JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Health - Tiffin Hospital

3 / 5

At a glance

Mercy Health - Tiffin Hospital carries a 3-star CMS overall rating — in line with 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 Days399Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.309Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not 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 Days726Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.577Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not 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 Procedures12Not available
SSI - Colon Surgery: Predicted Cases0.282Not 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 Procedures20Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.166Not 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 Days9379Not available
MRSA Bacteremia: Predicted Cases0.370Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.014Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.381Same as national
Clostridium Difficile (C.Diff): Patient Days8153Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.572Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.280Same as 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national388
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.2Same as national83
Death rate for heart failure patients10.6Same as national181
Death rate for pneumonia patients17.1Same as national175
Death rate for stroke patientsNot available
Pressure ulcer rate0.42Same as national1012
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1623
In-hospital fall-associated fracture rate0.26Same as national1575
Postoperative hemorrhage or hematoma rate2.29Same as national135
Postoperative acute kidney injury requiring dialysis rate1.66Same as national37
Postoperative respiratory failure rate8.86Same as national37
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national138
Postoperative sepsis rate5.13Same as national34
Postoperative wound dehiscence rate1.73Same as national27
Abdominopelvic accidental puncture or laceration rate1.02Same as national119
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients-1.1Not available200
Hospital return days for pneumonia patients8.8Not available179
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national653
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national477
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national68
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national68
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national173
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national90
Heart failure (HF) 30-Day Readmission Rate21Same as national200
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national179

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 rating5539
Doctor communication - star rating4539
Communication about medicines - star rating4539
Discharge information - star rating4539
Cleanliness - star rating4539
Quietness - star rating4539
Overall hospital rating - star rating4539
Recommend hospital - star rating4539
Summary star rating4539

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 vaccination82365
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 better135401
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 better127355
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better13016
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better42731
Left before being seen219371
Head CT results3813
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9450
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing8584
Appropriate care for severe sepsis and septic shock6373
Septic Shock 3-Hour Bundle7634
Septic Shock 6-Hour Bundle8217
Severe Sepsis 3-Hour Bundle9073
Severe Sepsis 6-Hour Bundle8353
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis93919
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 - Tiffin Hospital rated?
Mercy Health - Tiffin Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Health - Tiffin Hospital have emergency services?
Yes. Mercy Health - Tiffin Hospital operates a 24/7 emergency department.
Where is Mercy Health - Tiffin Hospital located?
Mercy Health - Tiffin Hospital is located at 45 St Lawrence Drive, Tiffin, OH 44883.
What type of hospital is Mercy Health - Tiffin Hospital?
Mercy Health - Tiffin 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.

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