Baylor Scott & White Medical Center - Temple
An acute care hospital in Temple, Texas 76508
2401 S 31st St, Temple, Texas 76508. (254) 724-2111.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 5of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 653 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jul 16, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 2 months of the last 36. Last cited Mar 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Mar 12, 2026: complaint inspection1 deficiency
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Patient Rights: Care In Safe Setting
The inspectors’ words, 366 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 51738 Based on a review of medical records and interviews, the facility failed to ensure each patient had the right to care in a safe setting for 1 of 10 patients reviewed (Patient # 1) when: a. Patient # 1 requested multiple times to have her hair combed, but this request was not met and resulted in her hair becoming so matted that it had to be cut. b. Patient # 1 had PT [Physical Therapy] ordered, but this was not documented consistently throughout her stay. Findings were: Patient #1 presented to the ED on 9/25/2025 with tachycardia and fever. She was admitted to family medicine with a diagnosis of sepsis with suspected bacteremia/fungemia of her PICC lines. As of 3/12/2026, patient #1 remains in the hospital. a. In an interview on the morning of 3/12/2026, Patient # 1 reported that early in this admission, she asked for her hair to be brushed several times, but no one did. After her transfer to a step-down unit, her hair was so matted she allowed staff to cut her hair. In an interview the morning of 3/12/2026, Staff #15 and #16 confirmed that patient #1’s hair was matted when transferred to their unit, and nurses cut it with her permission. b. Patient #1 physician order for “Physical therapy eval [evaluation] and treat” dated 9/25/2025 remains active as of 3/12/2026. Patient #1 ’ s PT Evaluation dated 9/26/2025 at 12:55 pm stated, “PT/Follow-Up 3X wkly [3 times weekly].” From 9/26/2025 through 3/12/2026, there were 8 attempts to provide PT to Patient #1; 1 treatment was missed since patient was not on the floor and 2 were refused by Patient #1. In an interview on the afternoon of 3/12/2026, staff #14 verified PT documentation was not complete and the order was still active. Staff #14 stated, “in this issue, there’s a lack of documentation. When documentation stopped after she dislocated her shoulder, a decision should have been made to put PT on hold until the issues with her shoulder dislocation were addressed.””
Feb 7, 2024: complaint inspection1 deficiency
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Blood Transfusions And Iv Medications
The inspectors’ words, 699 words
“BLOOD TRANSFUSIONS AND IV MEDICATIONS CFR(s): Blood transfusions and intravenous medications must be administered in accordance with State law and approved medical staff policies and procedures. This Standard is not met as evidenced by: 31974 Based on interview and review of medical records, facility policy, and evidence-based practice, the facility failed to ensure intravenous medications were administered in accordance with State law and approved medical staff policies and procedures. Assessments (i.e., proper functioning, complications, and removal) were not documented for 2 of 5 patients reviewed for peripheral intravenous catheter management. This failure placed patient #2 and patient #7 at risk for catheter-related bloodstream infections. . Findings include: Review of the Clinical Record of Patient #2 reflected documentation of peripheral IV placement dated 10/20/23 to Anterior Right Wrist reflected “placed: 10/20/2023 at 0624. Ultrasound guidance used to start IV: No. Extension set used: No. Placed under emergent conditions or outside of hospital: No. Size (Gauge) 20 G. Orientation: Anterior, Right.” Further review revealed skin assessments including assessment of the IV site; but no documentation related to the removal or discontinuation of the peripheral IV catheter. During interview and review of patient #2’s electronic clinical record, on the morning of 2/7/24, Staff #1, Director of Clinical Compliance and Accreditation, verified documentation of the discontinuation of Patient #2’s peripheral IV catheter was not present. Staff #1 stated, “The expectation is that the nurse documents an assessment when a peripheral IV is discontinued. Here is what was not documented and should have been.” Staff #1 handed surveyor a printed blank assessment tool. Review of the unnamed facility printed assessment tool regarding peripheral IVs reflected the following data to be documented: Removal Date, Removal Time, Removal Reason, Line Removal Details, Provider Notified Immediately, Site Appearance, Adhesive Tape used. During an interview on the morning of 2/7/24, Staff #8, Supervisor of Peri-anesthesia, stated, “The expectation of documentation when an IV is discontinued is the date and time it was removed, catheter tip was intact, bleeding was controlled, dressing placed on it.” Review of a Patient #7’s Medication Administration Report (MAR) revealed that on 4/14/2023, in the hospital emergency department, Patient #7 was administered fluids and narcotic medication through intravenous route. Further review of Patient #7’s medical record revealed no documentation of ongoing site assessment or removal of the intravenous catheter prior to discharge from the emergency department on 4/14/2023. An interview in the facility conference room on the afternoon of 2/7/2024, with Staff #2, Registered Nurse, Clinical Informaticist, revealed the intravenous catheter was placed by emergency medical services personnel. Staff #2 confirmed there was no assessment of the intravenous catheter and no notation regarding the removal of the intravenous catheter documented in Patient #7’s emergency department record. Review of the facility policy and procedure titled “Vascular Access Device (VAD) Management - (Adult), effective 06/13/2023, origination date: 10/01/2015, reflected in part: “ ...VADs are maintained in accordance with evidence-based practice including insertion, evaluation, maintenance and removal. Practices are implemented to reduce the risk of Catheter-Related Bloodstream Infections including but not limited to Central-Line Associated Bloodstream Infections (CLABSI) ...” According to The American Journal of Nursing article titled, “CE: Evidence-Based Practice for Peripheral Intravenous Catheter Management” (found at: https://journals.lww.com/ajnonline/Fulltext/2023/01000/CE__Evidence_Based_Practice_for_Peripheral.15.aspx), stated, “ ... The greatest potential risk to the patient who has any intravascular catheter is the development of a serious and potentially fatal bloodstream infection ... Assessment begins with identifying the presence of a device by asking the patient if they have an IV catheter, checking the patient’s extremities, and confirming that the PIVC has been noted in the patient’s electronic health record (EHR). Always make sure PIVCs are properly documented (insertion date, time, site, gauge, reason for initial insertion, reason for continued use of the device, ongoing site assessment) so none are missed. Ensure that the PIVC is still necessary for treatment, still functioning, still tolerated by the patient, and still free from signs of complications or infection. If the PIVC has not been used in the past 24 hours or has no indications for use (medical therapy, planned procedure, hemodynamic instability), it should be removed. Leaving an unneeded PIVC in situ after hospital discharge has been attributed to negligence and lack of nursing assessment ....””
All 15 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 16, 2026 | Complaint inspection | No deficiencies cited |
| Jul 15, 2026 | Complaint inspection | No deficiencies cited |
| Jun 2, 2026 | Complaint inspection | No deficiencies cited |
| Mar 12, 2026 | Complaint inspection | 1 deficiency cited |
| Dec 30, 2025 | Complaint inspection | No deficiencies cited |
| Oct 9, 2025 | Complaint inspection | No deficiencies cited |
| Jul 8, 2025 | Complaint inspection | No deficiencies cited |
| Dec 30, 2024 | Complaint inspection | No deficiencies cited |
| Nov 19, 2024 | Complaint inspection | No deficiencies cited |
| Oct 8, 2024 | Complaint inspection | No deficiencies cited |
| Jul 22, 2024 | Complaint inspection | No deficiencies cited |
| Mar 26, 2024 | Complaint inspection | No deficiencies cited |
| Feb 7, 2024 | Complaint inspection | 1 deficiency cited |
| Dec 13, 2023 | Complaint inspection | No deficiencies cited |
| Dec 12, 2023 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 5 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 2 better and 0 worse of 8; safety of care, 3 better and 0 worse of 8; readmission, 2 better and 1 worse of 11.
- Patients rate it 3 of 5 in CMS’s patient survey (2,016 surveys completed, Oct 1, 2024 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 74% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 10.5%, heart failure 8.4%, pneumonia 14%, COPD 6.8%, stroke 9.8%, heart bypass surgery 2.4%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.8%, heart failure 19.3%, pneumonia 16.5%, COPD 20.8%, heart bypass surgery 10.1%, hip or knee replacement 5.8%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, better than expected.
- Emergency department patients spent a median of 232 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
- 85% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.98 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 93% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Scott & White Healthcare and Baylor Scott & White Health run it.
- 29 owners or officers are people: William Rogers (corporate director, 0%); Justin Meier (runs it (operational or managerial control), 0%); Pamela Linton (corporate director, 0%); Mark L Montgomery (corporate director, 0%); Mark W English (corporate director, 0%); Gregory Haralson (corporate director, 0%); Gregory Haralson (managing employee (on the payroll), 0%); Gregory Haralson (runs it (operational or managerial control), 0%); Christopher Olsen (corporate director, 0%); Christopher Olsen (managing employee (on the payroll), 0%); Christopher Olsen (runs it (operational or managerial control), 0%); Terry Maness (corporate director, 0%); Dominic Lucia (corporate director, 0%); William D Digaetano (corporate director, 0%); Muralidhar Jatla (corporate director, 0%); Rodrick Robinson (corporate director, 0%); Marissa Yarid Almazan (corporate director, 0%); Jim Kruse (corporate director, 0%); Timothy L Owens (corporate director, 0%); Nelda Trevino (corporate director, 0%); Jeff Schmeltekopf (corporate director, 0%); Amy J Wilson (corporate director, 0%); Harry Dugger (corporate director, 0%); Angel Eduardo Caldera (corporate director, 0%); Kristen Leslie Manos (corporate director, 0%); Andra Liemandt (corporate director, 0%); Jarvis Parsons (corporate director, 0%); Megan Kiella (corporate director, 0%); Lisa Hultz (corporate director, 0%).
- CMS’s Provider of Services file records 4 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Scott & White Healthcare | Runs it (operational or managerial control) | Feb 25, 2009 | |
| Baylor Scott & White Health | Runs it (operational or managerial control) | Mar 1, 2014 | |
| Baylor Scott & White Holdings | Other role (CMS gives no detail) | Mar 1, 2014 |
How does it compare nearby?
- Of the 7 hospitals CMS lists in Bell County, 4 have an overall star rating from CMS: 1 rated 5 of 5, 2 rated 4 of 5, 1 rated 3 of 5.
- CMS rates this one 5 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Adventhealth Central Texas | 3 |
| Darnall Amc (Ft Cavazos) | Not given |
| Temple VA Medical Center (VA Central Texas Healthcare System) | 4 |
| Cedar Crest Hospital & Rtc | Not given |
| Canyon Creek Behavioral Health | Not given |
| Seton Medical Center Harker Heights | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.