JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Hospital Washington

4 / 5

At a glance

Mercy Hospital Washington 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 6.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days880Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.573Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1019Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.696Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit1.192Worse than national
SSI - Colon Surgery: Upper Confidence Limit4.872Worse than national
SSI - Colon Surgery: Number of Procedures128Worse than national
SSI - Colon Surgery: Predicted Cases3.118Worse than national
SSI - Colon Surgery: Observed Cases8Worse than national
SSI - Colon Surgery2.566Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.972Same as national
SSI - Abdominal Hysterectomy: Number of Procedures111Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.008Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.038Same as national
MRSA Bacteremia: Upper Confidence Limit3.739Same as national
MRSA Bacteremia: Patient Days28725Same as national
MRSA Bacteremia: Predicted Cases1.319Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.758Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.064Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.485Better than national
Clostridium Difficile (C.Diff): Patient Days27283Better than national
Clostridium Difficile (C.Diff): Predicted Cases19.908Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.201Better 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 patients3.2Same as national28
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national580
Death rate for heart attack patients11.6Same as national49
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national52
Death rate for heart failure patients14Same as national223
Death rate for pneumonia patients19.6Same as national248
Death rate for stroke patients12.8Same as national69
Pressure ulcer rate0.70Same as national1777
Death rate among surgical inpatients with serious treatable complications166.03Same as national30
Iatrogenic pneumothorax rate0.19Same as national2506
In-hospital fall-associated fracture rate0.25Same as national2477
Postoperative hemorrhage or hematoma rate2.12Same as national432
Postoperative acute kidney injury requiring dialysis rate1.60Same as national110
Postoperative respiratory failure rate7.70Same as national107
Perioperative pulmonary embolism or deep vein thrombosis rate3.67Same as national459
Postoperative sepsis rate4.84Same as national95
Postoperative wound dehiscence rate1.68Same as national116
Abdominopelvic accidental puncture or laceration rate0.92Same as national391
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients9Not available59
Hospital return days for heart failure patients-8.7Not available243
Hospital return days for pneumonia patients-24.2Not available249
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national893
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national949
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 surgery1.1Same as national323
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national59
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national59
Heart failure (HF) 30-Day Readmission Rate19.1Same as national243
Rate of readmission after hip/knee replacement5.5Same as national26
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national249

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 rating3382
Doctor communication - star rating3382
Communication about medicines - star rating2382
Discharge information - star rating4382
Cleanliness - star rating3382
Quietness - star rating2382
Overall hospital rating - star rating3382
Recommend hospital - star rating3382
Summary star rating3382

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 Hypoglycemia11880
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination951421
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 better160454
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 better159425
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better15312
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31418
Left before being seen142580
Head CT results4219
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9980
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing172522
Appropriate care for severe sepsis and septic shock83155
Septic Shock 3-Hour Bundle9558
Septic Shock 6-Hour Bundle9329
Severe Sepsis 3-Hour Bundle87157
Severe Sepsis 6-Hour Bundle10093
Discharged on Antithrombotic Therapy98164
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296114
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis1001063

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 Washington rated?
Mercy Hospital Washington has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Washington have emergency services?
Yes. Mercy Hospital Washington operates a 24/7 emergency department.
Where is Mercy Hospital Washington located?
Mercy Hospital Washington is located at 901 East 5th Street, Washington, MO 63090.
What type of hospital is Mercy Hospital Washington?
Mercy Hospital Washington 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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