JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital of Folsom

4 / 5

At a glance

Mercy Hospital of Folsom 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 Limit0.035Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.446Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2087Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.431Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.699Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.216Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.249Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2316Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.555Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.286Same as national
SSI - Colon Surgery: Lower Confidence Limit0.229Same as national
SSI - Colon Surgery: Upper Confidence Limit4.513Same as national
SSI - Colon Surgery: Number of Procedures54Same as national
SSI - Colon Surgery: Predicted Cases1.464Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.366Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures17Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.150Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.220Same as national
MRSA Bacteremia: Upper Confidence Limit4.339Same as national
MRSA Bacteremia: Patient Days32244Same as national
MRSA Bacteremia: Predicted Cases1.523Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.313Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.005Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.490Better than national
Clostridium Difficile (C.Diff): Patient Days31078Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.061Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.099Better 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 patients3.4Same as national60
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national995
Death rate for heart attack patients12.7Same as national33
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.7Same as national106
Death rate for heart failure patients12.2Same as national320
Death rate for pneumonia patients16.9Same as national267
Death rate for stroke patients12.1Same as national136
Pressure ulcer rate0.27Same as national3045
Death rate among surgical inpatients with serious treatable complications175.63Same as national25
Iatrogenic pneumothorax rate0.19Same as national3820
In-hospital fall-associated fracture rate0.24Same as national3797
Postoperative hemorrhage or hematoma rate2.46Same as national524
Postoperative acute kidney injury requiring dialysis rate1.65Same as national213
Postoperative respiratory failure rate12.80Same as national214
Perioperative pulmonary embolism or deep vein thrombosis rate3.56Same as national554
Postoperative sepsis rate4.88Same as national201
Postoperative wound dehiscence rate1.70Same as national197
Abdominopelvic accidental puncture or laceration rate0.95Same as national563
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients14.4Not available356
Hospital return days for pneumonia patients-4.3Not available280
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1450
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national89
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 surgery0.9Same as national155
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national139
Heart failure (HF) 30-Day Readmission Rate20.9Same as national356
Rate of readmission after hip/knee replacement4.7Same as national64
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national280

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 rating3692
Doctor communication - star rating3692
Communication about medicines - star rating3692
Discharge information - star rating4692
Cleanliness - star rating3692
Quietness - star rating2692
Overall hospital rating - star rating4692
Recommend hospital - star rating4692
Summary star rating3692

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination701915
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 better179386
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 better175360
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31614
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38312
Left before being seen153926
Head CT results9143
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141806
Appropriate care for severe sepsis and septic shock7773
Septic Shock 3-Hour Bundle7322
Septic Shock 6-Hour Bundle9212
Severe Sepsis 3-Hour Bundle9273
Severe Sepsis 6-Hour Bundle9848
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298126
Venous Thromboembolism Prophylaxis943866
Intensive Care Unit Venous Thromboembolism Prophylaxis99369

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 of Folsom rated?
Mercy Hospital of Folsom has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital of Folsom have emergency services?
Yes. Mercy Hospital of Folsom operates a 24/7 emergency department.
Where is Mercy Hospital of Folsom located?
Mercy Hospital of Folsom is located at 1650 Creekside Drive, Folsom, CA 95630.
What type of hospital is Mercy Hospital of Folsom?
Mercy Hospital of Folsom 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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