Texas Health Harris Methodist Hospital Cleburne
An acute care hospital in Cleburne, Texas 76031
201 Walls Drive, Cleburne, Texas 76031. (817) 641-2251.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 5of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years (needs attention)
- 137 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
The last inspection on record was on Mar 3, 2026: a complaint inspection.
2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Jul 2024. Most serious: Condition-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.
Jul 9, 2024: complaint inspection2 deficiencies
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Emergency Services
“EMERGENCY SERVICES CFR(s): 482.55 The hospital must meet the emergency needs of patients in accordance with acceptable standards of practice. This Condition is not met as evidenced by: 48885 Based on record review and interviews with facility staff, the facility failed to ensure 1 of 20 patients (Patient #1) was discharged safely. Patient #1 was discharged home under the influence of medications which caused drowsiness (prochlorperazine (Compazine) and diphenhydramine (Benadryl)) prior to observing the patient to reduce risk of harm or injury. (Cross Refer A1112).”
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Qualified Emergency Services Personnel
The inspectors’ words, 626 words
“QUALIFIED EMERGENCY SERVICES PERSONNEL CFR(s): 482.55(b)(2) There must be adequate medical and nursing personnel qualified in emergency care to meet the written emergency procedures and needs anticipated by the facility. This Standard is not met as evidenced by: 48885 Based on record review and interviews with facility staff, the facility failed to ensure 1 of 20 patients (Patient #1) was discharged safely. Patient #1 was discharged home under the influence of medications which caused drowsiness (prochlorperazine (Compazine) and diphenhydramine (Benadryl)) prior to observing the patient to reduce risk of harm or injury. The deficient practices identified were determined to pose a severe risk to patient health and safety. This placed the patient at risk for the likelihood of harm, serious injury, and possibly subsequent death. The findings are as follows: Record review: The Medical Record Review for Patient #1 revealed that Patient #1, a 61-year-old female, arrived at the facility on 05/23/2024 at 0528 AM with a chief complaint of headache and abdominal pain. The triage note completed at 0532 revealed the patient arrived alone. Patient #1 was given 10 mg intravenous Compazine at 0626 AM and intravenous 50 mg Benadryl at 0629 AM. The facility’s consent forms were electronically signed by Patient #1 at 0723 AM after Patient #1 was given the two medications. At discharge, the patient was considered “stable” and allowed to go home. The medical record did not indicate if Patient #1 was able to ambulate without assistance. The discharge disposition was contradictory and indicated the patient had a ride home, and the method of transportation was, “walk.” Discharge paperwork under the section “Pain Medication After Care Information” indicated the patient was given, “pain/sedating medicine during the Emergency Department visit.” The discharge paperwork informs the patient that the medication “might change the way you think and you might not be able to do some things safely.” Discharge paperwork indicated the patient was given acetaminophen, aspirin, diphenhydramine (Benadryl), famotidine (Pepcid), normal saline, and prochlorperazine (Compazine). Patient #1 was discharged home to use their private vehicle at 0857 AM, 2 hours 28 minutes after being given the medications, which included two medications known to cause sedation, Benadryl and Compazine. National Institute of Medicine, last updated 8/14/2023, indicated prochlorperazine (Compazine) is a first generation antipsychotic which treats nausea and vomiting. Antihistaminic side effects (blockage of H1 receptor) include sedation. National Institute of Medicine, last updated 7/10/2023, indicated diphenhydramine (Benadryl) is a first-generation antihistamine that is used in a variety of conditions to treat and prevent dystonias, insomnia, pruritis, urticaria, vertigo, and motion sickness. The medication is also used as a sedative when administered at 25mg-50mg every 4 to 6 hours. This medication is considered high-risk medication for elderly patients because of increased fall risk from dizziness, sedation, and hypotension. Interviews: In an interview with Patient #1, on 7/8/2024 at 12:46 PM, Patient #1 indicated they could not remember details surrounding discharge due to being very drowsy. Patient #1 indicated they did not have anyone with them to drive them home and drove 5 minutes home independently. In an interview with ED RN Staff#5, RN discharge nurse, on 07/08/2024 at 0345 PM, Staff #5 indicated they did not recall Patient #1 driving themselves to the ER and intending to drive home. Staff #5 stated they will typically give 4 hours gap after the administration any sedative medications, including Benadryl. Furthermore, staff #5 stated patients are typically only discharged with family members. In an interview with Staff#2 ED Medical Director on 07/09/2024 at 2:34 PM, Staff #2 indicated the standard protocol for discharging a patient who has received sedative medications is to wait at least 4 hours. Staff #2 stated the patients must be able to walk a few steps and answer questions appropriately before being discharged.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 3, 2026 | Complaint inspection | No deficiencies cited |
| Jul 9, 2024 | Complaint inspection | 2 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, 0 better and 0 worse of 4; safety of care, 1 better and 0 worse of 3; readmission, 1 better and 0 worse of 6.
- Patients rate it 4 of 5 in CMS’s patient survey (327 surveys completed, Oct 1, 2024 to Sep 30, 2025): 72% rated it 9 or 10 out of 10, and 71% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): 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 failure 12.2%, pneumonia 11.6%, COPD 7.8%. 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 failure 19.9%, pneumonia 15.4%, COPD 19.5%. 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; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 137 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 81% 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 1 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 | 4 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.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- 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 4 of 5.
- 92% 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?
- Texas Health Resources owns an unstated share directly since Aug 1, 1997.
- 47 owners or officers are people: Christopher Leu (managing employee (on the payroll), 100%); Ignacio T Nunez (corporate director, 0%); Deena Mcallister (corporate officer, 0%); Laura Irvine (corporate officer, 0%); Michael Guyton (corporate director, 0%); Kara Michelle Klement (corporate officer, 0%); Jeffrey Wayne Mincher (corporate officer, 0%); Shaun Clinton (corporate officer, 0%); Christopher Harold Lane (corporate officer, 0%); David Tesmer (corporate officer, 0%); Paul Vincent Woolway (corporate director, 0%); Kenneth Ray Bernstein (corporate director, 0%); John D Mitchell (corporate officer, 0%); Sheila Chhutani (corporate director, 0%); Joshua Floren (corporate officer, 0%); Hunter L Hunt (corporate director, 0%); Ferdinand T Velasco (corporate officer, 0%); Kathleen Cox (corporate officer, 0%); Jon Zachary Scheele (corporate officer, 0%); Christopher Leu (corporate officer, 0%); Christopher Leu (corporate director, 0%); Rick E Mcwhorter (corporate officer, 0%); Rick E Mcwhorter (corporate director, 0%); Joseph Sudomir (corporate officer, 0%); Lynn Montgomery (corporate director, 0%); Robert Jones (corporate officer, 0%); Rebekah Stewart (corporate officer, 0%); Carla Dawson (corporate officer, 0%); Carla Dawson (corporate director, 0%); John E Whiteley (corporate officer, 0%); Brandon Pope (corporate officer, 0%); Jennifer Schroeder (corporate officer, 0%); Rebecca Tucker (corporate officer, 0%); Gary Goldberg (corporate officer, 0%); Kenneth Kramer (corporate director); Susan L Weeks (corporate director, 0%); Javier Iruegas (corporate director, 0%); Winjie T Miao (corporate officer, 0%); Winjie T Miao (corporate director, 0%); Richard M Vigness (corporate director, 0%); Vianei Braun (corporate director, 0%); Barclay Edward Berdan (corporate officer, 0%); Barclay Edward Berdan (corporate director); Lawrence Hum (corporate director, 0%); Stacy Cantu (corporate officer, 0%); Stacy Cantu (corporate director, 0%); Andrew Masica (corporate officer, 0%).
- CMS’s Provider of Services file records 2 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.
How does it compare nearby?
- Of the 2 hospitals CMS lists in Johnson County, 1 has an overall star rating from CMS: 1 rated 5 of 5.
- CMS rates this one 5 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Baylor Scott and White Emergency Hospital | Not given |
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.