JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Mercy Medical Center

4 / 5

At a glance

Mercy Medical Center 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 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.547Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2139Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.936Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.195Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.088Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3740Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.910Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.767Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.991Same as national
SSI - Colon Surgery: Number of Procedures58Same as national
SSI - Colon Surgery: Predicted Cases1.505Same 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 Procedures112Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.976Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.922Same as national
MRSA Bacteremia: Patient Days33436Same as national
MRSA Bacteremia: Predicted Cases1.559Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.027Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.532Better than national
Clostridium Difficile (C.Diff): Patient Days32263Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.413Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.161Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national668
Death rate for heart attack patients13.5Same as national153
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.9Same as national88
Death rate for heart failure patients14.1Same as national251
Death rate for pneumonia patients17.3Same as national224
Death rate for stroke patients22.1Worse than national104
Pressure ulcer rate0.31Same as national2236
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national2762
In-hospital fall-associated fracture rate0.25Same as national2684
Postoperative hemorrhage or hematoma rate2.18Same as national423
Postoperative acute kidney injury requiring dialysis rate1.66Same as national54
Postoperative respiratory failure rate10.97Same as national56
Perioperative pulmonary embolism or deep vein thrombosis rate2.88Same as national450
Postoperative sepsis rate5.04Same as national45
Postoperative wound dehiscence rate1.70Same as national104
Abdominopelvic accidental puncture or laceration rate0.99Same as national350
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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-17.1Not available141
Hospital return days for heart failure patients-27.7Not available262
Hospital return days for pneumonia patients-39.7Not available216
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national1021
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.5Same as national1646
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 surgery0.9Same as national368
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.1Same as national141
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national94
Heart failure (HF) 30-Day Readmission Rate17.1Same as national262
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate13.1Better than national216

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 rating3667
Doctor communication - star rating3667
Communication about medicines - star rating2667
Discharge information - star rating3667
Cleanliness - star rating3667
Quietness - star rating3667
Overall hospital rating - star rating3667
Recommend hospital - star rating3667
Summary star rating3667

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination621910
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 better187397
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 better184370
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23417
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better23711
Left before being seen341097
Head CT results8234
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10079
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91611
Appropriate care for severe sepsis and septic shock67109
Septic Shock 3-Hour Bundle8629
Septic Shock 6-Hour Bundle8217
Severe Sepsis 3-Hour Bundle77109
Severe Sepsis 6-Hour Bundle9558
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295160
Venous Thromboembolism Prophylaxis904187
Intensive Care Unit Venous Thromboembolism Prophylaxis98655

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 4 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 2700 Nw Stewart Parkway, Roseburg, OR 97471.
What type of hospital is Mercy Medical Center?
Mercy Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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