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CMS Quality Score:60.45 / 100
partial

Baylor Scott & White Emergency Hospital

Last updated on July 2026
Acute Care Hospitals
TexasAubrey
Birthing Friendly:
Emergency Service:

Baylor Scott & White Emergency Hospital, located at 26791 Highway 380, Aubrey, TX 76227. As a acute care hospitals with 24/7 emergency services.

NPI Number:1083844435
Ownership:Proprietary
Hospital Type:Acute Care Hospitals
Address:26791 Highway 380, Aubrey, TX 76227, USA
Phone:+1 972-347-2525
Baylor Scott & White Emergency Hospital Doctors
INTERNAL MEDICINE Doctors (10)
OLUKAYODE BAMGBELU
OLUKAYODE BAMGBELU (MD)
NPI: 1164677845
Graduation Year: 1994
JUAN CONTRERAS
JUAN CONTRERAS (MD)
NPI: 1639373749
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 2004
MARIAM GOOLAM MAHOMED
MARIAM GOOLAM MAHOMED (MD)
NPI: 1629567011
Graduation Year: 2018
FARHAN KHAN
FARHAN KHAN (MD)
NPI: 1275700445
Graduation Year: 2002
EMERGENCY MEDICINE Doctors (8)
MICHELLE CHANG
MICHELLE CHANG (MD)
NPI: 1154843928
Graduation Year: 2017
TAMSEELA GURRU
TAMSEELA GURRU (MD)
NPI: 1528648722
Graduation Year: 2021
JOSE GUTIERREZ
JOSE GUTIERREZ (MD)
NPI: 1083844435
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 2009
JOSEPH ILUORE
JOSEPH ILUORE (MD)
NPI: 1225599673
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year: 2019
FAMILY PRACTICE Doctors (1)
AYUK MAKIA
AYUK MAKIA (MD)
NPI: 1518198407
Graduation Year: 2000
Baylor Scott & White Emergency Hospital Departments
EMERGENCY MEDICINE
FAMILY PRACTICE
INTERNAL MEDICINE
Patient Experience Survey (HCAHPS)
Reporting Period: 10/01/2024 – 09/30/2025
91 completed surveys 20% response rate
Nurse Communication
Nurses "always" communicated well
Hospital
89%
Nurses "sometimes" or "never" communicated well
Hospital
4%
Nurses "usually" communicated well
Hospital
7%
Doctor Communication
Doctors "always" communicated well
Hospital
86%
Doctors "sometimes" or "never" communicated well
Hospital
3%
Doctors "usually" communicated well
Hospital
11%
Communication About Medicines
Staff "always" explained
Hospital
66%
Staff "sometimes" or "never" explained
Hospital
20%
Staff "usually" explained
Hospital
14%
Discharge Information
Yes, staff "did" give patients this information
Hospital
88%
No, staff "did not" give patients this information
Hospital
12%
Cleanliness of Hospital
Room was "always" clean
Hospital
76%
Room was "sometimes" or "never" clean
Hospital
10%
Room was "usually" clean
Hospital
14%
Quietness of Hospital
"Always" quiet at night
Hospital
83%
"Sometimes" or "never" quiet at night
Hospital
4%
"Usually" quiet at night
Hospital
13%
Overall Hospital Rating
Patients who gave a rating of "9" or "10" (high)
Hospital
73%
Patients who gave a rating of "7" or "8" (medium)
Hospital
19%
Patients who gave a rating of "6" or lower (low)
Hospital
8%
Recommend the Hospital
"YES", patients would definitely recommend the hospital
Hospital
67%
"YES", patients would probably recommend the hospital
Hospital
27%
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)
Hospital
6%
Complications & Deaths
Reporting Period: 04/01/2023 – 03/31/2025
30-Day Mortality Rates
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Complications
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Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateHybrid_HWM3.63.9 – 444 Average
Patient Safety Indicators (PSI)
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Pressure ulcer ratePSI_030.620 – 1.9677 Average
Iatrogenic pneumothorax ratePSI_060.210 – 0.45137 Average
In-hospital fall-associated fracture ratePSI_080.270.05 – 0.49140 Average
Unplanned Hospital Visits
Reporting Period: 07/01/2022 – 06/30/2025
Excess Days in Acute Care (EDAC)
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Unplanned Readmissions
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Outpatient Imaging Efficiency
07/01/2024 — 06/30/2025
Lower percentages indicate fewer unnecessary or redundant imaging tests — this generally means better, more efficient care.
Score Overview (% of patients)
OP-10
0%
Abdomen CT Use of Contrast Material
Outpatient CT scans of the abdomen that were "combination" (double) scans.
Footnote codes: 7. Refer to CMS methodology for details.
The Excess Readmission Ratio (ERR) compares a hospital's actual 30-day readmission rate to its expected rate for similar patients. ERR < 1.0 = fewer readmissions than expected (better). ERR > 1.0 = more than expected (CMS penalty may apply).
Excess Readmission Ratio by Condition — reference line at 1.0 (national expectation)
0
Better than expected
1
About average
0
Above expected
Condition
Predicted %
Expected %
Status
Pneumonia
READM-30-PN-HRRP
0.9893
9.64%
9.74%
—
Average
Footnote codes: 7, 5, 1. Refer to CMS HRRP methodology for details.
Data Provenance & Trust

This hospital profile and associated quality metrics are compiled directly from the official U.S. Centers for Medicare & Medicaid Services (CMS) Provider Data infrastructure. The information is automatically synchronized to reflect the most current public datasets available.


Medical Disclaimer: Hospital Data Center is a health data aggregator, not a healthcare provider. All scores, including the composite Quality Score, are algorithmic transformations of CMS datasets intended for research and comparison. They do not constitute medical advice.