JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Health - Fairfield Hospital

3 / 5

At a glance

Mercy Health - Fairfield 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 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 Limit0.013Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.312Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4247Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.760Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.266Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.091Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.799Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3254Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.672Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.545Same as national
SSI - Colon Surgery: Lower Confidence Limit0.897Same as national
SSI - Colon Surgery: Upper Confidence Limit4.058Same as national
SSI - Colon Surgery: Number of Procedures126Same as national
SSI - Colon Surgery: Predicted Cases3.412Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery2.052Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.008Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.019Same as national
MRSA Bacteremia: Upper Confidence Limit1.878Same as national
MRSA Bacteremia: Patient Days49668Same as national
MRSA Bacteremia: Predicted Cases2.626Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.381Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.060Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.365Better than national
Clostridium Difficile (C.Diff): Patient Days49668Better than national
Clostridium Difficile (C.Diff): Predicted Cases30.364Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.165Better 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 patients4.4Same as national39
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1234
Death rate for heart attack patients11.8Same as national105
Death rate for CABG surgery patients2.5Same as national55
Death rate for COPD patients9.9Same as national138
Death rate for heart failure patients13.3Same as national369
Death rate for pneumonia patients16.5Same as national310
Death rate for stroke patients12Same as national118
Pressure ulcer rate0.21Same as national3546
Death rate among surgical inpatients with serious treatable complications173.56Same as national55
Iatrogenic pneumothorax rate0.27Same as national5031
In-hospital fall-associated fracture rate0.23Same as national5123
Postoperative hemorrhage or hematoma rate2.14Same as national943
Postoperative acute kidney injury requiring dialysis rate2.08Same as national387
Postoperative respiratory failure rate8.61Same as national433
Perioperative pulmonary embolism or deep vein thrombosis rate3.94Same as national1007
Postoperative sepsis rate4.57Same as national402
Postoperative wound dehiscence rate1.99Same as national193
Abdominopelvic accidental puncture or laceration rate0.88Same as national888
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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-4.9Not available123
Hospital return days for heart failure patients3.7Not available427
Hospital return days for pneumonia patients19Not available349
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national2041
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)16.6Same as national791
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national338
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national123
Rate of readmission for CABG11Same as national55
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national154
Heart failure (HF) 30-Day Readmission Rate20.3Same as national427
Rate of readmission after hip/knee replacement4.4Same as national30
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national349

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 rating31118
Doctor communication - star rating31118
Communication about medicines - star rating21118
Discharge information - star rating31118
Cleanliness - star rating31118
Quietness - star rating31118
Overall hospital rating - star rating31118
Recommend hospital - star rating31118
Summary star rating31118

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 vaccination881417
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 better174393
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 better164364
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29913
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32919
Left before being seen144627
Head CT results4823
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96149
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132892
Appropriate care for severe sepsis and septic shock70171
Septic Shock 3-Hour Bundle8060
Septic Shock 6-Hour Bundle8534
Severe Sepsis 3-Hour Bundle84171
Severe Sepsis 6-Hour Bundle95101
Discharged on Antithrombotic Therapy99169
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 299146
Venous Thromboembolism Prophylaxis935483
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 MeasureYes

Frequently asked questions

How is Mercy Health - Fairfield Hospital rated?
Mercy Health - Fairfield Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Health - Fairfield Hospital have emergency services?
Yes. Mercy Health - Fairfield Hospital operates a 24/7 emergency department.
Where is Mercy Health - Fairfield Hospital located?
Mercy Health - Fairfield Hospital is located at 3000 Mack Road, Fairfield, OH 45014.
What type of hospital is Mercy Health - Fairfield Hospital?
Mercy Health - Fairfield Hospital 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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