JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital Southeast

2 / 5

At a glance

Mercy Hospital Southeast carries a 2-star CMS overall rating — below the national norm.

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 Limit0.024Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.325Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2974Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.121Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.471Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.809Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2363Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.656Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.016Same as national
SSI - Colon Surgery: Upper Confidence Limit1.623Same as national
SSI - Colon Surgery: Number of Procedures112Same as national
SSI - Colon Surgery: Predicted Cases3.039Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.329Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.063Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.528Same as national
MRSA Bacteremia: Patient Days34100Same as national
MRSA Bacteremia: Predicted Cases1.961Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.393Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.054Same as national
Clostridium Difficile (C.Diff): Patient Days32639Same as national
Clostridium Difficile (C.Diff): Predicted Cases24.116Same as national
Clostridium Difficile (C.Diff): Observed Cases16Same as national
Clostridium Difficile (C.Diff)0.663Same as 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 national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.6Worse than national991
Death rate for heart attack patients13Same as national127
Death rate for CABG surgery patients3Same as national73
Death rate for COPD patients11.7Same as national126
Death rate for heart failure patients14.6Same as national209
Death rate for pneumonia patients24.5Worse than national393
Death rate for stroke patients14.3Same as national176
Pressure ulcer rate0.73Same as national3447
Death rate among surgical inpatients with serious treatable complications167.19Same as national35
Iatrogenic pneumothorax rate0.17Same as national3787
In-hospital fall-associated fracture rate0.32Same as national4061
Postoperative hemorrhage or hematoma rate2.11Same as national1028
Postoperative acute kidney injury requiring dialysis rate1.51Same as national560
Postoperative respiratory failure rate9.38Same as national544
Perioperative pulmonary embolism or deep vein thrombosis rate2.39Same as national1045
Postoperative sepsis rate4.00Same as national527
Postoperative wound dehiscence rate1.63Same as national348
Abdominopelvic accidental puncture or laceration rate0.86Same as national790
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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-11.9Not available132
Hospital return days for heart failure patients58.5Not available234
Hospital return days for pneumonia patients26.5Not available370
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1474
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national1074
Rate of inpatient admissions for patients receiving outpatient chemotherapy9Same as national192
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national192
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national488
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national132
Rate of readmission for CABG9.5Same as national71
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national134
Heart failure (HF) 30-Day Readmission Rate21.9Same as national234
Rate of readmission after hip/knee replacement4.8Same as national38
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national370

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 rating31124
Doctor communication - star rating31124
Communication about medicines - star rating21124
Discharge information - star rating31124
Cleanliness - star rating21124
Quietness - star rating31124
Overall hospital rating - star rating21124
Recommend hospital - star rating31124
Summary star rating31124

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 volumelow
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 vaccination921534
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 better163423
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 better160400
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30517
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 seen36076
Head CT results8614
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10090
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171225
Appropriate care for severe sepsis and septic shock6497
Septic Shock 3-Hour Bundle8425
Septic Shock 6-Hour Bundle10014
Severe Sepsis 3-Hour Bundle7897
Severe Sepsis 6-Hour Bundle7845
Discharged on Antithrombotic Therapy99129
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 299123
Venous Thromboembolism Prophylaxis862639
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Southeast rated?
Mercy Hospital Southeast has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Southeast have emergency services?
Yes. Mercy Hospital Southeast operates a 24/7 emergency department.
Where is Mercy Hospital Southeast located?
Mercy Hospital Southeast is located at 1701 Lacey St, Cape Girardeau, MO 63701.
What type of hospital is Mercy Hospital Southeast?
Mercy Hospital Southeast 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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