JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Hospital Oklahoma City, Inc

4 / 5

At a glance

Mercy Hospital Oklahoma City, Inc carries a 4-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 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.085Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.904Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9867Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.027Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.332Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.334Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.714Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8721Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.280Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.824Same as national
SSI - Colon Surgery: Lower Confidence Limit0.338Same as national
SSI - Colon Surgery: Upper Confidence Limit1.270Same as national
SSI - Colon Surgery: Number of Procedures507Same as national
SSI - Colon Surgery: Predicted Cases13.001Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery0.692Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.120Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.286Same as national
SSI - Abdominal Hysterectomy: Number of Procedures765Same as national
SSI - Abdominal Hysterectomy: Predicted Cases6.348Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.473Same as national
MRSA Bacteremia: Lower Confidence Limit0.115Same as national
MRSA Bacteremia: Upper Confidence Limit1.226Same as national
MRSA Bacteremia: Patient Days100982Same as national
MRSA Bacteremia: Predicted Cases6.662Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.450Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.066Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.218Better than national
Clostridium Difficile (C.Diff): Patient Days84418Better than national
Clostridium Difficile (C.Diff): Predicted Cases87.741Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.125Better 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 patients3.3Same as national153
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national2620
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national178
Death rate for heart failure patients13.4Same as national212
Death rate for pneumonia patients16.3Same as national844
Death rate for stroke patients12.3Same as national566
Pressure ulcer rate0.07Better than national8217
Death rate among surgical inpatients with serious treatable complications161.48Same as national155
Iatrogenic pneumothorax rate0.13Same as national10417
In-hospital fall-associated fracture rate0.24Same as national10290
Postoperative hemorrhage or hematoma rate1.63Same as national2400
Postoperative acute kidney injury requiring dialysis rate1.24Same as national900
Postoperative respiratory failure rate8.04Same as national899
Perioperative pulmonary embolism or deep vein thrombosis rate2.48Same as national2481
Postoperative sepsis rate7.27Same as national815
Postoperative wound dehiscence rate1.61Same as national822
Abdominopelvic accidental puncture or laceration rate0.68Same as national2587
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients-35.5Not available231
Hospital return days for pneumonia patients-20.2Not available881
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national4469
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national6997
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national593
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.6Same as national593
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national2202
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national185
Heart failure (HF) 30-Day Readmission Rate18.2Same as national231
Rate of readmission after hip/knee replacement5.4Same as national145
Pneumonia (PN) 30-Day Readmission Rate13.9Better than national881

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 rating31548
Doctor communication - star rating31548
Communication about medicines - star rating21548
Discharge information - star rating41548
Cleanliness - star rating31548
Quietness - star rating31548
Overall hospital rating - star rating41548
Recommend hospital - star rating51548
Summary star rating31548

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 Hypoglycemia13733
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination944019
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 better153479
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 better152470
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen175282
Head CT results4129
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10098
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing138472
Appropriate care for severe sepsis and septic shock76268
Septic Shock 3-Hour Bundle84108
Septic Shock 6-Hour Bundle9462
Severe Sepsis 3-Hour Bundle87269
Severe Sepsis 6-Hour Bundle97155
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis998763
Intensive Care Unit Venous Thromboembolism Prophylaxis1002135

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 Oklahoma City, Inc rated?
Mercy Hospital Oklahoma City, Inc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Oklahoma City, Inc have emergency services?
Yes. Mercy Hospital Oklahoma City, Inc operates a 24/7 emergency department.
Where is Mercy Hospital Oklahoma City, Inc located?
Mercy Hospital Oklahoma City, Inc is located at 4300 West Memorial Road, Oklahoma City, OK 73120.
What type of hospital is Mercy Hospital Oklahoma City, Inc?
Mercy Hospital Oklahoma City, Inc is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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