JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital Fort Smith

3 / 5

At a glance

Mercy Hospital Fort Smith 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 Limit0.286Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.468Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8111Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.503Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.706Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.270Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.384Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7277Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.019Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.665Same as national
SSI - Colon Surgery: Lower Confidence Limit0.509Same as national
SSI - Colon Surgery: Upper Confidence Limit2.300Same as national
SSI - Colon Surgery: Number of Procedures241Same as national
SSI - Colon Surgery: Predicted Cases6.020Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.163Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures48Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.388Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.241Same as national
MRSA Bacteremia: Upper Confidence Limit1.456Same as national
MRSA Bacteremia: Patient Days92436Same as national
MRSA Bacteremia: Predicted Cases7.614Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.657Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.105Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.303Better than national
Clostridium Difficile (C.Diff): Patient Days79734Better than national
Clostridium Difficile (C.Diff): Predicted Cases75.711Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.185Better 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 patients3.1Same as national177
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1881
Death rate for heart attack patients13.9Same as national308
Death rate for CABG surgery patients3.5Same as national76
Death rate for COPD patients10.8Same as national174
Death rate for heart failure patients14Same as national496
Death rate for pneumonia patients16.8Same as national503
Death rate for stroke patients12.8Same as national265
Pressure ulcer rate0.13Same as national6019
Death rate among surgical inpatients with serious treatable complications125.75Same as national92
Iatrogenic pneumothorax rate0.20Same as national8065
In-hospital fall-associated fracture rate0.21Same as national8058
Postoperative hemorrhage or hematoma rate1.87Same as national1676
Postoperative acute kidney injury requiring dialysis rate1.37Same as national463
Postoperative respiratory failure rate6.72Same as national469
Perioperative pulmonary embolism or deep vein thrombosis rate2.96Same as national1758
Postoperative sepsis rate4.43Same as national446
Postoperative wound dehiscence rate1.55Same as national407
Abdominopelvic accidental puncture or laceration rate0.96Same as national1565
CMS Medicare PSI 90: Patient safety and adverse events composite0.69Same 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-7.1Not available311
Hospital return days for heart failure patients-5.7Not available561
Hospital return days for pneumonia patients-14Not available539
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national3175
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national3532
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national263
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6Same as national263
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1440
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national311
Rate of readmission for CABG11Same as national72
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national193
Heart failure (HF) 30-Day Readmission Rate20.9Same as national561
Rate of readmission after hip/knee replacement3.6Same as national169
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national539

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 rating3481
Doctor communication - star rating2481
Communication about medicines - star rating2481
Discharge information - star rating3481
Cleanliness - star rating4481
Quietness - star rating3481
Overall hospital rating - star rating3481
Recommend hospital - star rating4481
Summary star rating3481

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 Hypoglycemia14277
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination922939
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 better212470
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 better210450
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28616
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 seen368899
Head CT results4637
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10093
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7726
Safe Use of Opioids - Concurrent Prescribing157122
Appropriate care for severe sepsis and septic shock68388
Septic Shock 3-Hour Bundle85125
Septic Shock 6-Hour Bundle9677
Severe Sepsis 3-Hour Bundle79388
Severe Sepsis 6-Hour Bundle91196
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis918211
Intensive Care Unit Venous Thromboembolism Prophylaxis983039

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 Fort Smith rated?
Mercy Hospital Fort Smith has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Fort Smith have emergency services?
Yes. Mercy Hospital Fort Smith operates a 24/7 emergency department.
Where is Mercy Hospital Fort Smith located?
Mercy Hospital Fort Smith is located at 7301 Rogers Ave, Fort Smith, AR 72903.
What type of hospital is Mercy Hospital Fort Smith?
Mercy Hospital Fort Smith 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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