JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Hospital Ardmore, Inc

4 / 5

At a glance

Mercy Hospital Ardmore, Inc 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1221Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.857Not 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 LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.632Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1647Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.138Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures24Not available
SSI - Colon Surgery: Predicted Cases0.652Not 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 Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.082Not 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 Days23992Not available
MRSA Bacteremia: Predicted Cases0.849Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.116Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.593Better than national
Clostridium Difficile (C.Diff): Patient Days23034Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.027Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.285Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national876
Death rate for heart attack patients11.8Same as national60
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national111
Death rate for heart failure patients7.7Better than national259
Death rate for pneumonia patients13.4Same as national437
Death rate for stroke patients11Same as national104
Pressure ulcer rate0.22Same as national3233
Death rate among surgical inpatients with serious treatable complications160.51Same as national28
Iatrogenic pneumothorax rate0.24Same as national3979
In-hospital fall-associated fracture rate0.28Same as national3894
Postoperative hemorrhage or hematoma rate2.16Same as national472
Postoperative acute kidney injury requiring dialysis rate1.65Same as national65
Postoperative respiratory failure rate8.57Same as national71
Perioperative pulmonary embolism or deep vein thrombosis rate2.74Same as national496
Postoperative sepsis rate4.79Same as national61
Postoperative wound dehiscence rate1.68Same as national107
Abdominopelvic accidental puncture or laceration rate0.96Same as national309
CMS Medicare PSI 90: Patient safety and adverse events composite0.81Same 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 patients26.5Not available284
Hospital return days for pneumonia patients-5.4Not available479
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national1555
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.6Same as national785
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.3Same as national126
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national126
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national371
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national45
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national112
Heart failure (HF) 30-Day Readmission Rate21.2Same as national284
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national479

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 rating4438
Doctor communication - star rating3438
Communication about medicines - star rating3438
Discharge information - star rating3438
Cleanliness - star rating3438
Quietness - star rating4438
Overall hospital rating - star rating4438
Recommend hospital - star rating4438
Summary star rating3438

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 vaccination921254
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 better147449
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 better140416
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34412
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38621
Left before being seen138004
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10077
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152288
Appropriate care for severe sepsis and septic shock84185
Septic Shock 3-Hour Bundle9158
Septic Shock 6-Hour Bundle9240
Severe Sepsis 3-Hour Bundle89185
Severe Sepsis 6-Hour Bundle99108
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 299121
Venous Thromboembolism Prophylaxis1003629
Intensive Care Unit Venous Thromboembolism Prophylaxis100992

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 Hospital Ardmore, Inc rated?
Mercy Hospital Ardmore, Inc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Ardmore, Inc have emergency services?
Yes. Mercy Hospital Ardmore, Inc operates a 24/7 emergency department.
Where is Mercy Hospital Ardmore, Inc located?
Mercy Hospital Ardmore, Inc is located at 1011 14th Ave Nw, Ardmore, OK 73401.
What type of hospital is Mercy Hospital Ardmore, Inc?
Mercy Hospital Ardmore, Inc 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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