Quality Report


Quality Report

CHRISTUS Santa Rosa Health Care Corporation

DBA: CHRISTUS Santa Rosa Hospital – Medical Center
HCO ID: 9218
2827 Babcock Road
San Antonio, TX, 78229
(210) 705-6190
christussantarosa.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
11/6/2021
Last Full Survey Date
11/5/2021
Last On-Site Survey Date
11/5/2021

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
3/31/2023
Last Full Survey Date
3/30/2023
Last On-Site Survey Date
3/30/2023

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
7/12/2022
Last Full Survey Date
5/26/2022
Last On-Site Survey Date
5/26/2022
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
7/12/2022
Last Full Survey Date
5/26/2022
Last On-Site Survey Date
5/26/2022

Sites

CHRISTUS Santa Rosa - Alon
11503 Northwest Military Highway
San Antonio, TX, 78230

Available Services

  • Other

CHRISTUS Santa Rosa - Creekside
224 Creekside Crossing
New Braunfels, TX, 78130

Available Services

  • Other

CHRISTUS Santa Rosa Healthcare System-Alamo Heights
DBA: CHRISTUS Santa Rosa Hospital-Alamo Heights
403 Treeline Park, Building 1
San Antonio, TX, 78209

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Ultrasound (Imaging/Diagnostic Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee

CHRISTUS Santa Rosa Heart and Vascular
2833 Badcock Rd Twr ll Ste 212
San Antonio, TX, 78229

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Hospital - Medical Center
DBA: CHRISTUS Santa Rosa Hospital - Medical Center
2827 Babcock Road
San Antonio, TX, 78229

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center

CHRISTUS Santa Rosa Hospital - New Braunfels
DBA: CHRISTUS Santa Rosa Hospital - New Braunfels
600 North Union Avenue
New Braunfels, TX, 78130

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center

CHRISTUS Santa Rosa Hospital New Braunfels OutPt. Chemothery
600 North Union Avenue
New Braunfels, TX, 78130

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Hospital- Westover Hills
DBA: CHRISTUS Santa Rosa Hospital- Westover Hills
11212 State Highway 151
San Antonio, TX, 78251

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric General Surgery (Inpatient - Child/Youth )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center

CHRISTUS Santa Rosa Orthopaedic & Sports Medicine Clinic
DBA: CHRISTUS Santa Rosa Orthopaedic & Sports Medicine Clinic- WH
11212 State Highway 151, Medical Plaza 1, Suite 200
San Antonio, TX, 78251

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Orthopaedic and Sports Medicine Clinic
DBA: CHRISTUS Santa Rosa Orthopaedic and Sports Medicine -AH
423 Treeline Park, Suite 350
San Antonio, TX, 78209

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Orthopaedics & Sports Medicine
DBA: CHRISTUS Orthopaedics & Sports Medicine - San Antonio
2833 Babcock Road Suite 435 Tower 2
San Antonio, TX, 78229

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Texas Neurosurgical Spine Clinic
DBA: CHRISTUS Santa Rosa Texas Neurosurgical Spine Clinic
2829 Babcock, Tower 1, Ste106
San Antonio, TX, 78229

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Urology Clinic
1305 Wonder World Dr. Ste 100
San Marcos, TX, 78666

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Westover Hills - Cardiac Opt Rehab Srv
11212 State Hwy 151, Medical Plaza 2, Suite 316
San Antonio, TX, 78251

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Westover Hills-Outpatient Rehab
DBA: Westover Hills-Outpatient Rehab
11212 State Highway 151, MOB 2, Suite 305
San Antonio, TX, 78251

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Wound Care & Hyperaric Center - CSR-MC
DBA: CHRISTUS Santa Rosa Wound Care & Hyperaric Center - CSR-MC
2833 Babcock Road, Tower 2; Ste 105
San Antonio, TX, 78229

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Wound Care & Hyperbaric Center--CSR-WH
11212 State Hwy 151, Med Plaza 2 Ste300
San Antonio, TX, 78251

Available Services

  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa Wound Care & Hyperbaric CSRH-NB
598 N. Union
New Braunfels, TX, 78130

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )

CHRISTUS Santa Rosa-Cardiothoracic Center in New Braunfels
DBA: Cardiothoracic Center
730 N. Houston Avenue
New Braunfels, TX, 78130

Available Services

  • Single Specialty Practitioner (Outpatient )

CHRISTUS Santa Rosa-Rehabilitation Services
DBA: CHRISTUS Santa Rosa-Rehabilitation Services
750 Landa, Suite A
New Braunfels, TX, 78130

Available Services

  • Outpatient Clinics (Outpatient )

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.