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MARYMOUNT HOSPITAL — Quality & Patient Safety

GARFIELD HEIGHTS, OH · 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

5

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

832

Survey responses

Patient Satisfaction

3.0/5

Overall HCAHPS score

Avg Readmission Ratio

1.01

Above national average

Quality Measures

49

CMS-tracked metrics

Quality Score

100

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.

Below average (better) Above average

Healthcare-Associated Infections (HAI)

Performance vs national benchmarks on hospital-acquired infection measures.

6

Better than average

Lower infection rates

24

Same as average

Near national rate

0

Worse than average

Higher infection rates

MeasureScorevs National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.10No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.89No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days3873.00No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.50No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2.00No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.57No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.06No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.08No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6476.00No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.09No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2.00No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.33No Different than National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.03No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit3.16No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures61.00No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases1.56No Different than National Benchmark
SSI - Colon Surgery: Observed Cases1.00No Different than National Benchmark
SSI - Colon Surgery0.64No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures11.00Not Available
SSI - Abdominal Hysterectomy: Predicted Cases0.09Not Available
SSI - Abdominal Hysterectomy: Observed Cases1.00Not Available
MRSA Bacteremia: Lower Confidence Limit0.02No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit2.01No Different than National Benchmark
MRSA Bacteremia: Patient Days43153.00No Different than National Benchmark
MRSA Bacteremia: Predicted Cases2.46No Different than National Benchmark
MRSA Bacteremia: Observed Cases1.00No Different than National Benchmark
MRSA Bacteremia0.41No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.13Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.65Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days43153.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases19.31Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases6.00Better than the National Benchmark
Clostridium Difficile (C.Diff)0.31Better than the National Benchmark

What quality scores mean for patients at MARYMOUNT HOSPITAL

MARYMOUNT HOSPITAL holds a CMS overall rating of 5 out of 5 stars, based on publicly reported quality measures. This places it at #10 out of 120 hospitals in OH. 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. MARYMOUNT HOSPITAL's average excess readmission ratio is 1.01x 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 MARYMOUNT 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 MARYMOUNT HOSPITAL Quality

What is MARYMOUNT HOSPITAL's CMS star rating?

MARYMOUNT HOSPITAL has an overall CMS star rating of 5 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 MARYMOUNT HOSPITAL?

Patient satisfaction data for MARYMOUNT 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 MARYMOUNT HOSPITAL have higher-than-average readmission rates?

MARYMOUNT HOSPITAL's average excess readmission ratio is 1.01. 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 MARYMOUNT HOSPITAL compare to other OH hospitals?

MARYMOUNT HOSPITAL's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other OH hospitals on this page. The state peers section shows the top-rated hospitals in OH for context.

Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.