JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercyone Dubuque Medical Center

3 / 5

At a glance

Mercyone Dubuque 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 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.038Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1619Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.470Same 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 Limit0.082Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.612Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4256Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.099Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.488Same as national
SSI - Colon Surgery: Lower Confidence Limit0.239Same as national
SSI - Colon Surgery: Upper Confidence Limit4.703Same as national
SSI - Colon Surgery: Number of Procedures53Same as national
SSI - Colon Surgery: Predicted Cases1.405Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.423Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures71Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.605Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days30074Not available
MRSA Bacteremia: Predicted Cases0.934Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.276Better than national
Clostridium Difficile (C.Diff): Patient Days28368Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.872Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate4.5Same as national591
Death rate for heart attack patients13Same as national56
Death rate for CABG surgery patients3.9Same as national25
Death rate for COPD patients11.1Same as national43
Death rate for heart failure patients12.3Same as national176
Death rate for pneumonia patients15Same as national176
Death rate for stroke patients12.7Same as national90
Pressure ulcer rate0.73Same as national1888
Death rate among surgical inpatients with serious treatable complications200.24Same as national26
Iatrogenic pneumothorax rate0.19Same as national2639
In-hospital fall-associated fracture rate0.25Same as national2667
Postoperative hemorrhage or hematoma rate2.94Same as national480
Postoperative acute kidney injury requiring dialysis rate1.87Same as national228
Postoperative respiratory failure rate16.77Same as national216
Perioperative pulmonary embolism or deep vein thrombosis rate4.66Same as national525
Postoperative sepsis rate6.11Same as national221
Postoperative wound dehiscence rate2.02Same as national113
Abdominopelvic accidental puncture or laceration rate0.97Same as national344
CMS Medicare PSI 90: Patient safety and adverse events composite1.31Same 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-38.3Not available76
Hospital return days for heart failure patients32.1Not available201
Hospital return days for pneumonia patients-32.2Not available190
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national892
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national387
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 surgery1.2Same as national240
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.4Same as national76
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national46
Heart failure (HF) 30-Day Readmission Rate21.2Same as national201
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.3Same as national190

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 rating41025
Doctor communication - star rating41025
Communication about medicines - star rating31025
Discharge information - star rating41025
Cleanliness - star rating31025
Quietness - star rating31025
Overall hospital rating - star rating41025
Recommend hospital - star rating41025
Summary star rating41025

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 volumemedium
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 vaccination323589
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 better214524
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 better212491
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26021
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33213
Left before being seen425395
Head CT results6712
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94120
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing181526
Appropriate care for severe sepsis and septic shock56368
Septic Shock 3-Hour Bundle58117
Septic Shock 6-Hour Bundle7044
Severe Sepsis 3-Hour Bundle79368
Severe Sepsis 6-Hour Bundle88149
Discharged on Antithrombotic Therapy77120
Anticoagulation Therapy for Atrial Fibrillation/Flutter5240
Antithrombotic Therapy by End of Hospital Day 29994
Venous Thromboembolism Prophylaxis
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 Mercyone Dubuque Medical Center rated?
Mercyone Dubuque Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercyone Dubuque Medical Center have emergency services?
Yes. Mercyone Dubuque Medical Center operates a 24/7 emergency department.
Where is Mercyone Dubuque Medical Center located?
Mercyone Dubuque Medical Center is located at 250 Mercy Drive, Dubuque, IA 52001.
What type of hospital is Mercyone Dubuque Medical Center?
Mercyone Dubuque 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.

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