialysis after surgery 816 cases | No different | 1.37 per 1,000 likely 0 per 1,000 – 2.95 per 1,000 | 1.67 per 1,000 |
| Breathing failure after surgery 801 cases | No different | 9.57 per 1,000 likely 3.15 per 1,000 – 16 per 1,000 | 9.42 per 1,000 |
| Blood clots in the lungs or legs after surgery 2,025 cases | No different | 3.33 per 1,000 likely 1.38 per 1,000 – 5.28 per 1,000 | 3.52 per 1,000 |
| Sepsis after surgery 784 cases | No different | 5.02 per 1,000 likely 1.38 per 1,000 – 8.67 per 1,000 | 5.27 per 1,000 |
| Surgical wound splitting open 420 cases | No different | 1.87 per 1,000 likely 0.43 per 1,000 – 3.31 per 1,000 | 1.77 per 1,000 |
| Accidental cut or tear during abdominal surgery 1,305 cases | No different | 1.23 per 1,000 likely 0.28 per 1,000 – 2.17 per 1,000 | 1.06 per 1,000 |
Infections caught in the hospital
Standardized infection ratio: 1.0 means as many infections as CMS predicted for a hospital like this one. Lower is better. Data from Oct 2024 – Sep 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Bloodstream infections from central lines (CLABSI) | No different | 0.42 likely 0.11 – 1.15 | 1 |
| Urinary tract infections from catheters (CAUTI) | No different | 0.49 likely 0.18 – 1.09 | 1 |
| Surgical site infections after colon surgery | No different | 0.41 likely 0.07 – 1.34 | 1 |
| Surgical site infections after abdominal hysterectomy | No different | 1.64 likely 0.52 – 3.95 | 1 |
| MRSA bloodstream infections | No different | 0.42 likely 0.11 – 1.15 | 1 |
| C. diff intestinal infections | Better | 0.12 likely 0.05 – 0.24 | 1 |
Readmissions and return visits
How often patients had to come back to a hospital after going home. Lower is better. Data from Jul 2023 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Readmitted after a heart attack 317 cases | Too few cases | 15.7% | 14.4% |
| Readmitted after heart failure 802 cases | Too few cases | 20.3% | 21.3% |
| Readmitted after pneumonia 1,073 cases | Too few cases | 17.8% | 17.3% |
| Readmitted after COPD 345 cases | Too few cases | 19.7% | 20% |
| Readmitted after heart bypass surgery 141 cases | Too few cases | 11.1% | 11% |
| Readmitted after hip or knee replacement 119 cases | Too few cases | 5.9% | 5.8% |
| Days back in hospital after a heart attack 269 cases | Too few cases | 33.1 days per 100 | — |
| Days back in hospital after heart failure 638 cases | Too few cases | 0.5 days per 100 | — |
| Days back in hospital after pneumonia 790 cases | Too few cases | 10.7 days per 100 | — |
| Unplanned visits after an outpatient colonoscopy 374 cases | No different | 13.7 per 1,000 likely 10.3 per 1,000 – 18.4 per 1,000 | 13 per 1,000 |
| Hospital admissions during outpatient chemotherapy 270 cases | No different | 11.3 per 100 likely 8.7 per 100 – 14.3 per 100 | 10.7 per 100 |
| ER visits during outpatient chemotherapy 270 cases | No different | 4.4 per 100 likely 3 per 100 – 6.2 per 100 | 5.4 per 100 |
| Unplanned visits after outpatient surgery 466 cases | No different | 0.9 likely 0.7 – 1.2 | — |
1 more measure had too few cases here to report.
Clinicians registered at this address
57 clinicians give this hospital's street address as their practice location in NPPES, the federal provider registry. The same address can take in offices and clinics in the building, and a listing does not prove admitting privileges or current employment.
| Specialty | Clinicians |
|---|---|
| Emergency Medicine | 6 |
| Family | 6 |
| Acute Care | 5 |
| Dietitian, Registered | 5 |
| Anesthesiology | 3 |
| Internal Medicine | 3 |
| Nurse Practitioner | 3 |
| Registered Nurse | 3 |
| Advanced Practice Midwife | 2 |
| Nurse Anesthetist, Certified Registered | 2 |
| Physician Assistant | 2 |
| Adult Health | 1 |
First 12 alphabetically
Money from drug and device companies
Drug and device makers have to report what they pay teaching hospitals to CMS's Open Payments program. At many teaching hospitals most of it is research funding, or royalties for inventions the hospital licensed to a company. A payment on its own does not show a conflict of interest.
- 2019 $486
- 2020 $528
- 2021 $10,001
- 2022 $8,455
- 2023 $15,453
- 2024 $17,077
- 2025 $16,015
What the 2025 general payments were for
| Type of payment | Amount | Payments |
|---|---|---|
| Speaking, teaching and other services | $8,607 | 1 |
| Medical devices and supplies on long-term loan | $6,776 | 2 |
| Debt forgiveness | $632 | 1 |
Largest paying companies, 2025
| Company | Amount | Payments |
|---|---|---|
| MIMEDX Group, Inc. | $8,607 | 1 |
| Stryker Corporation | $6,076 | 1 |
| Organon LLC | $700 | 1 |
| Aesculap, Inc. | $632 | 1 |
Amounts are as the paying companies reported them to CMS; Open Payments data retrieved 13 Sep 2026. Full record on CMS Open Payments.
How to read this page
- Everything here is published by CMS on Care Compare. We arrange it and explain it; the star ratings and the better / worse verdicts are CMS's, not ours.
- “No different” is the most common result on most measures at most hospitals. CMS only calls a result better or worse when the difference from the national rate is statistically clear.
- Death, complication and readmission rates are adjusted by CMS for how sick patients were, so hospitals that treat sicker patients can be compared fairly.
- Infection results are ratios: 1.0 means as many infections as CMS predicted for a hospital like this one, below 1.0 is fewer.
- These are hospital-wide results. They do not rate an individual doctor, nurse or department, and they are not medical advice.
CMS Care Compare data retrieved 4 Oct 2026, refreshed weekly. Where this data comes from and how we handle it · Report an error
Common questions about CHRISTUS St Michael Health System
Is CHRISTUS St Michael Health System a good hospital?
CHRISTUS St Michael Health System has a CMS overall rating of 3 out of 5 stars. Of the 27 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 1 and worse on 5. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.
Would patients recommend CHRISTUS St Michael Health System?
68% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 587 completed HCAHPS surveys.
How long is the wait in the CHRISTUS St Michael Health System emergency room?
Emergency patients spend a median of 2 h 27 min in its emergency department before leaving (US median 2 h 42 min). Among US emergency departments with very high patient volume, like this one, the median is 3 h 21 min. 3% of emergency patients left before being seen (US 2%). These are medians over a year of visits, not a live wait time.
Does CHRISTUS St Michael Health System receive money from drug and device companies?
Drug and device makers reported $16,015 in payments to CHRISTUS St Michael Health System for 2025, under the federal Open Payments program. A payment on its own does not show a conflict of interest.