Baylor Scott & White Medical Center - Centennial
An acute care hospital in Frisco, Texas 75035
12505 Lebanon Road, Frisco, Texas 75035. (972) 963-3333.
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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
- 118 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 Jun 16, 2026: a complaint inspection.
2 deficiencies cited in the last three years, 2 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.
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 Apr 2025. 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.
Apr 1, 2025: complaint inspection2 deficiencies
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Compliance With 489.24
“COMPLIANCE WITH 489.24 CFR(s): 489.20(l) [The provider agrees,] in the case of a hospital as defined in §489.24(b), to comply with §489.24. This Standard is not met as evidenced by: 45521 Based on observation, record review, and staff interviews. The facility failed to comply with §489.24(j)(1). The hospital must maintain an on-call list. Based on observation, record review, and staff interviews, the facility failed to maintain a complete neurology on-call list of physicians available to provide treatment from December 16th to December 27th, 2024. See Tag 2404”
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On Call Physicians
The inspectors’ words, 648 words
“ON CALL PHYSICIANS CFR(s): 489.20(r)(2) and 489.24(j)(1-2) §489.20(r)(2) [The hospital (including both the transferring and receiving hospitals), must maintain] a list of physicians who are on call for duty after the initial examination to provide further evaluation and/or treatment necessary to stabilize an individual with an emergency medical condition. §489.24(j)(1) Each hospital must maintain an on-call list of physicians on its medical staff in a manner that best meets the needs of the hospital’s patients who are receiving services required under this section in accordance with the resources available to the hospital, including the availability of on-call physicians. §489.24(j)(2)(i) The hospital must have written policies and procedures in place to respond to situations in which a particular specialty is not available or the on-call physician cannot respond because of circumstances beyond the physician’s control. §489.24(j)(2)(ii) The hospital must have written policies and procedures in place to provide that emergency services are available to meet the needs of patients with emergency medical conditions if it elects to permit on-call physicians to schedule elective surgery during the time that they are on call or to permit on-call physicians to have simultaneous on-call duties. This Standard is not met as evidenced by: 45521 Based on observation, record review, and staff interviews, the facility failed to maintain a complete neurology on-call list of physicians available to provide treatment from December 16th to December 27th, 2024. A. A review of the document titled “Neurology On-Call” for the past 6 months revealed the following: No one was scheduled for December 16th to December 27, 2024. B. A review of the document titled “Rules and Regulations,” Section 11 D, page 50, revealed the following: “ON-CALL RESPONSIBILITIES “It is the responsibility of the Physician, Dentist, Oral and Maxillofacial Surgeon, or Podiatrist (as applicable) who is scheduled to be on-call to the Emergency Department to be listed on the schedule (by name, with appropriate contact information), to respond when contacted and requested by the Emergency Department and, upon request, to provide consultations and/or accept responsibility to care for unassigned patients, as outlined in the Medical Staff Bylaws, these Rules and Regulations, and other applicable Policies.89” 89 Medical Staff Bylaws, Section 7.A.1.(b) (requiring the on-call physician to respond via telephone within 30 minutes after initial contact and appear within 30 minutes of a request by Emergency Department personnel. Also requiring a Practitioner who is responsible for responding to patients in the hospital - such as when on call for a group practice - to respond via telephone within 30 minutes after initial contact and appear within 60 minutes of a request by a Medical Staff Member, APP, or other licensed health care provider who is involved in the patient’s care).” A review of the document titled “Medical Staff Bylaws” Section 7.A.1.(b) revealed the following: “Additional Criteria for Medical Staff Members: (1) agree to and fulfill the following specific response time requirements in a prompt, efficient, and professional manner: (i) when on-call for the Emergency Department, be available on a continuous basis, either personally or by arranging appropriate coverage, such that the Practitioner can and does: orespond via telephone within 30 minutes after initial contact from the Hospital; and oappear within 30 minutes of a specific request by Emergency Department personnel requesting the Practitioner’s personal presence to attend to a patient in the Emergency Department;” C. An interview with Staff # 5, Regional Director DFW East Region, on 04/08/2025 @ 1:46 PM: “When there is no on call coverage we utilize the telestroke program for the region. It is a network of physicians that can be consulted virtually and assess if the patient needs immediate transfer to a comprehensive center.” An additional interview on 04/09/2025 at 7:48 AM Staff # 5 added: “we do not accept transfers in that need neurology and if we have a patient that needs neurology we transfer them out to an appropriate facility. “”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 16, 2026 | Complaint inspection | No deficiencies cited |
| Apr 1, 2025 | 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 6; safety of care, 0 better and 0 worse of 3; readmission, 0 better and 1 worse of 6.
- Patients rate it 4 of 5 in CMS’s patient survey (482 surveys completed, Oct 1, 2024 to Sep 30, 2025): 78% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): 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 attack 12.1%, heart failure 11.4%, pneumonia 12.6%, COPD 7.3%, stroke 10.2%. 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 13.7%, heart failure 21.4%, pneumonia 18.1%, COPD 19.7%. 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 157 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% 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 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 | 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 Jun 16, 2004.
- 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 4 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?
- Baylor Health Care System and Baylor Scott & White Medical Center - Centennial and Baylor Scott & White Health run it.
- 39 owners or officers are people: Justin Meier (other role (CMS gives no detail), 0%); Pamela Linton (corporate director, 0%); Cody Sedlacek (other role (CMS gives no detail), 0%); Mark L Montgomery (corporate director, 0%); Mark W English (corporate director, 0%); Dawn Snyder (other role (CMS gives no detail), 0%); Rachel Vannoy (other role (CMS gives no detail), 0%); Terry Maness (corporate director, 0%); Dominic Lucia (corporate director, 0%); William D Digaetano (corporate director, 0%); Michelle Stukey (other role (CMS gives no detail), 0%); Muralidhar Jatla (corporate director, 0%); Rodrick Robinson (corporate director); Marissa Yarid Almazan (corporate director); Jim Kruse (corporate director, 0%); April C Barbee-Baker (other role (CMS gives no detail), 0%); Timothy L Owens (corporate director, 0%); Nelda Trevino (corporate director, 0%); Sujatha Krishnan (other role (CMS gives no detail), 0%); Natalie Djukic (managing employee (on the payroll), 0%); Natalie Djukic (runs it (operational or managerial control), 0%); Heather J Carlisle (other role (CMS gives no detail), 0%); Eric D Beshires (other role (CMS gives no detail), 0%); Meagan James (other role (CMS gives no detail), 0%); Jeff Schmeltekopf (corporate director, 0%); Amy J Wilson (corporate director, 0%); Harry Dugger (corporate director); Brenda Helms (other role (CMS gives no detail), 0%); Christin Timmons (other role (CMS gives no detail), 0%); Angel Eduardo Caldera (corporate director, 0%); Paul D Meggs (other role (CMS gives no detail), 0%); Wesley Tidwell (managing employee (on the payroll), 0%); Wesley Tidwell (runs it (operational or managerial control), 0%); Kristen Leslie Manos (corporate director, 0%); Andra Liemandt (corporate director, 0%); Leslie Wiebe (other role (CMS gives no detail), 0%); Jarvis Parsons (corporate director, 0%); Megan Kiella (corporate director, 0%); Lisa Hultz (corporate director).
- CMS’s Provider of Services file records 2 changes of ownership, the latest on Mar 1, 2018.
- 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 |
|---|---|---|---|
| Baylor Health Care System | Runs it (operational or managerial control) | Mar 1, 2018 | |
| Baylor Scott & White Medical Center - Centennial | Runs it (operational or managerial control) | Mar 1, 2018 | |
| Baylor Scott & White Health | Runs it (operational or managerial control) | Mar 1, 2018 |
How does it compare nearby?
- Of the 15 hospitals CMS lists in Collin County, 9 have an overall star rating from CMS: 1 rated 5 of 5, 6 rated 4 of 5, 2 rated 3 of 5.
- CMS rates this one 5 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.