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Acute Care Hospitals · Voluntary non-profit - Church

Mercy Medical Center Inc

3 / 5

At a glance

Mercy Medical Center Inc 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 6 and worse on 0. 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 Limit0.151Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.145Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9483Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.424Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.475Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.174Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.319Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7564Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.315Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.547Same as national
SSI - Colon Surgery: Lower Confidence Limit0.119Same as national
SSI - Colon Surgery: Upper Confidence Limit1.268Same as national
SSI - Colon Surgery: Number of Procedures259Same as national
SSI - Colon Surgery: Predicted Cases6.437Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.466Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.007Better than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit0.688Better than national
SSI - Abdominal Hysterectomy: Number of Procedures955Better than national
SSI - Abdominal Hysterectomy: Predicted Cases7.164Better than national
SSI - Abdominal Hysterectomy: Observed Cases1Better than national
SSI - Abdominal Hysterectomy0.140Better than national
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.074Same as national
MRSA Bacteremia: Patient Days69045Same as national
MRSA Bacteremia: Predicted Cases2.789Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.580Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.221Same as national
Clostridium Difficile (C.Diff): Patient Days62698Same as national
Clostridium Difficile (C.Diff): Predicted Cases32.703Same as national
Clostridium Difficile (C.Diff): Observed Cases28Same as national
Clostridium Difficile (C.Diff)0.856Same 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 patients4.9Same as national41
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national1097
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national39
Death rate for heart failure patients9.2Same as national141
Death rate for pneumonia patients16.8Same as national77
Death rate for stroke patients12.8Same as national54
Pressure ulcer rate1.10Same as national3226
Death rate among surgical inpatients with serious treatable complications198.47Same as national61
Iatrogenic pneumothorax rate0.28Same as national4046
In-hospital fall-associated fracture rate0.26Same as national4248
Postoperative hemorrhage or hematoma rate3.49Same as national2089
Postoperative acute kidney injury requiring dialysis rate1.23Same as national1586
Postoperative respiratory failure rate5.74Same as national1584
Perioperative pulmonary embolism or deep vein thrombosis rate3.97Same as national2149
Postoperative sepsis rate3.83Same as national1529
Postoperative wound dehiscence rate1.84Same as national749
Abdominopelvic accidental puncture or laceration rate0.67Same as national1572
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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 patientsNot available
Hospital return days for heart failure patients126.1Not available168
Hospital return days for pneumonia patients58.8Not available72
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national1618
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national2554
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.9Same as national272
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national272
Ratio of unplanned hospital visits after hospital outpatient surgery0.7Better than national1784
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national46
Heart failure (HF) 30-Day Readmission Rate21.6Same as national168
Rate of readmission after hip/knee replacement6Same as national40
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national72

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 rating3609
Doctor communication - star rating3609
Communication about medicines - star rating3609
Discharge information - star rating4609
Cleanliness - star rating3609
Quietness - star rating4609
Overall hospital rating - star rating4609
Recommend hospital - star rating5609
Summary star rating4609

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 volume
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 Events06501
Healthcare workers given influenza vaccination985468
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 better242391
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 better242375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21014
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 seen
Head CT results8211
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing133047
Appropriate care for severe sepsis and septic shock92124
Septic Shock 3-Hour Bundle10081
Septic Shock 6-Hour Bundle10069
Severe Sepsis 3-Hour Bundle95124
Severe Sepsis 6-Hour Bundle9698
Discharged on Antithrombotic Therapy9432
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29251
Venous Thromboembolism Prophylaxis
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 Medical Center Inc rated?
Mercy Medical Center Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Medical Center Inc have emergency services?
Yes. Mercy Medical Center Inc operates a 24/7 emergency department.
Where is Mercy Medical Center Inc located?
Mercy Medical Center Inc is located at 301 Saint Paul Place, Baltimore, MD 21202.
What type of hospital is Mercy Medical Center Inc?
Mercy Medical Center Inc 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.

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