Methodist Southlake Medical Center

When those deficiencies happened

2 visits on record, nothing cited. The last 3 years, to Nov 5, 2026.

• CMS gives no overall star rating: what this means: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
• Of the measures behind its star rating: what this means, CMS counts against the national value: mortality, 0 better and 0 worse of 1; safety of care, 0 better and 0 worse of 2; readmission, 0 better and 0 worse of 2.
• Patients rate it 5 of 5 in CMS’s patient survey (111 surveys completed, Oct 1, 2024 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 90% 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.
• Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 21%. CMS gives no comparison with the national rate for them in this release.
• After outpatient care, compared by CMS: unplanned hospital visits after outpatient surgery, no different than expected.
• Emergency department patients spent a median of 140 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% 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 1.04 times the national median (Jan 1, 2024 to Dec 31, 2024).

• Medicare-certified acute care hospital since Nov 8, 2019.
• Ownership: proprietary.
• It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
• No condition-level: what this means deficiency on record in the last three years.
• Proprietary.

• 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.
• No deficiencies were cited in the last three years, so none came from a complaint investigation.

• CMS doesn’t publish staffing levels for hospitals.
• In CMS’s patient survey, patients rate how well its nurses communicated 5 of 5.
• 68% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).

• Methodist Hospitals of Dallas owns 100% directly since Jun 1, 2021.
• 35 owners or officers are people: Amy Bodwell (managing employee (on the payroll)); Gregory A Campbell (corporate director); Allen R Schneider (corporate director); John Oliphint (corporate director); John Patrick Faubion (corporate director); Larry Michael Mckee (corporate director); Jorge A Saldivar (corporate director); Keith Payne Boone (corporate director); Marcus Knight (corporate director); John M Collins (corporate director); James Norris (corporate director); Julie Yarbrough (corporate director); David R Mcatee (corporate director); Brenda L Jackson (corporate director); Bernard P Difiore (corporate director); Levi H Davis (corporate director); Pamela Stoyanoff (corporate officer); Pamela Stoyanoff (managing employee (on the payroll)); Ruben L Velez (corporate director); Ronald Howard Ricks (corporate director); John R Candey (corporate director); Gerald Bright (corporate director); Robert S Folsom (corporate director); Mae Helen Giddings (corporate director); Michael L Finch (corporate director); Kenneth Govan (corporate director); Andrew Stoker (corporate director); Jim Scott Vaszauskas (corporate director); Joseph B Fortson (corporate director); Timothy Griffy (corporate director); Duncan T Fulton (corporate director); Craig Bjerke (corporate officer); Craig Bjerke (managing employee (on the payroll)); James C Scoggin (corporate officer); James C Scoggin (managing employee (on the payroll)).
• CMS’s Provider of Services file records 1 change of ownership, the latest on Jun 1, 2021.
• No private-equity firm among the owners CMS lists.
• No real-estate investment trust among the owners CMS lists.

• Of the 30 hospitals CMS lists in Tarrant County, 17 have an overall star rating from CMS: 3 rated 5 of 5, 9 rated 4 of 5, 2 rated 3 of 5, 3 rated 2 of 5.
• CMS gives this hospital no overall star rating to compare.

• 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.

• 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).

• 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).

• 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).

• 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).

• 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).

• 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).

• 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).

• 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).

• 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).

• 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).

• 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).

• 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).

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