JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Health - Lourdes Hospital

3 / 5

At a glance

Mercy Health - Lourdes 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 Limit0.200Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.140Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4840Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.816Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.786Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.060Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.176Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6575Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.621Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.356Same as national
SSI - Colon Surgery: Lower Confidence Limit0.394Same as national
SSI - Colon Surgery: Upper Confidence Limit4.213Same as national
SSI - Colon Surgery: Number of Procedures77Same as national
SSI - Colon Surgery: Predicted Cases1.938Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.548Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures15Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.146Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.740Same as national
MRSA Bacteremia: Upper Confidence Limit4.476Same as national
MRSA Bacteremia: Patient Days45207Same as national
MRSA Bacteremia: Predicted Cases2.476Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia2.019Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.027Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.289Better than national
Clostridium Difficile (C.Diff): Patient Days43071Better than national
Clostridium Difficile (C.Diff): Predicted Cases28.281Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.106Better 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 patients2.2Better than national341
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1071
Death rate for heart attack patients10.7Same as national165
Death rate for CABG surgery patients2.3Same as national75
Death rate for COPD patients9.8Same as national128
Death rate for heart failure patients12.2Same as national348
Death rate for pneumonia patients17.1Same as national388
Death rate for stroke patients13.1Same as national155
Pressure ulcer rate0.18Same as national4364
Death rate among surgical inpatients with serious treatable complications160.90Same as national51
Iatrogenic pneumothorax rate0.16Same as national5510
In-hospital fall-associated fracture rate0.34Same as national5470
Postoperative hemorrhage or hematoma rate2.31Same as national1203
Postoperative acute kidney injury requiring dialysis rate1.44Same as national594
Postoperative respiratory failure rate9.27Same as national623
Perioperative pulmonary embolism or deep vein thrombosis rate2.62Same as national1220
Postoperative sepsis rate3.64Same as national580
Postoperative wound dehiscence rate1.67Same as national115
Abdominopelvic accidental puncture or laceration rate1.19Same as national683
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients34.9Not available162
Hospital return days for heart failure patients-17.1Not available395
Hospital return days for pneumonia patients-8.8Not available405
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2078
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national438
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.8Same as national215
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national215
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national358
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.6Same as national162
Rate of readmission for CABG11.3Same as national74
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national149
Heart failure (HF) 30-Day Readmission Rate19.1Same as national395
Rate of readmission after hip/knee replacement6.2Same as national322
Pneumonia (PN) 30-Day Readmission Rate15Same as national405

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 rating3637
Doctor communication - star rating3637
Communication about medicines - star rating2637
Discharge information - star rating2637
Cleanliness - star rating2637
Quietness - star rating2637
Overall hospital rating - star rating3637
Recommend hospital - star rating3637
Summary star rating3637

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 volumemedium
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 vaccination921212
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 better176398
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 better171371
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36219
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better46611
Left before being seen131177
Head CT results8211
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8857
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing182774
Appropriate care for severe sepsis and septic shock69173
Septic Shock 3-Hour Bundle7962
Septic Shock 6-Hour Bundle8533
Severe Sepsis 3-Hour Bundle85174
Severe Sepsis 6-Hour Bundle93100
Discharged on Antithrombotic Therapy96146
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298128
Venous Thromboembolism Prophylaxis934510
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 - Lourdes Hospital rated?
Mercy Health - Lourdes Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Health - Lourdes Hospital have emergency services?
Yes. Mercy Health - Lourdes Hospital operates a 24/7 emergency department.
Where is Mercy Health - Lourdes Hospital located?
Mercy Health - Lourdes Hospital is located at 1530 Lone Oak Road, Paducah, KY 42003.
What type of hospital is Mercy Health - Lourdes Hospital?
Mercy Health - Lourdes Hospital 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.

Report an issue with this page