JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Merit Health Wesley

2 / 5

At a glance

Merit Health Wesley 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 Limit0.022Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.173Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2670Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.270Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.441Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.030Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.959Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2079Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.667Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.600Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.155Same as national
SSI - Colon Surgery: Number of Procedures95Same as national
SSI - Colon Surgery: Predicted Cases2.594Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.578Same as national
SSI - Abdominal Hysterectomy: Number of Procedures135Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.162Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.226Same as national
MRSA Bacteremia: Upper Confidence Limit4.459Same as national
MRSA Bacteremia: Patient Days27324Same as national
MRSA Bacteremia: Predicted Cases1.482Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.350Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.061Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.650Better than national
Clostridium Difficile (C.Diff): Patient Days26235Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.568Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.239Better 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 patients3.5Same as national57
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5Same as national744
Death rate for heart attack patients14.5Same as national64
Death rate for CABG surgery patients4.3Same as national55
Death rate for COPD patients9.9Same as national95
Death rate for heart failure patients14.7Same as national151
Death rate for pneumonia patients19Same as national181
Death rate for stroke patients11.8Same as national57
Pressure ulcer rate0.24Same as national2601
Death rate among surgical inpatients with serious treatable complications163.97Same as national31
Iatrogenic pneumothorax rate0.23Same as national3157
In-hospital fall-associated fracture rate0.24Same as national3289
Postoperative hemorrhage or hematoma rate2.39Same as national843
Postoperative acute kidney injury requiring dialysis rate1.57Same as national292
Postoperative respiratory failure rate7.45Same as national304
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national864
Postoperative sepsis rate4.42Same as national267
Postoperative wound dehiscence rate1.94Same as national215
Abdominopelvic accidental puncture or laceration rate0.89Same as national646
CMS Medicare PSI 90: Patient safety and adverse events composite0.79Same 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 patients29.9Not available63
Hospital return days for heart failure patients35.1Not available168
Hospital return days for pneumonia patients36.8Not available177
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national1158
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national31
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 national203
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national63
Rate of readmission for CABG11.2Same as national50
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national112
Heart failure (HF) 30-Day Readmission Rate19.4Same as national168
Rate of readmission after hip/knee replacement4.5Same as national57
Pneumonia (PN) 30-Day Readmission Rate17Same as national177

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 rating3323
Doctor communication - star rating4323
Communication about medicines - star rating2323
Discharge information - star rating2323
Cleanliness - star rating1323
Quietness - star rating3323
Overall hospital rating - star rating3323
Recommend hospital - star rating3323
Summary star rating3323

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 vaccination441280
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 better152427
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 better151420
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen133717
Head CT results7512
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9111
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91822
Appropriate care for severe sepsis and septic shock61107
Septic Shock 3-Hour Bundle5927
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle80107
Severe Sepsis 6-Hour Bundle8353
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29970
Venous Thromboembolism Prophylaxis983311
Intensive Care Unit Venous Thromboembolism Prophylaxis100570

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 Merit Health Wesley rated?
Merit Health Wesley has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Merit Health Wesley have emergency services?
Yes. Merit Health Wesley operates a 24/7 emergency department.
Where is Merit Health Wesley located?
Merit Health Wesley is located at 5001 W Hardy St, Hattiesburg, MS 39402.
What type of hospital is Merit Health Wesley?
Merit Health Wesley 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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