JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital South

2 / 5

At a glance

Mercy Hospital South carries a 2-star CMS overall rating — below 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 Limit0.170Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.027Same as national
Central Line Associated Bloodstream Infection: Number of Device Days10438Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.792Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.463Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.179Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.080Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7780Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.259Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.487Same as national
SSI - Colon Surgery: Lower Confidence Limit0.521Same as national
SSI - Colon Surgery: Upper Confidence Limit2.672Same as national
SSI - Colon Surgery: Number of Procedures169Same as national
SSI - Colon Surgery: Predicted Cases4.671Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.285Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.303Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.974Same as national
SSI - Abdominal Hysterectomy: Number of Procedures128Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.106Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.808Same as national
MRSA Bacteremia: Lower Confidence Limit0.231Same as national
MRSA Bacteremia: Upper Confidence Limit1.183Same as national
MRSA Bacteremia: Patient Days155788Same as national
MRSA Bacteremia: Predicted Cases10.546Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.569Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.117Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.249Better than national
Clostridium Difficile (C.Diff): Patient Days152161Better than national
Clostridium Difficile (C.Diff): Predicted Cases155.853Better than national
Clostridium Difficile (C.Diff): Observed Cases27Better than national
Clostridium Difficile (C.Diff)0.173Better 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 patients3.7Same as national122
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national2512
Death rate for heart attack patients10.4Same as national172
Death rate for CABG surgery patients2.9Same as national76
Death rate for COPD patients9Same as national200
Death rate for heart failure patients12.5Same as national677
Death rate for pneumonia patients16.3Same as national634
Death rate for stroke patients12Same as national443
Pressure ulcer rate0.82Same as national9635
Death rate among surgical inpatients with serious treatable complications202.05Same as national122
Iatrogenic pneumothorax rate0.25Same as national11549
In-hospital fall-associated fracture rate0.27Same as national11399
Postoperative hemorrhage or hematoma rate2.50Same as national2035
Postoperative acute kidney injury requiring dialysis rate1.42Same as national786
Postoperative respiratory failure rate4.58Same as national795
Perioperative pulmonary embolism or deep vein thrombosis rate3.01Same as national2289
Postoperative sepsis rate2.76Same as national732
Postoperative wound dehiscence rate1.83Same as national412
Abdominopelvic accidental puncture or laceration rate0.71Same as national1838
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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-1Not available186
Hospital return days for heart failure patients4.8Not available746
Hospital return days for pneumonia patients23.4Not available641
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national4500
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.5Same as national1299
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 national767
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national186
Rate of readmission for CABG9Same as national73
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.5Same as national207
Heart failure (HF) 30-Day Readmission Rate19.6Same as national746
Rate of readmission after hip/knee replacement6Same as national115
Pneumonia (PN) 30-Day Readmission Rate18.2Same as national641

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 rating21372
Doctor communication - star rating21372
Communication about medicines - star rating11372
Discharge information - star rating31372
Cleanliness - star rating11372
Quietness - star rating31372
Overall hospital rating - star rating21372
Recommend hospital - star rating31372
Summary star rating21372

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination944289
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 better254445
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 better246409
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35032
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 seen271451
Head CT results9417
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9990
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)10030
Safe Use of Opioids - Concurrent Prescribing2010132
Appropriate care for severe sepsis and septic shock64379
Septic Shock 3-Hour Bundle80105
Septic Shock 6-Hour Bundle9764
Severe Sepsis 3-Hour Bundle77379
Severe Sepsis 6-Hour Bundle89183
Discharged on Antithrombotic Therapy99713
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9715326
Intensive Care Unit Venous Thromboembolism Prophylaxis992748

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 South rated?
Mercy Hospital South has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital South have emergency services?
Yes. Mercy Hospital South operates a 24/7 emergency department.
Where is Mercy Hospital South located?
Mercy Hospital South is located at 10010 Kennerly Road, Saint Louis, MO 63128.
What type of hospital is Mercy Hospital South?
Mercy Hospital South 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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