JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mercyone Des Moines Medical Center

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At a glance

Mercyone Des Moines Medical Center carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures 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 Limit0.264Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.873Better than national
Central Line Associated Bloodstream Infection: Number of Device Days18348Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases21.895Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.502Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.205Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.676Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days18146Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases28.275Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.389Better than national
SSI - Colon Surgery: Lower Confidence Limit0.501Same as national
SSI - Colon Surgery: Upper Confidence Limit1.884Same as national
SSI - Colon Surgery: Number of Procedures305Same as national
SSI - Colon Surgery: Predicted Cases8.765Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery1.027Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures117Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.938Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.861Same as national
MRSA Bacteremia: Upper Confidence Limit2.079Same as national
MRSA Bacteremia: Patient Days148800Same as national
MRSA Bacteremia: Predicted Cases14.591Same as national
MRSA Bacteremia: Observed Cases20Same as national
MRSA Bacteremia1.371Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.321Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.684Better than national
Clostridium Difficile (C.Diff): Patient Days126051Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.605Better than national
Clostridium Difficile (C.Diff): Observed Cases27Better than national
Clostridium Difficile (C.Diff)0.477Better 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 patients3.4Same as national138
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national3225
Death rate for heart attack patients13.1Same as national427
Death rate for CABG surgery patients3.4Same as national373
Death rate for COPD patients9.1Same as national181
Death rate for heart failure patients12.8Same as national644
Death rate for pneumonia patients17.1Same as national508
Death rate for stroke patients13.8Same as national554
Pressure ulcer rate0.40Same as national9657
Death rate among surgical inpatients with serious treatable complications213.67Same as national151
Iatrogenic pneumothorax rate0.36Same as national10796
In-hospital fall-associated fracture rate0.31Same as national11365
Postoperative hemorrhage or hematoma rate2.76Same as national3683
Postoperative acute kidney injury requiring dialysis rate2.15Same as national1701
Postoperative respiratory failure rate9.65Same as national1741
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national3755
Postoperative sepsis rate4.58Same as national1720
Postoperative wound dehiscence rate2.03Same as national601
Abdominopelvic accidental puncture or laceration rate0.95Same as national2108
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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-2.5Not available520
Hospital return days for heart failure patients-1.4Not available728
Hospital return days for pneumonia patients-14.6Not available525
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.6Better than national4948
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.4Same as national2140
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national110
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national110
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national1285
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.3Same as national520
Rate of readmission for CABG12Same as national364
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national201
Heart failure (HF) 30-Day Readmission Rate17.5Same as national728
Rate of readmission after hip/knee replacement4.7Same as national131
Pneumonia (PN) 30-Day Readmission Rate14.3Same as national525

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 rating2738
Doctor communication - star rating2738
Communication about medicines - star rating1738
Discharge information - star rating2738
Cleanliness - star rating2738
Quietness - star rating2738
Overall hospital rating - star rating2738
Recommend hospital - star rating2738
Summary star rating2738

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 vaccination355471
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 better251455
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 better250437
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25817
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 seen468252
Head CT results7516
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9985
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing115010
Appropriate care for severe sepsis and septic shock57705
Septic Shock 3-Hour Bundle70207
Septic Shock 6-Hour Bundle89110
Severe Sepsis 3-Hour Bundle76708
Severe Sepsis 6-Hour Bundle88356
Discharged on Antithrombotic Therapy94450
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 288352
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis983527

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 Mercyone Des Moines Medical Center rated?
Mercyone Des Moines Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercyone Des Moines Medical Center have emergency services?
Yes. Mercyone Des Moines Medical Center operates a 24/7 emergency department.
Where is Mercyone Des Moines Medical Center located?
Mercyone Des Moines Medical Center is located at 1111 6th Ave, Des Moines, IA 50314.
What type of hospital is Mercyone Des Moines Medical Center?
Mercyone Des Moines 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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