JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Scripps Mercy Hospital

4 / 5

At a glance

Scripps Mercy Hospital carries a 4-star CMS overall rating — above 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 Limit0.359Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.351Same as national
Central Line Associated Bloodstream Infection: Number of Device Days12498Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.225Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases9Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.736Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.225Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.920Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12675Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.511Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.485Better than national
SSI - Colon Surgery: Lower Confidence Limit0.513Same as national
SSI - Colon Surgery: Upper Confidence Limit2.633Same as national
SSI - Colon Surgery: Number of Procedures184Same as national
SSI - Colon Surgery: Predicted Cases4.739Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.266Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures69Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.549Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.506Same as national
MRSA Bacteremia: Upper Confidence Limit1.673Same as national
MRSA Bacteremia: Patient Days155223Same as national
MRSA Bacteremia: Predicted Cases11.429Same as national
MRSA Bacteremia: Observed Cases11Same as national
MRSA Bacteremia0.962Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.101Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.257Better than national
Clostridium Difficile (C.Diff): Patient Days150718Better than national
Clostridium Difficile (C.Diff): Predicted Cases108.598Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.166Better 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 national191
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national1702
Death rate for heart attack patients11.8Same as national102
Death rate for CABG surgery patients2.7Same as national37
Death rate for COPD patients7.6Same as national121
Death rate for heart failure patients9.1Better than national396
Death rate for pneumonia patients15.2Same as national364
Death rate for stroke patients17.5Worse than national203
Pressure ulcer rate0.11Same as national6094
Death rate among surgical inpatients with serious treatable complications140.20Same as national118
Iatrogenic pneumothorax rate0.31Same as national8056
In-hospital fall-associated fracture rate0.30Same as national8169
Postoperative hemorrhage or hematoma rate3.52Same as national1824
Postoperative acute kidney injury requiring dialysis rate1.26Same as national666
Postoperative respiratory failure rate7.77Same as national707
Perioperative pulmonary embolism or deep vein thrombosis rate3.77Same as national1962
Postoperative sepsis rate7.17Same as national678
Postoperative wound dehiscence rate1.90Same as national345
Abdominopelvic accidental puncture or laceration rate1.62Same as national1395
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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-19.7Not available106
Hospital return days for heart failure patients-9.7Not available488
Hospital return days for pneumonia patients18.4Not available388
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national2978
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15Same as national480
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.6Same as national229
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy7.2Same as national229
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national264
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national106
Rate of readmission for CABG10.8Same as national37
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national147
Heart failure (HF) 30-Day Readmission Rate20.2Same as national488
Rate of readmission after hip/knee replacement4Same as national210
Pneumonia (PN) 30-Day Readmission Rate17.7Same as national388

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 rating32872
Doctor communication - star rating32872
Communication about medicines - star rating32872
Discharge information - star rating42872
Cleanliness - star rating32872
Quietness - star rating22872
Overall hospital rating - star rating32872
Recommend hospital - star rating32872
Summary star rating32872

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 vaccination856866
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 better196394
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 better193346
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22644
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 seen3138220
Head CT results9315
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9973
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing137696
Appropriate care for severe sepsis and septic shock86222
Septic Shock 3-Hour Bundle9772
Septic Shock 6-Hour Bundle10059
Severe Sepsis 3-Hour Bundle89222
Severe Sepsis 6-Hour Bundle98148
Discharged on Antithrombotic Therapy98461
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9716287
Intensive Care Unit Venous Thromboembolism Prophylaxis1002346

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 Scripps Mercy Hospital rated?
Scripps Mercy Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Scripps Mercy Hospital have emergency services?
Yes. Scripps Mercy Hospital operates a 24/7 emergency department.
Where is Scripps Mercy Hospital located?
Scripps Mercy Hospital is located at 4077 5th Ave, San Diego, CA 92103.
What type of hospital is Scripps Mercy Hospital?
Scripps Mercy Hospital 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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