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Acute Care Hospitals · Voluntary non-profit - Private

Mercy Catholic Medical Center- Mercy Fitzgerald

2 / 5

At a glance

Mercy Catholic Medical Center- Mercy Fitzgerald carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.338Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.043Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6113Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.424Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.922Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.435Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.230Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5369Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.596Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.072Same as national
SSI - Colon Surgery: Lower Confidence Limit0.218Same as national
SSI - Colon Surgery: Upper Confidence Limit4.296Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.538Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.300Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures23Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.201Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.027Same as national
MRSA Bacteremia: Upper Confidence Limit2.694Same as national
MRSA Bacteremia: Patient Days33927Same as national
MRSA Bacteremia: Predicted Cases1.831Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.546Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.114Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.691Better than national
Clostridium Difficile (C.Diff): Patient Days33927Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.038Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.312Better 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 Rate3.8Same as national487
Death rate for heart attack patients12.9Same as national49
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7Same as national89
Death rate for heart failure patients9.1Same as national161
Death rate for pneumonia patients17.6Same as national87
Death rate for stroke patients12.6Same as national61
Pressure ulcer rate1.19Same as national2049
Death rate among surgical inpatients with serious treatable complications166.08Same as national29
Iatrogenic pneumothorax rate0.25Same as national2673
In-hospital fall-associated fracture rate0.33Same as national2774
Postoperative hemorrhage or hematoma rate2.13Same as national317
Postoperative acute kidney injury requiring dialysis rate1.64Same as national59
Postoperative respiratory failure rate13.38Same as national54
Perioperative pulmonary embolism or deep vein thrombosis rate4.32Same as national318
Postoperative sepsis rate6.63Same as national59
Postoperative wound dehiscence rate1.68Same as national119
Abdominopelvic accidental puncture or laceration rate1.21Same as national384
CMS Medicare PSI 90: Patient safety and adverse events composite1.36Same 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 patientsNot available
Hospital return days for heart failure patients24.3Not available198
Hospital return days for pneumonia patients114.5Not available84
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national840
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national536
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.2Same as national27
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national27
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national99
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national40
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national107
Heart failure (HF) 30-Day Readmission Rate21.3Same as national198
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national84

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 rating2528
Doctor communication - star rating3528
Communication about medicines - star rating2528
Discharge information - star rating2528
Cleanliness - star rating2528
Quietness - star rating2528
Overall hospital rating - star rating2528
Recommend hospital - star rating2528
Summary star rating2528

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 volumehigh
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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination381581
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 better214420
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 better213407
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen140877
Head CT results5616
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9779
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131001
Appropriate care for severe sepsis and septic shock77109
Septic Shock 3-Hour Bundle8738
Septic Shock 6-Hour Bundle9623
Severe Sepsis 3-Hour Bundle87109
Severe Sepsis 6-Hour Bundle9370
Discharged on Antithrombotic Therapy99141
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 299137
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Mercy Catholic Medical Center- Mercy Fitzgerald rated?
Mercy Catholic Medical Center- Mercy Fitzgerald has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Catholic Medical Center- Mercy Fitzgerald have emergency services?
Yes. Mercy Catholic Medical Center- Mercy Fitzgerald operates a 24/7 emergency department.
Where is Mercy Catholic Medical Center- Mercy Fitzgerald located?
Mercy Catholic Medical Center- Mercy Fitzgerald is located at 1500 Lansdowne Ave, Darby, PA 19023.
What type of hospital is Mercy Catholic Medical Center- Mercy Fitzgerald?
Mercy Catholic Medical Center- Mercy Fitzgerald 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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