Medical City Las Colinas
An acute care hospital in Irving, Texas 75039
6800 N Macarthur Blvd, Irving, Texas 75039. (972) 969-2000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 2of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 100 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 Feb 12, 2025: 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 Aug 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.
Aug 21, 2024: complaint inspection1 deficiency
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Patient Rights: Care In Safe Setting
The inspectors’ words, 639 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: 50856 Based on security camera review, record review and interviews with staff, the facility failed to protect a patient’s right to a safe treatment environment that ensures protection from harm when Patient A, a patient with a known heart history and Alzheimer’s disease, was left unattended outside the facility on a hot day, placing the patient at risk of elopement, heat exhaustion and heat stroke. A) Staff #5 left Patient A, an Alzheimer’s and heart patient, outside alone on a hot day to wait for her ride home on 08/08/2024 at noon. A review of www.wunderground.com reflected the temperature for Irving, Texas on 08/08/2024 at noon to be about 98 degrees Fahrenheit. This failure places patients being placed outside, alone to wait for their ride at risk of elopement, heat exhaustion, and heat stroke. B) The facility staff was not monitoring Patient A to ensure her safety. This placed the patient, an Alzheimer’s patient noted to be confused and a poor historian at times, an opportunity for elopement thus risking her physical and emotional safety. Findings include: 1) Review of The Patient Rights and Responsibilities brochure (revised 07/2019) given to patients. This document reflected that patients have the right to ...receive ethical, high-quality, safe and professional care..” a) An observation made during a review of the facility provided security camera recordings of 08/08/2024 at approximately 11:50 am to 12:30 pm revealed Patient A was left outside alone to wait for her ride for about twenty minutes. There was no staff in the recording observed to be monitoring her. During the twenty minute she sat on a bench. Staff #5 did not return. Patient A got in the vehicle without assistance when it arrived. b) A review of www.wunderground.com reflected the temperature for Irving, Texas on 08/08/2024 at noon to be about 98 degrees Fahrenheit. c) Staff #5 was asked by Staff #2 to get a wheelchair and take Patient A downstairs for discharge as Patient A told her the ride was there. During an interview with Staff #5, a patient care technician, at 2:31pm on 08/21/2024 ,the following exchange was made. Surveyor: Did you receive report on your patients that morning? Staff #5: Yes. I’m not sure from who. Surveyor: Were you helping another PCT or was Patient A in your patient assignment that morning? Staff #5: Yes. She was in my hall. Surveyor: So, you received report on her at shift change? Staff #5: Yes. Surveyor: What information is shared during report? Staff #5: General info is shared. Habits, medications, restrictions on food. Surveyor: Is the patient’s mental status something that is typically shared in report? Staff #5: Yes, but I do not recall if it was mentioned she had Alzheimer’s or dementia. Surveyor: If you have known that Patient A had Alzheimer’s dementia, would you have done things differently? Staff #5: If I had known that, things would have been different. Staff #2 told this surveyor that when she asked Staff #5 what took so long when taking Patient A down for discharge, Staff #5 stated that the ride wasn’t there at the time he took Patient A down, but Patient A had gotten in the car before he came back upstairs. d) A review of Patient A’s medical records revealed the following: 1. was “a poor historian and has difficulty answering simple questions” and exhibit “impaired...safety awareness.” Documented by a Speech Therapist. 2. exhibited “impaired...safety awareness” and was “very confused.” Documented by an Occupational Therapist. 3. “... has difficulty complying outside of home due to her dementia.” Documented by a Social Worker as a statement from Patient A’s daughter. 4. exhibited “impaired...safety awareness.” Documented by a Physical Therapist.”
Apr 9, 2024: complaint inspection1 deficiency
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Medical Records-Electronic Notifications
The inspectors’ words, 765 words
“Medical Records-Electronic Notifications CFR(s): (5) The hospital has made a reasonable effort to ensure that the system sends the notifications to all applicable post-acute care services providers and suppliers, as well as to any of the following practitioners and entities, which need to receive notification of the patient’s status for treatment, care coordination, or quality improvement purposes: (i) The patient’s established primary care practitioner; (ii) The patient’s established primary care practice group or entity; or (iii) Other practitioner, or other practice group or entity, identified by the patient as the practitioner, or practice group or entity, primarily responsible for his or her care This Standard is not met as evidenced by: 45521 Based on review of documentation and interviews with facility staff, the facility failed to ensure Patient # 1 and his primary care provider, after discharge, was notified of positive lab result for I streptococci\js group b. Findings were: A review of the document titled “Source: BLOOD-2ND DRAW” revealed the following: Blood culture final result was dated 02/24/2024. The culture was a second work up due to inclusive results on 02/22/2024. The final result was positive for STREPTOCOCC\JS GROUP B . Isolated in 2 of 2 sets. 02/23/24: Critical Results called to Staff # 11, at 1227 by Lab Staff (Note: Read back confirmation is documented on documentation tool on chart.) Interviews: An interview with staff # 1, MD-Medical Director/Hospitalist-Med Surg on 04/09 2024 at approximately 1:20 PM revealed the following: Surveyor: Can you tell me about your treatment or Patient # 1? Staff # 1: Patient was clinically stable on admission. I talked with him and his wife and told the patient not to use his insulin pump. We would be taking care of his medical needs while in the hospital. Overnight the patient was non-compliant with his medication, he was using his insulin and pain medication pump. Patient was also verbally abusive to staff and me. Patient refused physical Therapy and testing blood sugars. The patient said we were not managing his pain. Patient said he wanted to go home, to be discharged “now” and, “our hands were tied.” Surveyor: Did Patient # 1 have any infections? Staff # 1: “Not to my knowledge.” When a patient arrives with respiratory and or pain with an increased heart rate, we order antibiotics as a safety measure. After his discharge his blood cultures results came back positive for strep and staff. Surveyor: Did you notify the patient? Staff # 1: No, I was not on duty when the results came in. Surveyor: Should the patient be notified of the results of the blood culture? Staff # 1: Yes, he should be contacted. An interview with Staff # 7, MD-ED on 04/09/2024 at approximately 4:15 PM revealed the following: Surveyor: Do you remember receiving lab results from Staff # 6 for Patient # 1? The patient was discharged one day prior to the lab results being sent. Staff # 7: No, I do not. If I receive lab results for a patient and the ED doctor is not in, I will call the patient, make a note in the patient’s chart and leave word for the ED treating doctor. Surveyor: Would staff strep B cause a perforated ulcer? Staff # 7: “Ideally not”, most often you might see septicemia, bacteremia and infections to the skin. An interview with Staff # 6, RN-House Supervisor on 04/09/2024 at approximately 4:20 PM revealed the following: Surveyor: Do you remember receiving lab results for Patient # 1? Staff # 6: I remember receiving lab results about twice while I’ve worked here. The last time it happened I took the results to the doctor working at the time. Surveyor: Do you recall seeing the patient’s name on the lab report? Staff# 6: No, I’m not sure I did. An interview with Staff # 8, Vice President of Quality, Infection Prevention. Patient Safety & Risk Management on 04/09/2024 at approximately 4:30 PM revealed the following: Surveyor: Was Patient # 1 notified of the infection from the lab results? Staff # 8: No, the patient was not notified. Surveyor: Who is supposed to notify the patient? Staff # 8: A physician. The lab did notify the charge nurse A review of the policy titled “PC 3.070, Critical Values and Critical Tests Reporting” revealed the following: page 2, II Policy “It is the responsibility of the nurse or licensed professional receiving a critical result to contact the provider caring for the patient, to convey critical values and receive orders within 30 minutes of receipt of critical value results, unless certain exceptions, apply.” ...”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 12, 2025 | Complaint inspection | No deficiencies cited |
| Aug 21, 2024 | Complaint inspection | 1 deficiency cited |
| Apr 9, 2024 | Complaint inspection | 1 deficiency 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 4 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 5; safety of care, 1 better and 0 worse of 4; readmission, 0 better and 0 worse of 6.
- Patients rate it 2 of 5 in CMS’s patient survey (531 surveys completed, Oct 1, 2024 to Sep 30, 2025): 66% rated it 9 or 10 out of 10, and 64% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; C. diff infections, no different than 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 11.2%, pneumonia 14.7%, COPD 7.5%, stroke 8.9%. 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 14.3%, heart failure 20.9%, pneumonia 17.5%, COPD 19.3%. 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 134 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 74% 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 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 2 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Mar 11, 1998.
- Ownership: proprietary.
- 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.
- Proprietary.
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 2 of 5.
- 75% 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?
- 38 owners or officers are people: Michael Mcalevey (corporate officer); Jaime L Derensis (corporate officer); John M Franck (corporate officer); John M Franck (corporate director); Erol Akdamar (corporate officer); Douglas L Downey (corporate officer); Eric D Smith (managing employee (under contract)); Henry Todd Maxwell (corporate officer); Allen Harrison (corporate officer); Christopher F Wyatt (corporate officer); Christopher F Wyatt (corporate director); John I Starling (corporate officer); Shirley E Scharf-Cheatham (corporate officer); John M Hackett (corporate officer); Samuel N Hazen (corporate officer); Samuel N Hazen (corporate director); Kristin Dyer (corporate officer); Ronald Lee Grubbs (corporate officer); Monica Cintado (corporate officer); Jon Foster (corporate officer); Seth A Killingbeck (corporate officer); Timothy Scott Noonan (corporate officer); Natalie H Cline (corporate officer); Michael T Bray (corporate officer); Matthew R Favicchio (corporate officer); Peter J Rossell (corporate officer); Michael A Marks (corporate officer); Edwin W Robinson (corporate officer); Tyler Cocek (corporate officer); Tyler Cocek (corporate director); Tyler Cocek (managing employee (on the payroll)); Brad Ej Spicer (corporate officer); Kevin A Ball (corporate officer); Jeffery Mcinturff (corporate officer); Deborah H Mullin (corporate officer); Christina Marie Mathis (corporate officer); Christina Marie Mathis (managing employee (on the payroll)); Ronnie D Midgett (corporate officer).
- CMS’s Provider of Services file records no 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 |
|---|---|---|---|
| HCA Inc. | Owns 5% or more through other companies | 100% | Apr 30, 2007 |
| HCA Healthcare Inc. | Owns 5% or more through other companies | 100% | Sep 29, 2011 |
| Healthtrust Inc. - the Hospital Company | Owns 5% or more through other companies | 100% | Apr 30, 2007 |
| Healthserv Acquisition LLC | Owns 5% or more through other companies | 100% | Nov 17, 2006 |
| Frisco Holding II | Owns 5% or more through other companies | 16.3% | Feb 6, 2026 |
| Hercules Holding II | Owns 5% or more through other companies | 14.4% | Feb 6, 2026 |
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 4 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.