★★★☆☆3 out of 5 StarsWhy 3 stars?Baylor Scott & White Surgical Hospital at Sherman's 3-star rating reflects above-average performance on Timely Care.
CMS Overall Hospital Quality Star Rating · Baylor Scott & White Surgical Hospital at Sherman
How was Baylor Scott & White Surgical Hospital at Sherman's 3-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Baylor Scott & White Surgical Hospital at Sherman. 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 Surgical Hospital at Sherman's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
1 of 7
0 better1 same0 worse
Safety of Care
22%
13 of 19
0 better13 same0 worse
Readmissions
22%
1 of 6
0 better0 same1 worse
Timely & Effective Care
12%
10 of 22
3 better6 same1 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 this emergency department performs on the measures that
matter most when you need care fast.
120 minTypical ER visit before heading homeNear the national median of 148 min
1%Walked out before being seenBetter than ~75% of hospitals · national median 1%
From CMS Timely & Effective Care reporting.
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.
Baylor Scott & White Surgical…
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 4.10 95% interval: 3.00 – 5.70 Sample size: 71Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for CABG surgery patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS 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.
Baylor Scott & White Surgical…
WorseUS AvgBetter
Underlying measures:Abdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.00 95% interval: 0.00 – 2.07 Sample size: 98Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Iatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.21 95% interval: 0.00 – 0.44 Sample size: 226Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 5.00 95% interval: 2.90 – 8.70 Sample size: 112Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.27 95% interval: 0.05 – 0.48 Sample size: 235Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.25 95% interval: 0.55 – 3.96 Sample size: 204Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 3.27 95% interval: 0.71 – 5.82 Sample size: 206Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.64 95% interval: 0.00 – 3.35 Sample size: 189Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 7.72 95% interval: 0.00 – 16.96 Sample size: 188Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 4.77 95% interval: 0.62 – 8.91 Sample size: 167Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.60 95% interval: 0.00 – 1.91 Sample size: 108Reporting 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: 0.91 95% interval: 0.42 – 1.41 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 0.00 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRPostoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.75 95% interval: 0.22 – 3.27 Sample size: 57Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Clostridium Difficile (C.Diff)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRMRSA BacteremiaNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRSSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRDeath rate among surgical inpatients with serious treatable complicationsNumber of Cases Too SmallHospital score: — Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04
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.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
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
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 Nurses90%
Communication with Doctors89%
Hospital Cleanliness77%
Hospital Quietness75%
Staff ResponsivenessN/A
Discharge Information89%
Overall Hospital Rating (9 or 10)83%
Would Recommend Hospital86%
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.
Baylor Scott & White Surgical…
WorseUS AvgBetter
Underlying measures:Safe Use of Opioids - Concurrent PrescribingBetter than ~75% of hospitalsHospital score: 11.00 % National median: 15.00 % (lower is better)
Sample size: 36Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSLeft before being seenBetter than ~75% of hospitalsHospital score: 1.00 % National median: 1.00 % (lower is better)
Sample size: 1,377Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Hospital Harm - Severe HypoglycemiaBetter than ~75% of hospitalsHospital score: 0.00 % National median: 1.00 % (lower is better)
Sample size: 58Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPOEndoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsNear the national medianHospital score: 98.00 % National median: 97.00 % (higher is better)
Sample size: 42Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Average (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 betterNear the national medianHospital score: 120.00 min National median: 148.00 min (lower is better)
Sample size: 237Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is betterNear the national medianHospital score: 248.00 min National median: 294.00 min (lower is better)
Sample size: 26Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18dAverage (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 betterNear the national medianHospital score: 126.00 min National median: 154.00 min (lower is better)
Sample size: 266Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aHospital Harm - Severe HyperglycemiaNear the national medianHospital score: 10.00 % National median: 8.00 % (lower is better)
Sample size: 159Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPERHealthcare workers given influenza vaccinationNear the national medianHospital score: 82.00 % National median: 79.00 % (higher is better)
Sample size: 355Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Venous Thromboembolism ProphylaxisWorse than ~75% of hospitalsHospital score: 55.00 % National median: 90.00 % (higher is better)
Sample size: 80Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1
Clinical Staff
Baylor Scott & White Surgical Hospital at Sherman has 184 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
Certified Registered Nurse Anesthetist (Crna)30
Nurse Practitioner24
Family Practice17
Physician Assistant15
Diagnostic Radiology11
Internal Medicine11
Orthopedic Surgery8
Podiatry7
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
166(90%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
39(21%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
95 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 45
(47%) 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 2026-07-18.
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 184 clinicians affiliated with Baylor Scott & White Surgical Hospital at Sherman.
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 2026-07-18.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Procedure volumes are Medicare fee-for-service counts from the CMS
clinician utilization file (all practice locations, not just this
hospital). Industry payment totals are from CMS Open Payments,
program year 2024, and include meals, travel, consulting, and
speaking fees; payments are legal and common — we show them for
transparency, not as a quality judgment.
Pricing & Costs
This hospital participates in price transparency under the federal
Hospital Price Transparency Rule. View 775 published procedures
— gross charges, cash prices, and per-payer negotiated rates where available.
Across this hospital's priced procedures:
vs. TX median−65%runs 65% below the state median
vs. national median−70%runs 70% below the national median
Median percent difference across the 742 DRGs
where this hospital has a comparable published price and the comparison cohort
has enough hospitals to compute a stable median.
How Baylor Scott & White Surgical Hospital at Sherman compares nearby
Compared with the 8 other acute-care hospitals within 50 miles
— 9 facilities in all, CMS data only.
Among the 9 acute-care hospitals within 50 miles, Baylor Scott & White Surgical Hospital at Sherman's overall star rating is 3★; the median among the 6 peers reporting it is 4★.
Measure
This facility
Nearby median
Best nearby
Overall star rating
reported by 6 of 8 nearby peers
3★
4★
5★
Patient experience (HCAHPS) star
reported by 6 of 8 nearby peers
Cohort: within 50 miles · CMS data period 2026-06 · method cohort-v1
· comparisons are never affected by claiming or payment.
How nearby comparisons work
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.