JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital Springfield

3 / 5

At a glance

Mercy Hospital Springfield carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 6. 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 Limit0.591Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.641Same as national
Central Line Associated Bloodstream Infection: Number of Device Days12647Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.741Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases15Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.018Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.217Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.818Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13479Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases20.200Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.446Better than national
SSI - Colon Surgery: Lower Confidence Limit0.836Same as national
SSI - Colon Surgery: Upper Confidence Limit1.900Same as national
SSI - Colon Surgery: Number of Procedures655Same as national
SSI - Colon Surgery: Predicted Cases17.872Same as national
SSI - Colon Surgery: Observed Cases23Same as national
SSI - Colon Surgery1.287Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.669Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.856Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures329Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases3.044Worse than national
SSI - Abdominal Hysterectomy: Observed Cases10Worse than national
SSI - Abdominal Hysterectomy3.285Worse than national
MRSA Bacteremia: Lower Confidence Limit0.288Same as national
MRSA Bacteremia: Upper Confidence Limit1.085Same as national
MRSA Bacteremia: Patient Days192383Same as national
MRSA Bacteremia: Predicted Cases15.216Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia0.591Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.235Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.416Better than national
Clostridium Difficile (C.Diff): Patient Days179114Better than national
Clostridium Difficile (C.Diff): Predicted Cases148.924Better than national
Clostridium Difficile (C.Diff): Observed Cases47Better than national
Clostridium Difficile (C.Diff)0.316Better 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 patients4.1Same as national180
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Better than national2729
Death rate for heart attack patients11.4Same as national313
Death rate for CABG surgery patients2.1Same as national149
Death rate for COPD patients9.5Same as national154
Death rate for heart failure patients10.4Same as national648
Death rate for pneumonia patients17.3Same as national708
Death rate for stroke patients13.9Same as national417
Pressure ulcer rate0.49Same as national9440
Death rate among surgical inpatients with serious treatable complications227.11Worse than national176
Iatrogenic pneumothorax rate0.12Same as national10986
In-hospital fall-associated fracture rate0.36Same as national11255
Postoperative hemorrhage or hematoma rate2.63Same as national3082
Postoperative acute kidney injury requiring dialysis rate1.51Same as national1364
Postoperative respiratory failure rate5.92Same as national1322
Perioperative pulmonary embolism or deep vein thrombosis rate2.29Same as national3212
Postoperative sepsis rate4.29Same as national1303
Postoperative wound dehiscence rate2.04Same as national629
Abdominopelvic accidental puncture or laceration rate0.60Same as national2310
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 patients-0.2Not available327
Hospital return days for heart failure patients-3.3Not available703
Hospital return days for pneumonia patients-0.8Not available710
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national4380
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.5Same as national3779
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.4Same as national379
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.5Same as national379
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national2092
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national327
Rate of readmission for CABG11.3Same as national147
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.2Same as national167
Heart failure (HF) 30-Day Readmission Rate18.7Same as national703
Rate of readmission after hip/knee replacement4.8Same as national170
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national710

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 rating31525
Doctor communication - star rating21525
Communication about medicines - star rating21525
Discharge information - star rating41525
Cleanliness - star rating31525
Quietness - star rating21525
Overall hospital rating - star rating31525
Recommend hospital - star rating41525
Summary star rating31525

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 vaccination936780
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 better296446
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 better293414
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35232
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 seen479684
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100102
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)8534
Safe Use of Opioids - Concurrent Prescribing1812478
Appropriate care for severe sepsis and septic shock81465
Septic Shock 3-Hour Bundle91149
Septic Shock 6-Hour Bundle9991
Severe Sepsis 3-Hour Bundle85466
Severe Sepsis 6-Hour Bundle98239
Discharged on Antithrombotic Therapy97645
Anticoagulation Therapy for Atrial Fibrillation/Flutter81154
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis934400

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 Springfield rated?
Mercy Hospital Springfield has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Springfield have emergency services?
Yes. Mercy Hospital Springfield operates a 24/7 emergency department.
Where is Mercy Hospital Springfield located?
Mercy Hospital Springfield is located at 2115 S. Fremont Ave, Springfield, MO 65804.
What type of hospital is Mercy Hospital Springfield?
Mercy Hospital Springfield 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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