JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mount Carmel St Ann's

3 / 5

At a glance

Mount Carmel St Ann's 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.

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 Limit0.085Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.675Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4171Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.946Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.507Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.008Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.773Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6069Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.383Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.157Better than national
SSI - Colon Surgery: Lower Confidence Limit0.018Same as national
SSI - Colon Surgery: Upper Confidence Limit1.745Same as national
SSI - Colon Surgery: Number of Procedures104Same as national
SSI - Colon Surgery: Predicted Cases2.826Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.354Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.225Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.435Same as national
SSI - Abdominal Hysterectomy: Number of Procedures159Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.490Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.342Same as national
MRSA Bacteremia: Lower Confidence Limit0.364Same as national
MRSA Bacteremia: Upper Confidence Limit2.761Same as national
MRSA Bacteremia: Patient Days62510Same as national
MRSA Bacteremia: Predicted Cases3.494Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia1.145Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.030Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.323Better than national
Clostridium Difficile (C.Diff): Patient Days57038Better than national
Clostridium Difficile (C.Diff): Predicted Cases25.283Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.119Better 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 patients3.3Same as national69
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1041
Death rate for heart attack patients13Same as national131
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national80
Death rate for heart failure patients14.6Same as national278
Death rate for pneumonia patients18.5Same as national276
Death rate for stroke patients13.2Same as national118
Pressure ulcer rate0.20Same as national3348
Death rate among surgical inpatients with serious treatable complications172.80Same as national58
Iatrogenic pneumothorax rate0.22Same as national4112
In-hospital fall-associated fracture rate0.23Same as national4201
Postoperative hemorrhage or hematoma rate2.33Same as national943
Postoperative acute kidney injury requiring dialysis rate1.49Same as national406
Postoperative respiratory failure rate9.82Same as national450
Perioperative pulmonary embolism or deep vein thrombosis rate3.42Same as national1002
Postoperative sepsis rate4.73Same as national408
Postoperative wound dehiscence rate1.65Same as national260
Abdominopelvic accidental puncture or laceration rate0.86Same as national1053
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patients27Not available117
Hospital return days for heart failure patients-44.2Not available296
Hospital return days for pneumonia patients-2Not available280
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1644
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national668
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national25
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national25
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national487
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national117
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national95
Heart failure (HF) 30-Day Readmission Rate18Same as national296
Rate of readmission after hip/knee replacement5.2Same as national59
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national280

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 rating2601
Doctor communication - star rating3601
Communication about medicines - star rating2601
Discharge information - star rating3601
Cleanliness - star rating1601
Quietness - star rating2601
Overall hospital rating - star rating3601
Recommend hospital - star rating3601
Summary star rating2601

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 vaccination393096
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 better175395
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 better175372
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20414
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 seen161984
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9977
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing103977
Appropriate care for severe sepsis and septic shock70141
Septic Shock 3-Hour Bundle7752
Septic Shock 6-Hour Bundle10028
Severe Sepsis 3-Hour Bundle84141
Severe Sepsis 6-Hour Bundle8971
Discharged on Antithrombotic Therapy98193
Anticoagulation Therapy for Atrial Fibrillation/Flutter7933
Antithrombotic Therapy by End of Hospital Day 296170
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 Mount Carmel St Ann's rated?
Mount Carmel St Ann's has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mount Carmel St Ann's have emergency services?
Yes. Mount Carmel St Ann's operates a 24/7 emergency department.
Where is Mount Carmel St Ann's located?
Mount Carmel St Ann's is located at 500 South Cleveland Avenue, Westerville, OH 43081.
What type of hospital is Mount Carmel St Ann's?
Mount Carmel St Ann's 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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