Quality Report


Quality Report

Mercy Health- St. Vincent Medical Center LLC

DBA: Mercy Health -St. Vincent Medical Center
HCO ID: 7110
2213 Cherry Street
Toledo, OH, 43608
(419) 251-3232
www.mercyweb.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/30/2022
Last Full Survey Date
3/1/2024
Last On-Site Survey Date
3/1/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
4/7/2023
Last Full Survey Date
4/6/2023
Last On-Site Survey Date
4/6/2023
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
4/5/2023
Last Full Survey Date
4/4/2023
Last On-Site Survey Date
4/4/2023

Sites

Mercy Health - St Vincent Mercy Medical Center LLC
DBA: Mercy Health- Sylvania Outpatient Rehabilitation and Therapy
7640 Sylvania Ave-Suite B
Sylvania, OH, 43560

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health - St Vincent Mercy Medical Center LLC
DBA: Mercy Health –St. Luke’s Outpatient Rehabilitation & Therapy
5901 Monclova Rd
Maumee, OH, 43537

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health - St Vincent Mercy Medical Center LLC
DBA: Mercy Health - St Vincent Medical Center
2213 Cherry Street
Toledo, OH, 43608

Available Services

  • Burn Unit (Inpatient )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Comprehensive Stroke Center

Other Clinics/Practices Located at This Site:

  • Mercy Health-Maternal Fetal Medicine-Suite 309
  • Mercy Health-St Vincent Medical Center Specialty Clinic- 200

Mercy Health - St Vincent Mercy Medical Center LLC
DBA: Mercy Health –Lighthouse Way Outpatient Rehabilitation & The
7015 Lighthouse Way Ste. 100
Perrysburg, OH, 43551

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health -St Vincent Mercy Medical Center LLC
DBA: Mercy Health – Swanton Outpatient Rehabilitation and Therapy
22 Turtle Creek Ste. G
Swanton, OH, 43558

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health -St Vincent Mercy Medical Center LLC
DBA: Mercy Health-St. Anne Cancer Center
3404 W. Sylvania Avenue
Toledo, OH, 43623

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Mercy Health -St Vincent Mercy Medical Center LLC
DBA: Mercy Health –Waterville Outpatient Rehabilitation and Therp
900 Waterville-Monclova Road Ste. C
Waterville, OH, 43566

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health St Vincent Medical Center LLC
DBA: Mercy Health-Perrysburg Outpatient Rehab and Therapy
13415 Eckel Junction Road
Perrysburg, OH, 43551

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health St Vincent Medical Center LLC
DBA: Mercy Health-Arrowhead Imaging and Lab Services
500 The Boulevard
Maumee, OH, 43537

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health St Vincent Medical Center LLC
DBA: Mercy Health-Perrysburg Medical Center
12623 Ecklel Junction Road
Perrysburg, OH, 43551

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • Gastroenterology (Surgical Services )
  • Gynecological Surgery (Surgical Services )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical ICU (Intensive Care Unit )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Other Clinics/Practices Located at This Site:

  • Emergency Department
  • Imaging Services
  • Laboratory
  • Mercy Health ST Vincent Medical Center Oncology
  • Mercy Health St Vincent Medical Center Radiation THerapy
  • Stress Testing

Mercy Health St Vincent Medical Center LLC
DBA: Mercy Health-Oregon Medical Center
3851 Navarre Ave
Oregon, OH, 43616

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mercy Health Oregon Medical Center Physical Therapy
  • Oregon Lab and Imaging

Mercy Health St Vincent Mercy Medical Center LLC
DBA: Mercy Health- Maumee Outpatient Rehabilitation and Therapy
518 The Boulevard
Maumee, OH, 43537

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health St. Vincent Medical Center LLC
DBA: Mercy Health St. Anne- Woodley Sleep Center
3829 Woodley Rd. Building A Suite 3
Toledo, OH, 43606

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health St. Vincent Medical Center LLC
DBA: Mercy Health St. Charles- Women's Center
2702 Navarre Ave. Suite 101
Oregon, OH, 43616

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Mercy Health St. Vincent Medical Center LLC
DBA: Mercy Health St. Charles -Point Shoreland Imaging Services
2755 Shoreland Ave
Toledo, OH, 43611

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health St. Vincent Medical Center LLC
DBA: Mercy Health St. Anne-West Sylvania Imaging and Lab Services
7640 Sylvania Ave A 1
Sylvania, OH, 43560

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health St. Vincent Medical Center LLC
DBA: Mercy Health St. Vincent - St. Charles Hospital
2600 Navarre Ave
Oregon, OH, 43616

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Mercy Health St. Vincent-St. Charles Hospital Rehab Unit

Mercy Health St. Vincent Medical Center LLC
DBA: Mercy Health St. Vincent - St. Anne Hospital
3404 W. Sylvania Ave
Toledo, OH, 43623

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Other Clinics/Practices Located at This Site:

  • Mercy Health St. Vincent Medical Center LLC DBA Mercy Health

Mercy Health St. Vincent Medical Center LLC
DBA: Mercy Health St. Anne- Sylvania Medical Center
3100 King Rd.
Toledo, OH, 43617

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )

Other Clinics/Practices Located at This Site:

  • Emergency Department
  • Imaging
  • Lab

Mercy Health-Mercy St Vincent Medical Center LLC
DBA: Mercy Health St Vincent Medical Center
2222 Cherry St
Toledo, OH, 43608

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mercy Health-St Vincent Medical Center Diabetes Education-M9

Mercy Health-St Vincent Medical Center LLC
DBA: Mercy Health Central Catholic High School Rehabilitation and
2550 Cherry St
Toledo, OH, 43608

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health-St Vincent Mercy Medical Center , LLC
DBA: Mercy Health-Maumee Interventional Pain Medicine
1360 Arrowhead Road
Maumee, OH, 43537

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Mercy Health-St Vincent Mercy Medical Center LLC
DBA: Mercy Health-Jefferson Avenue Family Medicine
2200 Jefferson Avenue
Toledo, OH, 43604

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health-St. Vincent Medical Center LLC
DBA: DBA Mercy Health- Lighthouse Way Family Medicine
7045 Lighthouse Way.
Perrysburg, OH, 43551

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health-St. VIncent Mercy Medical Center LLC
DBA: Mercy Health-Franklin Avenue
2213 Franklin Avenue
Toledo, OH, 43620

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Franklin Avenue Internal Medicine
  • Franklin Avenue Obstetrics & Gynecology

Mercy Health-St.Vincent Mercy Medical Center
DBA: Mercy Health- Center for Health Promtion at Sunforest Court
3930 Sunforest Court-100
Toledo, OH, 43623

Available Services

  • Outpatient Clinics (Outpatient )

Mercy-Health-Physical Therapy/Sports Medicine Clinic at Owen
DBA: Mercy-Health-Physical Therapy/Sports Medicine Clinic at Owen
7315 Championship Dr.
Perrysburg, OH, 43551

Available Services

  • Outpatient Clinics (Outpatient )

St Vincent Mercy Medical Center LLC
DBA: Mercy Health-The Heart and Vascular Institute
2400 Cherry Street
Toledo, OH, 43608

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Inpatient Unit (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Thoracic Surgery (Surgical Services )

Other Clinics/Practices Located at This Site:

  • CHF Clinic

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2024 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.