JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy St Vincent Medical Center

3 / 5

At a glance

Mercy St Vincent 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 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.160Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.966Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10965Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.468Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.436Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.281Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.058Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11444Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases15.616Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.576Same as national
SSI - Colon Surgery: Lower Confidence Limit0.815Same as national
SSI - Colon Surgery: Upper Confidence Limit2.442Same as national
SSI - Colon Surgery: Number of Procedures348Same as national
SSI - Colon Surgery: Predicted Cases8.876Same as national
SSI - Colon Surgery: Observed Cases13Same as national
SSI - Colon Surgery1.465Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.224Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.411Same as national
SSI - Abdominal Hysterectomy: Number of Procedures162Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.498Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.335Same as national
MRSA Bacteremia: Lower Confidence Limit0.404Same as national
MRSA Bacteremia: Upper Confidence Limit1.520Same as national
MRSA Bacteremia: Patient Days155031Same as national
MRSA Bacteremia: Predicted Cases10.864Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia0.828Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.055Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.193Better than national
Clostridium Difficile (C.Diff): Patient Days152274Better than national
Clostridium Difficile (C.Diff): Predicted Cases92.341Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.108Better 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 patients5.1Same as national57
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national2720
Death rate for heart attack patients11.3Same as national396
Death rate for CABG surgery patients2.4Same as national115
Death rate for COPD patients10.4Same as national254
Death rate for heart failure patients11.6Same as national577
Death rate for pneumonia patients16Same as national599
Death rate for stroke patients11.7Same as national410
Pressure ulcer rate0.30Same as national8956
Death rate among surgical inpatients with serious treatable complications190.49Same as national172
Iatrogenic pneumothorax rate0.16Same as national12033
In-hospital fall-associated fracture rate0.18Same as national12189
Postoperative hemorrhage or hematoma rate2.03Same as national2605
Postoperative acute kidney injury requiring dialysis rate2.77Same as national1158
Postoperative respiratory failure rate12.65Same as national1206
Perioperative pulmonary embolism or deep vein thrombosis rate2.87Same as national2712
Postoperative sepsis rate4.60Same as national1078
Postoperative wound dehiscence rate1.93Same as national609
Abdominopelvic accidental puncture or laceration rate0.82Same as national2344
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients15.7Not available397
Hospital return days for heart failure patients-5.3Not available694
Hospital return days for pneumonia patients5.4Not available645
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national4804
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.7Same as national1601
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national182
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national182
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Worse than national1276
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15Same as national397
Rate of readmission for CABG13.1Same as national114
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national289
Heart failure (HF) 30-Day Readmission Rate20.8Same as national694
Rate of readmission after hip/knee replacement4.6Same as national56
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national645

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 rating42475
Doctor communication - star rating32475
Communication about medicines - star rating22475
Discharge information - star rating32475
Cleanliness - star rating32475
Quietness - star rating32475
Overall hospital rating - star rating32475
Recommend hospital - star rating42475
Summary star rating32475

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 volumevery 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
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination746409
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 better1531583
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 better1521508
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better13244
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better27834
Left before being seen1169706
Head CT results4416
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients92454
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing139081
Appropriate care for severe sepsis and septic shock52616
Septic Shock 3-Hour Bundle64200
Septic Shock 6-Hour Bundle81103
Severe Sepsis 3-Hour Bundle75617
Severe Sepsis 6-Hour Bundle86322
Discharged on Antithrombotic Therapy99481
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2100418
Venous Thromboembolism Prophylaxis9514942
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 St Vincent Medical Center rated?
Mercy St Vincent Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy St Vincent Medical Center have emergency services?
Yes. Mercy St Vincent Medical Center operates a 24/7 emergency department.
Where is Mercy St Vincent Medical Center located?
Mercy St Vincent Medical Center is located at 2213 Cherry Street, Toledo, OH 43608.
What type of hospital is Mercy St Vincent Medical Center?
Mercy St Vincent 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.

Report an issue with this page