JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Health - West Hospital

4 / 5

At a glance

Mercy Health - West Hospital carries a 4-star CMS overall rating — above 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 Limit0.155Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.655Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6732Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.932Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.608Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.259Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.963Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5887Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.914Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.814Same as national
SSI - Colon Surgery: Lower Confidence Limit0.765Same as national
SSI - Colon Surgery: Upper Confidence Limit3.926Same as national
SSI - Colon Surgery: Number of Procedures130Same as national
SSI - Colon Surgery: Predicted Cases3.179Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.887Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures22Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.208Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.036Same as national
MRSA Bacteremia: Patient Days55914Same as national
MRSA Bacteremia: Predicted Cases2.892Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.134Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.506Better than national
Clostridium Difficile (C.Diff): Patient Days55130Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.662Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.276Better 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 patients3.3Same as national83
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national1160
Death rate for heart attack patients11.6Same as national140
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national94
Death rate for heart failure patients10.9Same as national328
Death rate for pneumonia patients13.1Better than national436
Death rate for stroke patients12.6Same as national155
Pressure ulcer rate0.20Same as national3860
Death rate among surgical inpatients with serious treatable complications189.56Same as national46
Iatrogenic pneumothorax rate0.17Same as national5193
In-hospital fall-associated fracture rate0.27Same as national5158
Postoperative hemorrhage or hematoma rate1.89Same as national861
Postoperative acute kidney injury requiring dialysis rate1.50Same as national261
Postoperative respiratory failure rate15.28Same as national269
Perioperative pulmonary embolism or deep vein thrombosis rate2.93Same as national858
Postoperative sepsis rate6.81Same as national267
Postoperative wound dehiscence rate1.67Same as national144
Abdominopelvic accidental puncture or laceration rate0.92Same as national760
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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-7.6Not available147
Hospital return days for heart failure patients-14.9Not available370
Hospital return days for pneumonia patients10.3Not available462
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1928
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national1595
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 surgery1Same as national280
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.8Same as national147
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national109
Heart failure (HF) 30-Day Readmission Rate20.8Same as national370
Rate of readmission after hip/knee replacement4.7Same as national79
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national462

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 rating4966
Doctor communication - star rating3966
Communication about medicines - star rating2966
Discharge information - star rating3966
Cleanliness - star rating2966
Quietness - star rating3966
Overall hospital rating - star rating3966
Recommend hospital - star rating4966
Summary star rating3966

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 volumevery high
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 vaccination851546
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 better141391
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 better136374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen175451
Head CT results7121
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99281
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing143349
Appropriate care for severe sepsis and septic shock61251
Septic Shock 3-Hour Bundle8064
Septic Shock 6-Hour Bundle7439
Severe Sepsis 3-Hour Bundle75251
Severe Sepsis 6-Hour Bundle91122
Discharged on Antithrombotic Therapy98198
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2100164
Venous Thromboembolism Prophylaxis936748
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 - West Hospital rated?
Mercy Health - West Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Health - West Hospital have emergency services?
Yes. Mercy Health - West Hospital operates a 24/7 emergency department.
Where is Mercy Health - West Hospital located?
Mercy Health - West Hospital is located at 3300 Mercy Health Blvd, Cincinnati, OH 45211.
What type of hospital is Mercy Health - West Hospital?
Mercy Health - West 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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