JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Mercy Hospital

3 / 5

At a glance

Mercy 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 Limit0.012Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.212Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5789Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.069Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.246Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.014Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.368Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5320Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.604Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.277Same as national
SSI - Colon Surgery: Lower Confidence Limit0.065Same as national
SSI - Colon Surgery: Upper Confidence Limit1.285Same as national
SSI - Colon Surgery: Number of Procedures184Same as national
SSI - Colon Surgery: Predicted Cases5.141Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.389Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.858Same as national
SSI - Abdominal Hysterectomy: Number of Procedures206Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.612Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.233Same as national
MRSA Bacteremia: Patient Days52342Same as national
MRSA Bacteremia: Predicted Cases2.429Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.018Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.346Better than national
Clostridium Difficile (C.Diff): Patient Days48839Better than national
Clostridium Difficile (C.Diff): Predicted Cases19.091Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.105Better 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 Rate4.3Same as national834
Death rate for heart attack patients11.2Same as national35
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national91
Death rate for heart failure patients12.7Same as national152
Death rate for pneumonia patients17Same as national285
Death rate for stroke patients13.9Same as national104
Pressure ulcer rate0.21Same as national3352
Death rate among surgical inpatients with serious treatable complications181.24Same as national39
Iatrogenic pneumothorax rate0.24Same as national3882
In-hospital fall-associated fracture rate0.24Same as national3839
Postoperative hemorrhage or hematoma rate2.32Same as national670
Postoperative acute kidney injury requiring dialysis rate1.61Same as national196
Postoperative respiratory failure rate17.54Same as national206
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national702
Postoperative sepsis rate5.99Same as national168
Postoperative wound dehiscence rate1.60Same as national278
Abdominopelvic accidental puncture or laceration rate0.82Same as national851
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients19.9Not available163
Hospital return days for pneumonia patients26Not available298
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1365
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national448
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 national305
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national100
Heart failure (HF) 30-Day Readmission Rate20.1Same as national163
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national298

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 rating2477
Doctor communication - star rating2477
Communication about medicines - star rating2477
Discharge information - star rating2477
Cleanliness - star rating3477
Quietness - star rating1477
Overall hospital rating - star rating2477
Recommend hospital - star rating3477
Summary star rating2477

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 vaccination614226
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 better194389
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 better190370
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21912
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 seen184444
Head CT results8526
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7855
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing133027
Appropriate care for severe sepsis and septic shock72138
Septic Shock 3-Hour Bundle8431
Septic Shock 6-Hour Bundle8723
Severe Sepsis 3-Hour Bundle83139
Severe Sepsis 6-Hour Bundle9977
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis975285
Intensive Care Unit Venous Thromboembolism Prophylaxis99833

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 rated?
Mercy Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital have emergency services?
Yes. Mercy Hospital operates a 24/7 emergency department.
Where is Mercy Hospital located?
Mercy Hospital is located at 2215 Truxtun Avenue, Bakersfield, CA 93301.
What type of hospital is Mercy Hospital?
Mercy Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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