St Mary Mercy Hospital

Doing business as St Joe Mercy Hospital System Livonia

Hospital in Livonia, MI, Medicare certification number 230002. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 230002The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: May 16, 2013
Beds: 273
Overall star rating: 2 of 5Care Compare
Most recent change of ownership: May 31, 2000 (1 total)
Address: 36475 Five Mile Road
Livonia, MI 48154
(734) 655-4800

NPI records for this facility (CCN to NPI Mapping) 1

St Mary Mercy Hospital
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
Medicare enrollment

Units certified under this facility 2

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

St Mary Mercy Hospital Inpatient rehabilitation facility, CCN 23T002, 19 measures, 2 providers
Trinity Health Livonia Hospital Hospital, CCN 23S002

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 of 5
- State average 2.86 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.63 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.35 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.07 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.5 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.12 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 3.12 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.39 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 3.21 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,001

Page 1 of 41Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Kristopher Jay Aalderink, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Ypsilanti, MI
- NPI 1073721437
Hawazin Kuddiar Abbas, MD
- Pulmonary Disease Physician
- Auburn Hills, MI
- NPI 1699020677
Joseph G Abbo, MD
- Hospitalist Physician
- Ypsilanti, MI
- NPI 1982136503
Mohammed Abdrabboh, MD
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1639607559
Firdhous Alimathunisa Abdul Kather, MD
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1871015560
Hend Abdul-Jauwad, MB, BCH, BAO
- Infectious Disease Physician
- Plymouth, MI
- NPI 1205002102
Fawaz R Abdulkarim, DO
- Anesthesiology Physician
- Ypsilanti, MI
- NPI 1235718966
Tony Michael Abood, D.O.
- Family Medicine Physician
- Eastpointe, MI
- NPI 1194165829
Hassan Osama Mostafa Aboul-Nour, MD
- Vascular Neurology Physician
- Pontiac, MI
- NPI 1376047282
Mohannad Abousaleh, MD
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1265828115
Alexander Carter Adams, MD
- Internal Medicine Physician
- Ypsilanti, MI
- NPI 1295135101
Kumari N Adams, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ypsilanti, MI
- NPI 1134306392
Ronald Phillip Adelman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Plymouth, MI
- NPI 1245376987
Shahroz Adil, MD
- Internal Medicine Physician
- Detroit, MI
- NPI 1093209611
Mohammad Aun Afzal, AGACNP-BC
- Acute Care Nurse Practitioner
- Livonia, MI
- NPI 1528653094
Deepak Aggarwal, M.D.
- Internal Medicine Physician
- Ypsilanti, MI
- NPI 1154551810
Hooman Agha, M.D.
- Internal Medicine Physician
- Livonia, MI
- NPI 1699745596
Shivani Agrawal, M.D
- Internal Medicine Physician
- Detroit, MI
- NPI 1770922296
Nafis Mostak Ahmed, DO
- Internal Medicine Physician
- Ypsilanti, MI
- NPI 1023637840
Sami Ahmed, M.D.
- Family Medicine Physician
- Marshall, MI
- NPI 1013355569
Jan Akervall, MD
- Otolaryngology Physician
- Farmington Hills, MI
- NPI 1497718142
Tareq Al Baghdadi, MD
- Medical Oncology Physician
- Ypsilanti, MI
- NPI 1861515546
Mohammed B Al-Charakh, MD
- Pulmonary Disease Physician
- Ypsilanti, MI
- NPI 1700249141
Fawaz Al-Ejel, MD
- Nephrology Physician
- Southfield, MI
- NPI 1871567651
Mohammed Al-Hameed
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1861981581

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.41
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 1,475 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.97
- State average 1 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected220.85
- State average 177.85 (computed here)
- National average 173.3
- No different than the national rate
- 64 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.9
- State average 8.58 (computed here)
- National average 8.6
- No different than the national rate
- 222 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.6
- State average 12 (computed here)
- National average 11.9
- No different than the national rate
- 178 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.2
- State average 11.26 (computed here)
- National average 11.1
- No different than the national rate
- 644 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.3
- State average 15.18 (computed here)
- National average 15.2
- No different than the national rate
- 571 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.8
- State average 11.95 (computed here)
- National average 11.9
- No different than the national rate
- 439 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.8
- State average 3.9 (computed here)
- National average 3.9
- No different than the national rate
- 4,526 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 8,999 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.2
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 8,912 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.05
- State average 3.55 (computed here)
- National average 3.52
- No different than the national rate
- 1,399 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.57
- State average 1.69 (computed here)
- National average 1.67
- No different than the national rate
- 282 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.38
- State average 2.38 (computed here)
- National average 2.34
- No different than the national rate
- 1,362 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.06
- State average 9.51 (computed here)
- National average 9.42
- No different than the national rate
- 301 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected8.17
- State average 5.25 (computed here)
- National average 5.27
- No different than the national rate
- 281 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.9
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 295 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.13
- State average 0.61 (computed here)
- National average 0.63
- No different than the national rate
- 7,499 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.6
- State average 4.19 (computed here)
- National average 4.1
- No different than the national rate
- 52 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.21
- State average 0.4
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.77
- State average 0.62
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.48
- State average 0.33
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.89
- State average 0.65
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0
- State average 1.47
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.86
- State average 0.99
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.2
- State average 6.1 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.7
- State average 7.03 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.96
- State average 0.95
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 72
- State average 69.44 (computed here)
- National average 74.05 (computed here)
- 69 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 96
- State average 91.64 (computed here)
- National average 92.79 (computed here)
- 286 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 56
- State average 60
- National average 65
- 130 patients
- Period from 10/01/2024
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 better 251
- State average 166
- National average 168
- 405 patients
- Period from 10/01/2024
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 better 241
- State average 159
- National average 162
- 369 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 483
- State average 266
- National average 257
- 33 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 94.44 (computed here)
- National average 96.1 (computed here)
- 303 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 95
- State average 94
- National average 93
- 77 patients
- Period from 01/01/2024
Head CT results 88
- State average 72
- National average 69
- 26 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 36
- State average 80
- National average 78
- 4,163 patients
- Period from 10/01/2024
Left before being seen 3
- State average 3
- National average 2
- 49,697 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 16
- National average 15
- 4,452 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 62
- State average 71
- National average 73
- 50 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 85
- State average 86
- National average 87
- 27 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 81
- State average 77
- National average 81
- 130 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 91
- National average 93
- 81 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.9
- State average 14.28 (computed here)
- National average 14.4
- No different than the national rate
- 222 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.7
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 1,239 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 13.5
- State average 9.88 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 139 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 16.1
- State average 2.53 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 736 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -8.7
- State average 5.31 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 561 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.4
- State average 17.08 (computed here)
- National average 17.3
- No different than the national rate
- 927 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
- State average 5.33 (computed here)
- National average 5.4
- No different than the national rate
- 92 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.3
- State average 10.6 (computed here)
- National average 10.7
- No different than the national rate
- 92 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.3
- State average 5.98 (computed here)
- National average 5.8
- No different than the national rate
- 52 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected21.5
- State average 19.73 (computed here)
- National average 20
- No different than the national rate
- 471 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.9
- State average 12.94 (computed here)
- National average 13
- No different than the national rate
- 951 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 0.99 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 456 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals in Livonia, MI

Trinity Health Livonia Hospital

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.