JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Gilbert Medical Center

5 / 5

At a glance

Mercy Gilbert Medical Center carries a 5-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 Limit0.294Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.233Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5362Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.321Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.926Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.068Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.337Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5072Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.941Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.405Same as national
SSI - Colon Surgery: Lower Confidence Limit0.084Same as national
SSI - Colon Surgery: Upper Confidence Limit1.647Same as national
SSI - Colon Surgery: Number of Procedures147Same as national
SSI - Colon Surgery: Predicted Cases4.011Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.499Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.698Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit7.470Same as national
SSI - Abdominal Hysterectomy: Number of Procedures131Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.093Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy2.745Same as national
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.949Better than national
MRSA Bacteremia: Patient Days79305Better than national
MRSA Bacteremia: Predicted Cases3.156Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.197Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.617Better than national
Clostridium Difficile (C.Diff): Patient Days76239Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.054Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.363Better 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 patients3.1Same as national114
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Same as national1930
Death rate for heart attack patients13.1Same as national171
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national133
Death rate for heart failure patients7.8Better than national397
Death rate for pneumonia patients13.4Same as national473
Death rate for stroke patients11.6Same as national181
Pressure ulcer rate0.40Same as national5670
Death rate among surgical inpatients with serious treatable complications153.46Same as national84
Iatrogenic pneumothorax rate0.20Same as national6720
In-hospital fall-associated fracture rate0.26Same as national7055
Postoperative hemorrhage or hematoma rate2.85Same as national1272
Postoperative acute kidney injury requiring dialysis rate1.51Same as national437
Postoperative respiratory failure rate9.71Same as national488
Perioperative pulmonary embolism or deep vein thrombosis rate6.65Worse than national1315
Postoperative sepsis rate5.34Same as national430
Postoperative wound dehiscence rate1.64Same as national377
Abdominopelvic accidental puncture or laceration rate0.76Same as national1580
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same 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-12.1Not available146
Hospital return days for heart failure patients-8.3Not available459
Hospital return days for pneumonia patients-7Not available501
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national3169
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national107
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national28
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national28
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national588
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national146
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national152
Heart failure (HF) 30-Day Readmission Rate21.2Same as national459
Rate of readmission after hip/knee replacement4.8Same as national123
Pneumonia (PN) 30-Day Readmission Rate16Same as national501

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 rating4560
Doctor communication - star rating2560
Communication about medicines - star rating2560
Discharge information - star rating4560
Cleanliness - star rating3560
Quietness - star rating3560
Overall hospital rating - star rating4560
Recommend hospital - star rating4560
Summary star rating3560

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 Hypoglycemia12263
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination792030
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 better224390
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 better220369
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31816
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 seen250171
Head CT results8832
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10021
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing104993
Appropriate care for severe sepsis and septic shock84113
Septic Shock 3-Hour Bundle8533
Septic Shock 6-Hour Bundle9123
Severe Sepsis 3-Hour Bundle92114
Severe Sepsis 6-Hour Bundle9972
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis1008625
Intensive Care Unit Venous Thromboembolism Prophylaxis1001166

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 Mercy Gilbert Medical Center rated?
Mercy Gilbert Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Gilbert Medical Center have emergency services?
Yes. Mercy Gilbert Medical Center operates a 24/7 emergency department.
Where is Mercy Gilbert Medical Center located?
Mercy Gilbert Medical Center is located at 3555 South Val Vista Drive, Gilbert, AZ 85297.
What type of hospital is Mercy Gilbert Medical Center?
Mercy Gilbert Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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