JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Medical Center - Cedar Rapids

4 / 5

At a glance

Mercy Medical Center - Cedar Rapids 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.

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 Limit0.218Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.330Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4447Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.504Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.856Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.007Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.701Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8205Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.036Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.142Better than national
SSI - Colon Surgery: Lower Confidence Limit0.114Same as national
SSI - Colon Surgery: Upper Confidence Limit2.248Same as national
SSI - Colon Surgery: Number of Procedures109Same as national
SSI - Colon Surgery: Predicted Cases2.940Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.680Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures27Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.267Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.611Same as national
MRSA Bacteremia: Upper Confidence Limit3.699Same as national
MRSA Bacteremia: Patient Days48971Same as national
MRSA Bacteremia: Predicted Cases2.996Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.669Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.250Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.748Better than national
Clostridium Difficile (C.Diff): Patient Days48508Better than national
Clostridium Difficile (C.Diff): Predicted Cases28.967Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.449Better 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 national143
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1417
Death rate for heart attack patients14.5Same as national153
Death rate for CABG surgery patients4.1Same as national88
Death rate for COPD patients8.9Same as national155
Death rate for heart failure patients10.7Same as national390
Death rate for pneumonia patients14.9Same as national508
Death rate for stroke patients14Same as national179
Pressure ulcer rate1.49Worse than national4301
Death rate among surgical inpatients with serious treatable complications173.74Same as national60
Iatrogenic pneumothorax rate0.16Same as national5445
In-hospital fall-associated fracture rate0.26Same as national5562
Postoperative hemorrhage or hematoma rate2.67Same as national1319
Postoperative acute kidney injury requiring dialysis rate1.92Same as national697
Postoperative respiratory failure rate9.11Same as national691
Perioperative pulmonary embolism or deep vein thrombosis rate5.00Same as national1371
Postoperative sepsis rate3.58Same as national687
Postoperative wound dehiscence rate1.63Same as national229
Abdominopelvic accidental puncture or laceration rate0.85Same as national834
CMS Medicare PSI 90: Patient safety and adverse events composite1.24Same 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 patients21.6Not available170
Hospital return days for heart failure patients-19.5Not available432
Hospital return days for pneumonia patients2Not available550
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national2268
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national2455
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.2Same as national248
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1Same as national248
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national967
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national170
Rate of readmission for CABG9.3Same as national84
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17Same as national174
Heart failure (HF) 30-Day Readmission Rate18.2Same as national432
Rate of readmission after hip/knee replacement4.1Same as national141
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national550

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 rating4943
Doctor communication - star rating3943
Communication about medicines - star rating3943
Discharge information - star rating4943
Cleanliness - star rating3943
Quietness - star rating4943
Overall hospital rating - star rating4943
Recommend hospital - star rating5943
Summary star rating4943

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 vaccination775053
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 better141408
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 better136390
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20412
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 seen167889
Head CT results7735
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98100
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing182409
Appropriate care for severe sepsis and septic shock62117
Septic Shock 3-Hour Bundle9145
Septic Shock 6-Hour Bundle9434
Severe Sepsis 3-Hour Bundle73117
Severe Sepsis 6-Hour Bundle8964
Discharged on Antithrombotic Therapy96185
Anticoagulation Therapy for Atrial Fibrillation/Flutter7641
Antithrombotic Therapy by End of Hospital Day 293134
Venous Thromboembolism Prophylaxis464566
Intensive Care Unit Venous Thromboembolism Prophylaxis431095

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 Medical Center - Cedar Rapids rated?
Mercy Medical Center - Cedar Rapids has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Medical Center - Cedar Rapids have emergency services?
Yes. Mercy Medical Center - Cedar Rapids operates a 24/7 emergency department.
Where is Mercy Medical Center - Cedar Rapids located?
Mercy Medical Center - Cedar Rapids is located at 701 10th Street Se, Cedar Rapids, IA 52403.
What type of hospital is Mercy Medical Center - Cedar Rapids?
Mercy Medical Center - Cedar Rapids 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.

Report an issue with this page