Acute Care Hospitals · Voluntary non-profit - Private
Mercy San Juan Medical Center
- 6501 Coyle Ave, Carmichael, CA 95608
- (916) 537-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Mercy San Juan Medical Center 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 18 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.267 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.369 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 8041 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 9.119 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 6 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.658 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.060 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.643 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6901 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 12.695 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 3 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.236 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | — | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.286 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 80 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 2.330 | Same as national |
| SSI - Colon Surgery: Observed Cases | 0 | Same as national |
| SSI - Colon Surgery | 0.000 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 84 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.699 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.048 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.943 | Better than national |
| MRSA Bacteremia: Patient Days | 111405 | Better than national |
| MRSA Bacteremia: Predicted Cases | 7.009 | Better than national |
| MRSA Bacteremia: Observed Cases | 2 | Better than national |
| MRSA Bacteremia | 0.285 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.027 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.205 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 102214 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 46.986 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 4 | Better than national |
| Clostridium Difficile (C.Diff) | 0.085 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.9 | Same as national | 27 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.3 | Same as national | 1762 |
| Death rate for heart attack patients | 12.8 | Same as national | 209 |
| Death rate for CABG surgery patients | 2.3 | Same as national | 66 |
| Death rate for COPD patients | 10.5 | Same as national | 175 |
| Death rate for heart failure patients | 12.4 | Same as national | 442 |
| Death rate for pneumonia patients | 16 | Same as national | 384 |
| Death rate for stroke patients | 14.8 | Same as national | 362 |
| Pressure ulcer rate | 0.53 | Same as national | 7155 |
| Death rate among surgical inpatients with serious treatable complications | 195.56 | Same as national | 122 |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 8263 |
| In-hospital fall-associated fracture rate | 0.23 | Same as national | 8488 |
| Postoperative hemorrhage or hematoma rate | 2.08 | Same as national | 1929 |
| Postoperative acute kidney injury requiring dialysis rate | 1.38 | Same as national | 566 |
| Postoperative respiratory failure rate | 6.41 | Same as national | 533 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.30 | Same as national | 1992 |
| Postoperative sepsis rate | 4.30 | Same as national | 557 |
| Postoperative wound dehiscence rate | 1.60 | Same as national | 338 |
| Abdominopelvic accidental puncture or laceration rate | 0.78 | Same as national | 1413 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.77 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 13.9 | Not available | 202 |
| Hospital return days for heart failure patients | -11.3 | Not available | 517 |
| Hospital return days for pneumonia patients | 16.5 | Not available | 399 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.8 | Same as national | 3074 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.8 | Same as national | 384 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10 | Same as national | 102 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.9 | Same as national | 102 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 291 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.3 | Same as national | 202 |
| Rate of readmission for CABG | 10.8 | Same as national | 66 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.3 | Same as national | 210 |
| Heart failure (HF) 30-Day Readmission Rate | 19.4 | Same as national | 517 |
| Rate of readmission after hip/knee replacement | 5.4 | Same as national | 30 |
| Pneumonia (PN) 30-Day Readmission Rate | 17.8 | Same as national | 399 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 600 |
| Doctor communication - star rating | 3 | 600 |
| Communication about medicines - star rating | 3 | 600 |
| Discharge information - star rating | 3 | 600 |
| Cleanliness - star rating | 3 | 600 |
| Quietness - star rating | 2 | 600 |
| Overall hospital rating - star rating | 3 | 600 |
| Recommend hospital - star rating | 3 | 600 |
| Summary star rating | 3 | 600 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 | 1 | 5685 |
| Hospital Harm - Opioid Related Adverse Events | 0 | 12192 |
| Healthcare workers given influenza vaccination | 65 | 4003 |
| 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 better | 203 | 382 |
| 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 better | 200 | 348 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 381 | 31 |
| 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 | 1 | 81679 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 82 | 38 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 10 | 4551 |
| Appropriate care for severe sepsis and septic shock | 77 | 140 |
| Septic Shock 3-Hour Bundle | 86 | 51 |
| Septic Shock 6-Hour Bundle | 97 | 35 |
| Severe Sepsis 3-Hour Bundle | 85 | 141 |
| Severe Sepsis 6-Hour Bundle | 98 | 82 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 98 | 1758 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Mercy San Juan Medical Center rated?
- Mercy San Juan Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Mercy San Juan Medical Center have emergency services?
- Yes. Mercy San Juan Medical Center operates a 24/7 emergency department.
- Where is Mercy San Juan Medical Center located?
- Mercy San Juan Medical Center is located at 6501 Coyle Ave, Carmichael, CA 95608.
- What type of hospital is Mercy San Juan Medical Center?
- Mercy San Juan Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.