JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital Jefferson

4 / 5

At a glance

Mercy Hospital Jefferson 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 Limit0.023Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.222Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3222Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.220Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.450Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.423Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.521Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2634Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.806Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.661Same as national
SSI - Colon Surgery: Lower Confidence Limit0.548Same as national
SSI - Colon Surgery: Upper Confidence Limit5.861Same as national
SSI - Colon Surgery: Number of Procedures55Same as national
SSI - Colon Surgery: Predicted Cases1.393Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery2.154Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures9Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.065Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.916Same as national
MRSA Bacteremia: Upper Confidence Limit5.544Same as national
MRSA Bacteremia: Patient Days42826Same as national
MRSA Bacteremia: Predicted Cases1.999Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia2.501Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.113Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.426Better than national
Clostridium Difficile (C.Diff): Patient Days41856Better than national
Clostridium Difficile (C.Diff): Predicted Cases38.800Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.232Better 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 patients3.2Same as national76
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national859
Death rate for heart attack patients13.2Same as national168
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national119
Death rate for heart failure patients11.1Same as national284
Death rate for pneumonia patients16Same as national329
Death rate for stroke patients14.9Same as national94
Pressure ulcer rate0.19Same as national3446
Death rate among surgical inpatients with serious treatable complications190.22Same as national38
Iatrogenic pneumothorax rate0.17Same as national4444
In-hospital fall-associated fracture rate0.23Same as national4458
Postoperative hemorrhage or hematoma rate2.07Same as national580
Postoperative acute kidney injury requiring dialysis rate1.59Same as national169
Postoperative respiratory failure rate6.03Same as national177
Perioperative pulmonary embolism or deep vein thrombosis rate3.45Same as national624
Postoperative sepsis rate4.48Same as national164
Postoperative wound dehiscence rate1.68Same as national120
Abdominopelvic accidental puncture or laceration rate1.20Same as national566
CMS Medicare PSI 90: Patient safety and adverse events composite0.74Same 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 patients37.3Not available137
Hospital return days for heart failure patients7.4Not available297
Hospital return days for pneumonia patients-22.4Not available339
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1344
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national494
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national104
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national104
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national233
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national137
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national123
Heart failure (HF) 30-Day Readmission Rate22.1Same as national297
Rate of readmission after hip/knee replacement4.8Same as national79
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national339

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 rating4476
Doctor communication - star rating3476
Communication about medicines - star rating3476
Discharge information - star rating4476
Cleanliness - star rating4476
Quietness - star rating4476
Overall hospital rating - star rating4476
Recommend hospital - star rating5476
Summary star rating4476

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 volumehigh
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 Hypoglycemia02950
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination951793
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 better203452
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 better199415
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21117
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better27820
Left before being seen241181
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10069
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing203568
Appropriate care for severe sepsis and septic shock87181
Septic Shock 3-Hour Bundle8866
Septic Shock 6-Hour Bundle10041
Severe Sepsis 3-Hour Bundle91181
Severe Sepsis 6-Hour Bundle100106
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis975809
Intensive Care Unit Venous Thromboembolism Prophylaxis98806

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 Jefferson rated?
Mercy Hospital Jefferson has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Jefferson have emergency services?
Yes. Mercy Hospital Jefferson operates a 24/7 emergency department.
Where is Mercy Hospital Jefferson located?
Mercy Hospital Jefferson is located at 1400 Us Highway 61, Crystal City, MO 63019.
What type of hospital is Mercy Hospital Jefferson?
Mercy Hospital Jefferson 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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