JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Medical Center

5 / 5

At a glance

Mercy Medical Center carries a 5-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. 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 Limit0.017Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.707Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2607Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.890Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.346Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.661Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3559Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.529Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.198Same as national
SSI - Colon Surgery: Number of Procedures51Same as national
SSI - Colon Surgery: Predicted Cases1.363Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures47Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.388Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.015Same as national
MRSA Bacteremia: Upper Confidence Limit1.490Same as national
MRSA Bacteremia: Patient Days51480Same as national
MRSA Bacteremia: Predicted Cases3.311Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.302Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.140Better than national
Clostridium Difficile (C.Diff): Patient Days47121Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.385Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients3.1Same as national40
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national972
Death rate for heart attack patients11.3Same as national73
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.8Same as national132
Death rate for heart failure patients11.6Same as national228
Death rate for pneumonia patients15.3Same as national272
Death rate for stroke patients11.5Same as national109
Pressure ulcer rate0.31Same as national4227
Death rate among surgical inpatients with serious treatable complications157.39Same as national29
Iatrogenic pneumothorax rate0.17Same as national4569
In-hospital fall-associated fracture rate0.26Same as national4696
Postoperative hemorrhage or hematoma rate2.00Same as national559
Postoperative acute kidney injury requiring dialysis rate1.61Same as national144
Postoperative respiratory failure rate8.01Same as national141
Perioperative pulmonary embolism or deep vein thrombosis rate3.14Same as national544
Postoperative sepsis rate5.48Same as national142
Postoperative wound dehiscence rate1.71Same as national162
Abdominopelvic accidental puncture or laceration rate1.39Same as national825
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients10.9Not available234
Hospital return days for pneumonia patients19.9Not available269
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Better than national1607
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national597
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.1Same as national58
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national58
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national188
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national49
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national144
Heart failure (HF) 30-Day Readmission Rate19.3Same as national234
Rate of readmission after hip/knee replacement4.2Same as national39
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national269

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 rating3744
Doctor communication - star rating3744
Communication about medicines - star rating2744
Discharge information - star rating3744
Cleanliness - star rating3744
Quietness - star rating3744
Overall hospital rating - star rating3744
Recommend hospital - star rating3744
Summary star rating3744

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 volumemedium
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 vaccination633430
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 better240481
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 better236462
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better42617
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 seen133741
Head CT results9212
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9683
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing122518
Appropriate care for severe sepsis and septic shock91243
Septic Shock 3-Hour Bundle97102
Septic Shock 6-Hour Bundle9885
Severe Sepsis 3-Hour Bundle96245
Severe Sepsis 6-Hour Bundle96158
Discharged on Antithrombotic Therapy10094
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29297
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 rated?
Mercy Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Medical Center have emergency services?
Yes. Mercy Medical Center operates a 24/7 emergency department.
Where is Mercy Medical Center located?
Mercy Medical Center is located at 1000 North Village Avenue, Rockville Centre, NY 11571.
What type of hospital is Mercy Medical Center?
Mercy Medical Center 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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