Baylor Scott & White Medical Center - Round Rock
An acute care hospital in Round Rock, Texas 78664
300 University Blvd, Round Rock, Texas 78664. (512) 509-0401.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 277 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 24, 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 Jun 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.
Jun 5, 2024: complaint inspection2 deficiencies
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Compliance With 489.24
The inspectors’ words, 114 words
“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: 47893 Based on records review and personnel interviews, the facility failed to comply with 42 CFR §489.20 (l) in that under EMTALA (Emergency Medical Treatment and Labor Act) the hospital was required to accept appropriate transfer of individuals with an emergency medical condition if the hospital had specialized capabilities and had the capacity to treat those individuals. Hospital A denied the request of Hospital B to transfer (Patient #1) who sustained a hip fracture and required surgical intervention on 5/18/24. (Refer to Tag A-2411)”
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Recipient Hospital Responsibilities
The inspectors’ words, 736 words
“RECIPIENT HOSPITAL RESPONSIBILITIES CFR(s): 489.24(f) A participating hospital that has specialized capabilities or facilities (including, but not limited to, facilities such as burn units, shock-trauma units, neonatal intensive care units, or (with respect to rural areas) regional referral centers, which, for purposes of this subpart, means hospitals meeting the requirements of referral centers found at §412.96 of this chapter) may not refuse to accept from a referring hospital within the boundaries of the United States an appropriate transfer of an individual who requires such specialized capabilities or facilities if the receiving hospital has the capacity to treat the individual. This requirement applies to any participating hospital with specialized capabilities, regardless of whether the hospital has a dedicated emergency department. This Standard is not met as evidenced by: 47893 Based on a review of documentation and interviews, the facility, a participating hospital that has specialized capabilities or facilities, failed to accept from a referring hospital an appropriate transfer of an individual who required such specialized capabilities or facilities when the receiving hospital had the capacity to treat the individual. On 5/18/24, Hospital A denied the request of Hospital B to transfer (Patient #1), who sustained a hip fracture and required surgical intervention. Findings included: Review of Patient #1’s medical record for Hospital B revealed an emergency department “ED Provider Note” dated 5/18/24 at 1:19 PM, documented in part: “...Medical Decision-Making: called for transfer to nearest facility capable of stabilizing patient’s acute injury (Hospital A) per EMTALA rules. Spoke with (Personnel #3, Hospital A physician). (Personnel #3) wants to get (Personnel #5, Hospital A orthopedic surgeon) involved. Spoke with (Personnel #5). (Personnel #5) refuses transfer as (Personnel #5) ‘does not cover (Hospital B)’. Explained that the patient would be transferred to (Hospital A) and would therefore be (Hospital A’s) patient and (Personnel #5) would be able to help. (Personnel #5) states that is not fair as [there are] multiple orthopedic surgeons at (Hospital B) that can handle the patient. Re-emphasized that there is no orthopedic coverage [at] (Hospital B) this weekend. (Personnel #5) refuses and subsequently (Personnel #3) now refuses. ...Differential Diagnoses: ...Hip fracture. No orthopedic coverage over the weekend at this facility. Called for transfer to nearest facility. Unfortunately they were unable to facilitate this emergency. Ultimately able to transfer to (Hospital C). ...Care significantly affected by the following Social Determinants of Health: psychosocial: anxious about health Poor access to healthcare (rural) ...” Review of Hospital A Transfer Log dated 5/18/24 at 12:56 PM, documented in part: “(Hospital A) ortho declined. No ortho on call at (Hospital B).” During a telephone interview on 6/5/24 at 10:15 AM, (Personnel #5) stated, “Call service contacted me and connected me with (Hospital B), [Personnel #6, Hospital B physician]... patient with hip fracture... I don’t cover (Hospital B)... I currently cover three hospitals...” In interview on 6/4/24 at 11:25 AM, in a facility conference room, when asked how notified of potential transfer from another facility, Personnel #2 (Hospital A ED Medical Director) stated, through a “regional transfer system - calls go through center to find appropriate, available beds. Doctor-to-doctor through transfer center should confirm that we have bed available, and services appropriate to what is needed. Go through hospitalist first, generally, and then specialist is pulled into call... We (Hospital A) get a lot of transfers from (Hospital B)... Appropriate to transfer from (Hospital B) Level IV trauma center to (Hospital A) Level IV trauma center. The conversation going to Personnel #3 was appropriate. They (Hospital B) normally has ortho on-call, [they have] occasional gaps. We (Hospital A) do have ortho on-call. Ortho should have been able to take care of hip fracture. We (Hospital A) should have accepted (Patient #1) ...” Review of a facility Policy titled “Patient Transfer (EMTALA)” last revision date 4/20/22 stated in part, “The Governing Board, in consultation with the medical staff, has adopted this Policy according to the Federal and state laws and regulations regarding the medical screening examination/evaluation, stabilizing treatment, and Transfer of Patients from a (Facility) medical center to another medical center in a medically appropriate manner... Patient Transfers - In 1. A medical center with specialized facilities (e.g., burn units, shock-trauma units, neonatal intensive care units, etc.) may not refuse to accept from a referring medical center an appropriate Transfer of an individual who requires such specialized capabilities or facilities if the receiving facility has the capacity to treat the individual ...””
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 24, 2026 | Complaint inspection | No deficiencies cited |
| Dec 9, 2025 | Complaint inspection | No deficiencies cited |
| Oct 29, 2024 | Complaint inspection | No deficiencies cited |
| Jun 5, 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 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, 2 better and 0 worse of 8; safety of care, 1 better and 0 worse of 7; readmission, 2 better and 0 worse of 11.
- Patients rate it 4 of 5 in CMS’s patient survey (1,793 surveys completed, Oct 1, 2024 to Sep 30, 2025): 76% rated it 9 or 10 out of 10, and 77% 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; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, 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 attack 11.7%, heart failure 8.6%, pneumonia 12.9%, COPD 9.7%, stroke 10%, heart bypass surgery 3.3%. 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 14.8%, heart failure 21.6%, pneumonia 17.6%, COPD 18.6%, heart bypass surgery 10.3%, hip or knee replacement 6.3%. 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; 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, no different than expected.
- Emergency department patients spent a median of 195 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% 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 0.99 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 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Oct 4, 2007.
- 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?
- Scott & White Healthcare and Baylor Scott & White Health run it.
- 32 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%); Terry Maness (corporate director, 0%); Dominic Lucia (corporate director, 0%); William D Digaetano (corporate director, 0%); Muralidhar Jatla (corporate director); 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%); Philippe Bochaton (corporate director, 0%); Philippe Bochaton (managing employee (on the payroll), 0%); Philippe Bochaton (runs it (operational or managerial control), 0%); Jason Cole (corporate director); Jason Cole (managing employee (on the payroll)); Jason Cole (runs it (operational or managerial control)); 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%); Jay Fox (corporate director); Jay Fox (managing employee (on the payroll)); Jay Fox (runs it (operational or managerial control)); Lisa Hultz (corporate director, 0%).
- 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 |
|---|---|---|---|
| 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 |
How does it compare nearby?
- Of the 9 hospitals CMS lists in Williamson County, 4 have an overall star rating from CMS: 2 rated 4 of 5, 2 rated 3 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Ascension Seton Williamson | 4 |
| Round Rock Medical Center | 3 |
| Baylor Scott & White Medical Center -Taylor | Not given |
| Texas Childrens Hospital North Austin Campus | Not given |
| Rock Springs | Not given |
| Georgetown Behavioral Health Institute | Not given |
| Ascension Seton Cedar Park | 3 |
| Brushy Creek Family Hospital LLC | 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.