JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Mercy Health - Defiance Hospital

4 / 5

At a glance

Mercy Health - Defiance Hospital carries a 4-star CMS overall rating — above the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device DaysNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted CasesNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed CasesNot available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter DaysNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted CasesNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed CasesNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures32Not available
SSI - Colon Surgery: Predicted Cases0.833Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.030Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days2863Not available
MRSA Bacteremia: Predicted Cases0.076Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient Days2863Not available
Clostridium Difficile (C.Diff): Predicted Cases0.765Not available
Clostridium Difficile (C.Diff): Observed Cases0Not available
Clostridium Difficile (C.Diff)Not available

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 Rate4.2Same as national235
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.8Same as national52
Death rate for heart failure patients11.8Same as national110
Death rate for pneumonia patients14.9Same as national125
Death rate for stroke patientsNot available
Pressure ulcer rate0.51Same as national572
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national927
In-hospital fall-associated fracture rate0.35Same as national910
Postoperative hemorrhage or hematoma rate2.29Same as national94
Postoperative acute kidney injury requiring dialysis rate1.64Same as national34
Postoperative respiratory failure rate10.99Same as national36
Perioperative pulmonary embolism or deep vein thrombosis rate3.30Same as national101
Postoperative sepsis rate4.83Same as national33
Postoperative wound dehiscence rate1.73Same as national38
Abdominopelvic accidental puncture or laceration rate1.02Same as national104
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 patientsNot available
Hospital return days for heart failure patients33.5Not available118
Hospital return days for pneumonia patients-27.5Not available131
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national342
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national518
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national42
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national42
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national141
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national62
Heart failure (HF) 30-Day Readmission Rate19.9Same as national118
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national131

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 rating5233
Doctor communication - star rating5233
Communication about medicines - star rating4233
Discharge information - star rating4233
Cleanliness - star rating5233
Quietness - star rating5233
Overall hospital rating - star rating5233
Recommend hospital - star rating5233
Summary star rating5233

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 volumelow
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 vaccination81195
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 better132400
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 better122353
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22511
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better39338
Left before being seen19944
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9683
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18196
Appropriate care for severe sepsis and septic shock3614
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8614
Severe Sepsis 6-Hour Bundle
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis94537
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 Health - Defiance Hospital rated?
Mercy Health - Defiance Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Health - Defiance Hospital have emergency services?
Yes. Mercy Health - Defiance Hospital operates a 24/7 emergency department.
Where is Mercy Health - Defiance Hospital located?
Mercy Health - Defiance Hospital is located at 1404 East Second Street, Defiance, OH 43512.
What type of hospital is Mercy Health - Defiance Hospital?
Mercy Health - Defiance Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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