KENMORE MERCY HOSPITAL — Quality & Patient Safety
KENMORE, NY · Acute Care Hospitals · Emergency services available
Source: CMS Hospital Compare, HCAHPS Survey
By BillRazor Research · Last updated June 1, 2026 · View pricing data
CMS Overall Hospital Quality
Out of 5 stars · CMS Hospital Compare rating
N/A
Patients recommend
978
Survey responses
Patient Satisfaction
3.0/5
Overall HCAHPS score
Avg Readmission Ratio
1.03
Above national average
Quality Measures
45
CMS-tracked metrics
Quality Score
40
Composite index
Patient Satisfaction — HCAHPS Survey Scores
Score out of 5.0 based on patient survey responses. Source: CMS HCAHPS.
Excess Readmission Ratios by Condition
Ratio vs national average (1.0 = average). Below 1.0 is better, above 1.0 indicates higher-than-expected readmissions.
Healthcare-Associated Infections (HAI)
Performance vs national benchmarks on hospital-acquired infection measures.
5
Better than average
Lower infection rates
24
Same as average
Near national rate
0
Worse than average
Higher infection rates
| Measure | Score | vs National |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.09 | No Different than National Benchmark |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.70 | No Different than National Benchmark |
| Central Line Associated Bloodstream Infection: Number of Device Days | 5759.00 | No Different than National Benchmark |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 3.89 | No Different than National Benchmark |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2.00 | No Different than National Benchmark |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.51 | No Different than National Benchmark |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.60 | Better than the National Benchmark |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 7397.00 | Better than the National Benchmark |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 4.98 | Better than the National Benchmark |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0.00 | Better than the National Benchmark |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.00 | Better than the National Benchmark |
| SSI - Colon Surgery: Lower Confidence Limit | 0.02 | No Different than National Benchmark |
| SSI - Colon Surgery: Upper Confidence Limit | 1.56 | No Different than National Benchmark |
| SSI - Colon Surgery: Number of Procedures | 126.00 | No Different than National Benchmark |
| SSI - Colon Surgery: Predicted Cases | 3.17 | No Different than National Benchmark |
| SSI - Colon Surgery: Observed Cases | 1.00 | No Different than National Benchmark |
| SSI - Colon Surgery | 0.32 | No Different than National Benchmark |
| MRSA Bacteremia: Lower Confidence Limit | 0.03 | No Different than National Benchmark |
| MRSA Bacteremia: Upper Confidence Limit | 3.21 | No Different than National Benchmark |
| MRSA Bacteremia: Patient Days | 35345.00 | No Different than National Benchmark |
| MRSA Bacteremia: Predicted Cases | 1.53 | No Different than National Benchmark |
| MRSA Bacteremia: Observed Cases | 1.00 | No Different than National Benchmark |
| MRSA Bacteremia | 0.65 | No Different than National Benchmark |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.43 | No Different than National Benchmark |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.43 | No Different than National Benchmark |
| Clostridium Difficile (C.Diff): Patient Days | 35345.00 | No Different than National Benchmark |
| Clostridium Difficile (C.Diff): Predicted Cases | 13.39 | No Different than National Benchmark |
| Clostridium Difficile (C.Diff): Observed Cases | 11.00 | No Different than National Benchmark |
| Clostridium Difficile (C.Diff) | 0.82 | No Different than National Benchmark |
What quality scores mean for patients at KENMORE MERCY HOSPITAL
KENMORE MERCY HOSPITAL holds a CMS overall rating of 2 out of 5 stars, based on publicly reported quality measures. This places it at #82 out of 131 hospitals in NY. Quality ratings aggregate dozens of individual measures — from nurse communication and cleanliness to surgical complication rates and timely care — into a single composite. While no single number captures the full patient experience, the star rating provides a useful starting point for understanding whether a hospital consistently meets or falls short of national performance standards.
Readmission data offers a particularly important signal. KENMORE MERCY HOSPITAL's average excess readmission ratio is 1.03x the national average, meaning patients here return to the hospital at a higher-than-expected rate after discharge. This hospital reports readmission data across 4 conditions, and performance varies by diagnosis. High readmission rates can indicate issues with discharge planning, follow-up care coordination, or the initial quality of treatment — all factors that may also correlate with the complexity and accuracy of the resulting hospital bill.
Research consistently shows a correlation between hospital operational quality and billing accuracy. Hospitals that perform well on patient safety, infection control, and care coordination tend to have more robust administrative processes, including medical coding and billing. Conversely, facilities with lower quality scores — particularly those with higher-than-average infection rates (0 measures worse than average at KENMORE MERCY HOSPITAL) or elevated readmission ratios — often exhibit higher rates of billing discrepancies. If you have received a bill from a hospital with mixed quality indicators, a line-by-line review against regional benchmarks can identify charges that may not align with the care actually delivered.
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Data from CMS Hospital Compare, HCAHPS Patient Survey, Hospital-Acquired Infection (HAI) reports, and Hospital Readmissions Reduction Program (HRRP). All data is publicly available.
Star ratings and quality measures are published by the Centers for Medicare & Medicaid Services (CMS). This page is for informational purposes only and does not constitute medical advice.
Frequently Asked Questions About KENMORE MERCY HOSPITAL Quality
What is KENMORE MERCY HOSPITAL's CMS star rating?
KENMORE MERCY HOSPITAL has an overall CMS star rating of 2 out of 5, based on the Hospital Compare quality rating system. This rating incorporates patient experience, safety, readmission rates, mortality outcomes, and timely & effective care. Star ratings are updated annually by the Centers for Medicare & Medicaid Services.
How do patients rate KENMORE MERCY HOSPITAL?
Patient satisfaction data for KENMORE MERCY HOSPITAL is based on the HCAHPS patient survey, which measures experience across dimensions including nurse and doctor communication, staff responsiveness, and cleanliness. Detailed scores are available on this page.
Does KENMORE MERCY HOSPITAL have higher-than-average readmission rates?
KENMORE MERCY HOSPITAL's average excess readmission ratio is 1.03. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is above the national average. Source: CMS Hospital Readmissions Reduction Program.
How does KENMORE MERCY HOSPITAL compare to other NY hospitals?
KENMORE MERCY HOSPITAL's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other NY hospitals on this page. The state peers section shows the top-rated hospitals in NY for context.
Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.