Methodist Charlton Medical Center
An acute care hospital in Dallas, Texas 75237
3500 W Wheatland Road, Dallas, Texas 75237. (214) 947-7777.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 285 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 8, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Feb 2024. 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.
Feb 27, 2024: complaint inspection1 deficiency
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Patient Rights: Grievances
The inspectors’ words, 519 words
“PATIENT RIGHTS: GRIEVANCES CFR(s): 482.13(a)(2) The hospital must establish a process for prompt resolution of patient grievances and must inform each patient whom to contact to file a grievance. This Standard is not met as evidenced by: 35089 Based on review of documentation and interviews with facility staff, the facility failed to follow its policy and procedure to ensure that patient complaints or grievances were documented and processed in a timely fashion in 1 of 21 (Patient #1) charts reviewed. The findings were: The facility document titled, “Patient Rights and Responsibilities,” last revised 1/2022, states, “Complaints, Concerns, and Questions. You and your family or guardian have the right to: tell hospital staff about your concerns or complaints regarding care. This will not impact your future care; seek review of quality of care concerns, coverage decisions, and concerns about your discharge.” The facility document titled, “3. Complaints/ Grievances for Patients, Family and/or Visitors and Service Recovery,” last revised 1/19/2023, states, “Guidelines: 4. If the person hearing the complaint is unable to respond to or resolve the issue to the complainant’s apparent satisfaction, (s)he should request assistance from the supervisor and/or manager of the relevant department. 5. Grievances should be reported to the Risk Management/Guest Relations/Quality department via the electronic reporting system, and trended for referrals to appropriate manager(s), department(s) or committee(s).” The surveyor reviewed the Patient #1’s medical record from 1/14/24 and it was noted: ED Triage Note on 1/14/24 at 1635: “Immediately after [physician, Staff #12] left pt’s [patient’s] room, family member came out demanding to speak to a supervisor because the pt cannot be sent home with ‘a migraine she’s had for three days.’ Charge called house sup [supervisor]. Pt and family given number to call to file a formal complaint.” The surveyor reviewed the facility grievance log from December 2023 to February 2024. The surveyor could not find any grievance documented for Patient #1. The surveyor interviewed the Director of Quality Services (Staff #1) on 2/27/24 at 1108 at the facility. The surveyor asked if a grievance report was generated regarding this patient. Staff #1 replied, “No, we checked there is not one.” The surveyor asked if a patient complains about their treatment, should the facility staff enter the complaint in the facility’s electronic reporting system. Staff #1 stated, “Yes, and it wasn’t done.” The surveyor interviewed the Nursing Supervisor (Staff #16) that interacted with Patient #1 on 1/14/24 by email. The surveyor asked what Staff #16 remember about their interaction with Patient #1 and the patient’s family. Staff #16 replied, “I recall be [sic] contacted my [sic] CN [charge nurse] and speaking with the PT[patient]/family member. The PT minimally participated in the conversation. The family member did not appear to be happy with anything that staff was attempting to do for the PT. PT’s family member later called the HS office to make a complaint. I did my best to express my apologies and gave them the name and phone number to Patient Relations and informed them that they would be able to further assist them on Monday with any formal complaint they wished to pursue.””
All 7 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 8, 2026 | Complaint inspection | No deficiencies cited |
| Jan 21, 2026 | Complaint inspection | No deficiencies cited |
| Sep 5, 2024 | Complaint inspection | No deficiencies cited |
| Jul 30, 2024 | Complaint inspection | No deficiencies cited |
| May 1, 2024 | Complaint inspection | No deficiencies cited |
| Feb 27, 2024 | Complaint inspection | 1 deficiency cited |
| Jan 11, 2024 | 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 3 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 8; safety of care, 2 better and 1 worse of 7; readmission, 0 better and 2 worse of 8.
- Patients rate it 3 of 5 in CMS’s patient survey (861 surveys completed, Oct 1, 2024 to Sep 30, 2025): 72% rated it 9 or 10 out of 10, and 68% 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 10.6%, heart failure 11.1%, pneumonia 14.5%, COPD 7.7%, stroke 15.5%, 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 13.5%, heart failure 21.7%, pneumonia 15.9%, COPD 19.6%, heart bypass surgery 9.9%. 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 213 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 86% 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 1.1 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 | 3 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, 1984.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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.
- 89% 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?
- Methodist Hospitals of Dallas owns an unstated share directly since Jul 1, 1984.
- Methodist Hospitals of Dallas runs it.
- 36 owners or officers are people: Amy Bodwell (managing employee (on the payroll)); John Oliphint (corporate director); John Patrick Faubion (corporate director); Larry Michael Mckee (corporate director); Keith Payne Boone (corporate director); Marcus Knight (corporate director); James Norris (corporate director); Julie Yarbrough (corporate director); David R Mcatee (corporate director); Carol B Norton (corporate director); Brenda L Jackson (corporate director); Bernard P Difiore (corporate director); Levi H Davis (corporate director); Pamela Stoyanoff (corporate officer); Ruben L Velez (corporate director); Delia Jasso (corporate director); Ronald Howard Ricks (corporate director); John R Candey (corporate director); Gerald Bright (corporate director); Yon Jorden (corporate director); Robert S Folsom (corporate director); Mae Helen Giddings (corporate director); Michael L Finch (corporate director); Robyn Doty (corporate director); Kenneth Govan (corporate director); Ruben Saenz, Jr. (corporate director); Joseph B Fortson (corporate director); Timothy Griffy (corporate director); John M Willis (corporate director); Duncan T Fulton (corporate director); Craig Bjerke (corporate officer); Craig Bjerke (managing employee (on the payroll)); Alan Walne (corporate director); James C Scoggin (corporate officer); James C Scoggin (corporate director); James C Scoggin (managing employee (on the payroll)).
- CMS’s Provider of Services file records 1 change 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 |
|---|---|---|---|
| Methodist Hospitals of Dallas | Owns 5% or more directly | Jul 1, 1984 | |
| Methodist Hospitals of Dallas | Runs it (operational or managerial control) | Jul 1, 1984 |
How does it compare nearby?
- Of the 30 hospitals CMS lists in Dallas County, 18 have an overall star rating from CMS: 2 rated 5 of 5, 6 rated 4 of 5, 7 rated 3 of 5, 3 rated 2 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
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.