JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital Northwest Arkansas

5 / 5

At a glance

Mercy Hospital Northwest Arkansas carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 6.

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 Limit0.150Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.604Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4778Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.090Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.589Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.968Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4143Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.095Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.196Better than national
SSI - Colon Surgery: Lower Confidence Limit1.121Worse than national
SSI - Colon Surgery: Upper Confidence Limit3.704Worse than national
SSI - Colon Surgery: Number of Procedures195Worse than national
SSI - Colon Surgery: Predicted Cases5.162Worse than national
SSI - Colon Surgery: Observed Cases11Worse than national
SSI - Colon Surgery2.131Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.034Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.362Same as national
SSI - Abdominal Hysterectomy: Number of Procedures171Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.467Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.682Same as national
MRSA Bacteremia: Lower Confidence Limit0.012Same as national
MRSA Bacteremia: Upper Confidence Limit1.223Same as national
MRSA Bacteremia: Patient Days68612Same as national
MRSA Bacteremia: Predicted Cases4.034Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.248Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.137Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.409Better than national
Clostridium Difficile (C.Diff): Patient Days61167Better than national
Clostridium Difficile (C.Diff): Predicted Cases52.959Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.245Better 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 Rate3.4Better than national1753
Death rate for heart attack patients13.6Same as national203
Death rate for CABG surgery patients2.9Same as national90
Death rate for COPD patients10.4Same as national136
Death rate for heart failure patients10Same as national387
Death rate for pneumonia patients16.6Same as national445
Death rate for stroke patients12Same as national180
Pressure ulcer rate0.34Same as national4755
Death rate among surgical inpatients with serious treatable complications161.98Same as national69
Iatrogenic pneumothorax rate0.19Same as national6395
In-hospital fall-associated fracture rate0.25Same as national6618
Postoperative hemorrhage or hematoma rate2.04Same as national1520
Postoperative acute kidney injury requiring dialysis rate1.50Same as national611
Postoperative respiratory failure rate6.78Same as national629
Perioperative pulmonary embolism or deep vein thrombosis rate2.54Same as national1615
Postoperative sepsis rate3.85Same as national584
Postoperative wound dehiscence rate2.18Same as national414
Abdominopelvic accidental puncture or laceration rate1.19Same as national1390
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 patients-0.5Not available200
Hospital return days for heart failure patients-23.3Not available421
Hospital return days for pneumonia patients0.5Not available451
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national2825
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.5Same as national3172
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 national960
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national200
Rate of readmission for CABG10.8Same as national86
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.9Same as national136
Heart failure (HF) 30-Day Readmission Rate19Same as national421
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national451

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 rating4470
Doctor communication - star rating4470
Communication about medicines - star rating2470
Discharge information - star rating4470
Cleanliness - star rating5470
Quietness - star rating3470
Overall hospital rating - star rating4470
Recommend hospital - star rating5470
Summary star rating4470

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 Hypoglycemia13277
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination932970
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 better163475
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 better162456
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20712
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 seen278734
Head CT results8848
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10092
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing145395
Appropriate care for severe sepsis and septic shock75242
Septic Shock 3-Hour Bundle78104
Septic Shock 6-Hour Bundle9843
Severe Sepsis 3-Hour Bundle88243
Severe Sepsis 6-Hour Bundle94135
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis986675
Intensive Care Unit Venous Thromboembolism Prophylaxis1001975

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 Northwest Arkansas rated?
Mercy Hospital Northwest Arkansas has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Northwest Arkansas have emergency services?
Yes. Mercy Hospital Northwest Arkansas operates a 24/7 emergency department.
Where is Mercy Hospital Northwest Arkansas located?
Mercy Hospital Northwest Arkansas is located at 2710 South Rife Medical Lane, Rogers, AR 72758.
What type of hospital is Mercy Hospital Northwest Arkansas?
Mercy Hospital Northwest Arkansas 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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