JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Presence Mercy Medical Center

3 / 5

At a glance

Presence Mercy Medical Center carries a 3-star CMS overall rating — in line with the national norm.

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 Limit0.252Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.972Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1432Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.329Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.505Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.248Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.880Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1408Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.354Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.477Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures20Not available
SSI - Colon Surgery: Predicted Cases0.492Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures2Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.016Not 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 Days17138Not available
MRSA Bacteremia: Predicted Cases0.683Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.244Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.251Same as national
Clostridium Difficile (C.Diff): Patient Days16828Same as national
Clostridium Difficile (C.Diff): Predicted Cases9.974Same as national
Clostridium Difficile (C.Diff): Observed Cases6Same as national
Clostridium Difficile (C.Diff)0.602Same as 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 Rate4.4Same as national316
Death rate for heart attack patients11.4Same as national78
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.4Same as national47
Death rate for heart failure patients11Same as national172
Death rate for pneumonia patients17Same as national175
Death rate for stroke patients11.2Same as national44
Pressure ulcer rate0.35Same as national1570
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1857
In-hospital fall-associated fracture rate0.29Same as national1897
Postoperative hemorrhage or hematoma rate2.19Same as national281
Postoperative acute kidney injury requiring dialysis rate1.63Same as national56
Postoperative respiratory failure rate12.08Same as national68
Perioperative pulmonary embolism or deep vein thrombosis rate3.51Same as national299
Postoperative sepsis rate5.00Same as national52
Postoperative wound dehiscence rate1.74Same as national60
Abdominopelvic accidental puncture or laceration rate0.99Same as national324
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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 patients23.2Not available71
Hospital return days for heart failure patients1.5Not available198
Hospital return days for pneumonia patients-16.2Not available180
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national478
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national33
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national34
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national34
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national40
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national71
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.8Same as national51
Heart failure (HF) 30-Day Readmission Rate21.6Same as national198
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national180

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 rating2430
Doctor communication - star rating2430
Communication about medicines - star rating2430
Discharge information - star rating2430
Cleanliness - star rating3430
Quietness - star rating3430
Overall hospital rating - star rating3430
Recommend hospital - star rating2430
Summary star rating2430

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 volume
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 vaccination37911
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 better206293
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 better194260
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33131
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 seen
Head CT results8312
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock6177
Septic Shock 3-Hour Bundle7625
Septic Shock 6-Hour Bundle7315
Severe Sepsis 3-Hour Bundle7977
Severe Sepsis 6-Hour Bundle9541
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Presence Mercy Medical Center rated?
Presence Mercy Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Presence Mercy Medical Center have emergency services?
Yes. Presence Mercy Medical Center operates a 24/7 emergency department.
Where is Presence Mercy Medical Center located?
Presence Mercy Medical Center is located at 1325 N Highland Avenue, Aurora, IL 60506.
What type of hospital is Presence Mercy Medical Center?
Presence Mercy 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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