Acute Care Hospitals · Voluntary non-profit - Private
Mercy General Hospital
- 4001 J St, Sacramento, CA 95819
- (916) 453-4453
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Mercy General Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.078 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.829 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 9073 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 9.844 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 3 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.305 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.163 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.986 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 8791 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 11.242 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 5 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.445 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.009 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.853 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 199 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 5.785 | Better than national |
| SSI - Colon Surgery: Observed Cases | 1 | Better than national |
| SSI - Colon Surgery | 0.173 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.609 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 6.516 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 145 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.253 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Same as national |
| SSI - Abdominal Hysterectomy | 2.394 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.394 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.024 | Same as national |
| MRSA Bacteremia: Patient Days | 73357 | Same as national |
| MRSA Bacteremia: Predicted Cases | 6.165 | Same as national |
| MRSA Bacteremia: Observed Cases | 6 | Same as national |
| MRSA Bacteremia | 0.973 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.001 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.146 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 72380 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 33.737 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 1 | Better than national |
| Clostridium Difficile (C.Diff) | 0.030 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 4.1 | Same as national | 97 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.8 | Same as national | 1330 |
| Death rate for heart attack patients | 12 | Same as national | 385 |
| Death rate for CABG surgery patients | 2 | Same as national | 108 |
| Death rate for COPD patients | 10.1 | Same as national | 66 |
| Death rate for heart failure patients | 12.4 | Same as national | 359 |
| Death rate for pneumonia patients | 18.6 | Same as national | 227 |
| Death rate for stroke patients | 13.2 | Same as national | 104 |
| Pressure ulcer rate | 2.85 | Worse than national | 4531 |
| Death rate among surgical inpatients with serious treatable complications | 166.19 | Same as national | 113 |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 5509 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 6091 |
| Postoperative hemorrhage or hematoma rate | 1.86 | Same as national | 1834 |
| Postoperative acute kidney injury requiring dialysis rate | 1.42 | Same as national | 863 |
| Postoperative respiratory failure rate | 6.67 | Same as national | 927 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.93 | Same as national | 1995 |
| Postoperative sepsis rate | 2.80 | Same as national | 914 |
| Postoperative wound dehiscence rate | 1.60 | Same as national | 331 |
| Abdominopelvic accidental puncture or laceration rate | 0.82 | Same as national | 1035 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.43 | Worse than 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 20.4 | Not available | 469 |
| Hospital return days for heart failure patients | 15 | Not available | 464 |
| Hospital return days for pneumonia patients | 10.3 | Not available | 217 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.7 | Same as national | 2235 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.3 | Same as national | 405 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 516 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.1 | Same as national | 469 |
| Rate of readmission for CABG | 9.9 | Same as national | 105 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.3 | Same as national | 90 |
| Heart failure (HF) 30-Day Readmission Rate | 20.9 | Same as national | 464 |
| Rate of readmission after hip/knee replacement | 6.2 | Same as national | 105 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.9 | Same as national | 217 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 498 |
| Doctor communication - star rating | 4 | 498 |
| Communication about medicines - star rating | 3 | 498 |
| Discharge information - star rating | 4 | 498 |
| Cleanliness - star rating | 3 | 498 |
| Quietness - star rating | 3 | 498 |
| Overall hospital rating - star rating | 4 | 498 |
| Recommend hospital - star rating | 5 | 498 |
| Summary star rating | 4 | 498 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 76 | 3587 |
| 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 better | 175 | 385 |
| 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 better | 171 | 363 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 313 | 19 |
| 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 seen | 1 | 45755 |
| Head CT results | 73 | 15 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 87 | 63 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 12 | 3619 |
| Appropriate care for severe sepsis and septic shock | 76 | 123 |
| Septic Shock 3-Hour Bundle | 82 | 34 |
| Septic Shock 6-Hour Bundle | 91 | 23 |
| Severe Sepsis 3-Hour Bundle | 83 | 123 |
| Severe Sepsis 6-Hour Bundle | 99 | 74 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 88 | 129 |
| Venous Thromboembolism Prophylaxis | 98 | 7184 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 1762 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Mercy General Hospital rated?
- Mercy General Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Mercy General Hospital have emergency services?
- Yes. Mercy General Hospital operates a 24/7 emergency department.
- Where is Mercy General Hospital located?
- Mercy General Hospital is located at 4001 J St, Sacramento, CA 95819.
- What type of hospital is Mercy General Hospital?
- Mercy General Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
- Compare side-by-side →
Kaiser Foundation Hosp So Sacramento
Sacramento, CA
- Compare side-by-side →
Kaiser Foundation Hospital - Sacramento
Sacramento, CA
- Compare side-by-side →
Methodist Hospital of Sacramento
Sacramento, CA
- Compare side-by-side →Not rated overall
Shriners Hospitals for Children Northern Calif
Sacramento, CA
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.