JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercy Regional Medical Center

2 / 5

At a glance

Mercy Regional Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.015Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.485Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3642Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.322Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.301Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.020Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.939Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3556Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.543Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.393Same as national
SSI - Colon Surgery: Lower Confidence Limit0.275Same as national
SSI - Colon Surgery: Upper Confidence Limit2.940Same as national
SSI - Colon Surgery: Number of Procedures114Same as national
SSI - Colon Surgery: Predicted Cases2.777Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.080Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures30Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.275Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days33779Not available
MRSA Bacteremia: Predicted Cases0.970Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.005Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.488Better than national
Clostridium Difficile (C.Diff): Patient Days32551Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.100Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.099Better 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 patients3.8Same as national37
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national699
Death rate for heart attack patients13.8Same as national69
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national117
Death rate for heart failure patients11.1Same as national249
Death rate for pneumonia patients16.5Same as national188
Death rate for stroke patients14.2Same as national99
Pressure ulcer rate0.57Same as national2379
Death rate among surgical inpatients with serious treatable complications154.49Same as national35
Iatrogenic pneumothorax rate0.18Same as national3037
In-hospital fall-associated fracture rate0.24Same as national3021
Postoperative hemorrhage or hematoma rate2.01Same as national656
Postoperative acute kidney injury requiring dialysis rate1.53Same as national287
Postoperative respiratory failure rate15.22Same as national268
Perioperative pulmonary embolism or deep vein thrombosis rate3.40Same as national691
Postoperative sepsis rate5.05Same as national276
Postoperative wound dehiscence rate1.96Same as national147
Abdominopelvic accidental puncture or laceration rate0.95Same as national500
CMS Medicare PSI 90: Patient safety and adverse events composite1.10Same 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 patients43.9Not available73
Hospital return days for heart failure patients9.8Not available278
Hospital return days for pneumonia patients6.5Not available192
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1217
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national723
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 surgery1Same as national141
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national73
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.9Same as national124
Heart failure (HF) 30-Day Readmission Rate20.5Same as national278
Rate of readmission after hip/knee replacement4.8Same as national32
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national192

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 rating2481
Doctor communication - star rating3481
Communication about medicines - star rating2481
Discharge information - star rating3481
Cleanliness - star rating3481
Quietness - star rating2481
Overall hospital rating - star rating2481
Recommend hospital - star rating2481
Summary star rating2481

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 vaccination731404
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 better155394
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 better153376
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28412
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 seen146737
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients83210
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91799
Appropriate care for severe sepsis and septic shock63163
Septic Shock 3-Hour Bundle7846
Septic Shock 6-Hour Bundle7731
Severe Sepsis 3-Hour Bundle80166
Severe Sepsis 6-Hour Bundle9092
Discharged on Antithrombotic Therapy98144
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2100124
Venous Thromboembolism Prophylaxis903336
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 Regional Medical Center rated?
Mercy Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Regional Medical Center have emergency services?
Yes. Mercy Regional Medical Center operates a 24/7 emergency department.
Where is Mercy Regional Medical Center located?
Mercy Regional Medical Center is located at 3700 Kolbe Road, Lorain, OH 44053.
What type of hospital is Mercy Regional Medical Center?
Mercy Regional Medical Center 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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