JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

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 12 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 Limit0.036Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.706Better than national
Central Line Associated Bloodstream Infection: Number of Device Days12109Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.357Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.214Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.238Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.221Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12227Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.220Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.587Same as national
SSI - Colon Surgery: Lower Confidence Limit0.301Same as national
SSI - Colon Surgery: Upper Confidence Limit1.547Same as national
SSI - Colon Surgery: Number of Procedures302Same as national
SSI - Colon Surgery: Predicted Cases8.068Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.744Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.300Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.910Same as national
SSI - Abdominal Hysterectomy: Number of Procedures139Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.118Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.789Same as national
MRSA Bacteremia: Lower Confidence Limit0.377Same as national
MRSA Bacteremia: Upper Confidence Limit1.934Same as national
MRSA Bacteremia: Patient Days148616Same as national
MRSA Bacteremia: Predicted Cases6.454Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.930Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.145Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.402Better than national
Clostridium Difficile (C.Diff): Patient Days144161Better than national
Clostridium Difficile (C.Diff): Predicted Cases60.188Better than national
Clostridium Difficile (C.Diff): Observed Cases15Better than national
Clostridium Difficile (C.Diff)0.249Better 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 patients4Same as national407
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national2262
Death rate for heart attack patients10.9Same as national245
Death rate for CABG surgery patients2Same as national79
Death rate for COPD patients6.8Same as national142
Death rate for heart failure patients9.5Same as national665
Death rate for pneumonia patients15.4Same as national485
Death rate for stroke patients14.6Same as national260
Pressure ulcer rate0.11Same as national8106
Death rate among surgical inpatients with serious treatable complications195.61Same as national104
Iatrogenic pneumothorax rate0.17Same as national9794
In-hospital fall-associated fracture rate0.32Same as national9705
Postoperative hemorrhage or hematoma rate2.50Same as national2233
Postoperative acute kidney injury requiring dialysis rate2.22Same as national932
Postoperative respiratory failure rate8.34Same as national933
Perioperative pulmonary embolism or deep vein thrombosis rate3.01Same as national2374
Postoperative sepsis rate5.66Same as national925
Postoperative wound dehiscence rate2.18Same as national399
Abdominopelvic accidental puncture or laceration rate1.17Same as national1753
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients7.9Not available262
Hospital return days for heart failure patients-4.7Not available761
Hospital return days for pneumonia patients-1.7Not available505
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national3771
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national701
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.8Same as national113
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.4Same as national113
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national599
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national262
Rate of readmission for CABG10.9Same as national78
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national157
Heart failure (HF) 30-Day Readmission Rate19.3Same as national761
Rate of readmission after hip/knee replacement3.9Same as national370
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national505

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 rating3458
Doctor communication - star rating3458
Communication about medicines - star rating1458
Discharge information - star rating4458
Cleanliness - star rating2458
Quietness - star rating3458
Overall hospital rating - star rating2458
Recommend hospital - star rating3458
Summary star rating3458

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 vaccination657963
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 better178405
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 better170379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25220
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 seen3117309
Head CT results7914
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94551
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4529
Safe Use of Opioids - Concurrent Prescribing136781
Appropriate care for severe sepsis and septic shock56125
Septic Shock 3-Hour Bundle5836
Septic Shock 6-Hour Bundle8715
Severe Sepsis 3-Hour Bundle70125
Severe Sepsis 6-Hour Bundle9862
Discharged on Antithrombotic Therapy98526
Anticoagulation Therapy for Atrial Fibrillation/Flutter79144
Antithrombotic Therapy by End of Hospital Day 292396
Venous Thromboembolism Prophylaxis
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 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 4050 Coon Rapids Blvd, Coon Rapids, MN 55433.
What type of hospital is Mercy Hospital?
Mercy 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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