JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Chi Health Bergan Mercy

4 / 5

At a glance

Chi Health Bergan Mercy carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.142Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.079Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7558Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.939Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.447Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.004Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.345Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8912Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.292Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.070Better than national
SSI - Colon Surgery: Lower Confidence Limit0.108Same as national
SSI - Colon Surgery: Upper Confidence Limit2.131Same as national
SSI - Colon Surgery: Number of Procedures111Same as national
SSI - Colon Surgery: Predicted Cases3.101Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.645Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures86Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.796Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.411Same as national
MRSA Bacteremia: Upper Confidence Limit1.857Same as national
MRSA Bacteremia: Patient Days89484Same as national
MRSA Bacteremia: Predicted Cases7.457Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia0.939Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.151Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.451Better than national
Clostridium Difficile (C.Diff): Patient Days73731Better than national
Clostridium Difficile (C.Diff): Predicted Cases48.015Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.271Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national1369
Death rate for heart attack patients11.7Same as national139
Death rate for CABG surgery patients4.2Same as national96
Death rate for COPD patients8.1Same as national41
Death rate for heart failure patients10.5Same as national325
Death rate for pneumonia patients18.1Same as national162
Death rate for stroke patients14.7Same as national173
Pressure ulcer rate0.27Same as national5151
Death rate among surgical inpatients with serious treatable complications196.99Same as national131
Iatrogenic pneumothorax rate0.35Same as national5971
In-hospital fall-associated fracture rate0.25Same as national6065
Postoperative hemorrhage or hematoma rate1.88Same as national1773
Postoperative acute kidney injury requiring dialysis rate2.38Same as national730
Postoperative respiratory failure rate10.56Same as national775
Perioperative pulmonary embolism or deep vein thrombosis rate4.23Same as national1826
Postoperative sepsis rate5.15Same as national746
Postoperative wound dehiscence rate1.56Same as national298
Abdominopelvic accidental puncture or laceration rate0.94Same as national1299
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-32.5Not available202
Hospital return days for heart failure patients16.7Not available387
Hospital return days for pneumonia patients9.4Not available164
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national2547
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.2Same as national616
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national96
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national96
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national403
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.8Same as national202
Rate of readmission for CABG9.3Same as national90
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national41
Heart failure (HF) 30-Day Readmission Rate18.8Same as national387
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national164

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating2616
Doctor communication - star rating2616
Communication about medicines - star rating2616
Discharge information - star rating4616
Cleanliness - star rating2616
Quietness - star rating3616
Overall hospital rating - star rating2616
Recommend hospital - star rating2616
Summary star rating2616

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumevery high
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia04076
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination842986
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better166375
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better160346
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21923
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen463152
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8984
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing144031
Appropriate care for severe sepsis and septic shock59138
Septic Shock 3-Hour Bundle6733
Septic Shock 6-Hour Bundle8919
Severe Sepsis 3-Hour Bundle72138
Severe Sepsis 6-Hour Bundle9447
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis975829
Intensive Care Unit Venous Thromboembolism Prophylaxis1003108

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Chi Health Bergan Mercy rated?
Chi Health Bergan Mercy has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Chi Health Bergan Mercy have emergency services?
Yes. Chi Health Bergan Mercy operates a 24/7 emergency department.
Where is Chi Health Bergan Mercy located?
Chi Health Bergan Mercy is located at 7500 Mercy Rd, Omaha, NE 68124.
What type of hospital is Chi Health Bergan Mercy?
Chi Health Bergan Mercy is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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