Hospital Profile

Mercy Health System Corp

1000 Mineral Point Ave
Janesville, WI 53547
★★★☆☆
3/5 CMS Overall Rating
240
Licensed Beds
Acute Care
Hospital Type
382
Affiliated Doctors
Moderate
Critical Care
0.9:1
Nurse-to-Bed Ratio
Data Source: Hospital data from CMS Hospital Compare (February 2026) and Provider of Services file (Q4 2025). Doctor affiliations from CMS Physician Compare. Quality measures are updated quarterly.
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Hospital Details

Mercy Health System Corp is a 3.00-star acute care hospital located in Janesville, Wisconsin with 240 licensed beds. As a private non-profit, its revenue is reinvested into patient care and community programs.

Its 3-star CMS rating is at the national average — it meets baseline quality standards across key domains. 382 physicians are affiliated with this facility, and it provides emergency services. Its critical care footprint covers 5 of 8 unit types (Moderate) with a 0.9:1 nurse-to-bed ratio.

Hospital Type Acute Care Hospitals
Ownership Voluntary non-profit - Private
Teaching Status Non-Teaching Hospital

Quality Ratings & Measures

CMS evaluates hospitals across five quality domains. Here's how Mercy Health System Corp compares:

3
Overall Rating
of 5 stars
💔
Same as National
Mortality
0 of 7 better
🛡️
Better than National
Safety
1 of 7 better
🔄
Worse than National
Readmission
0 of 11 better
😊
All 8 domains reported
Patient Experience
8 measures
💰
0.9200
Medicare Spending Index (MSPB)
Below National Avg (Lower Spending)

Quality data from CMS Hospital Compare. "Better than national" means statistically significantly better than the national average. Spending uses the CMS MSPB measure (Medicare Spending Per Beneficiary) index, where 1.000 is national average and values above/below 1.000 indicate higher/lower spending.

Patient Experience (HCAHPS Survey)

The HCAHPS survey is a standardized, national survey of hospital patients. It measures how patients perceive their care — including communication with doctors and nurses, responsiveness of staff, cleanliness, and discharge information. Higher percentages indicate better performance.

MeasureScoreStar Rating
Patients who reported that their room and bathroom were "Always" clean73%N/A
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean7%N/A
Patients who reported that their room and bathroom were "Usually" clean20%N/A
Cleanliness - linear mean scoreNot Applicable%N/A
Cleanliness - star ratingNot Applicable%★★★★☆ (4)
Patients who reported that their nurses "Always" communicated well76%N/A
Nurse communication - linear mean scoreNot Applicable%N/A
Patients who reported that their nurses "Sometimes" or "Never" communicated well4%N/A
Nurse communication - star ratingNot Applicable%★★★☆☆ (3)
Patients who reported that their nurses "Usually" communicated well20%N/A
Patients who reported that their doctors "Always" communicated well80%N/A
Doctor communication - linear mean scoreNot Applicable%N/A
Patients who reported that their doctors "Sometimes" or "Never" communicated well4%N/A
Doctor communication - star ratingNot Applicable%★★★★☆ (4)
Patients who reported that their doctors "Usually" communicated well16%N/A
Patients who reported that staff "Always" explained about medicines before giving it to them60%N/A
Communication about medicines - linear mean scoreNot Applicable%N/A
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them18%N/A
Communication about medicines - star ratingNot Applicable%★★★☆☆ (3)
Patients who reported that staff "Usually" explained about medicines before giving it to them22%N/A
Discharge information - linear mean scoreNot Applicable%N/A
Patients who reported that NO, they were not given information about what to do during their recovery at home15%N/A
Discharge information - star ratingNot Applicable%★★★☆☆ (3)
Patients who reported that YES, they were given information about what to do during their recovery at home85%N/A
Patients who reported that NO, they did not discuss whether they would need help after discharge17%N/A
Patients who reported that YES, they did discuss whether they would need help after discharge83%N/A
Patients who reported that their doctors "Always" explained things in a way they could understand72%N/A
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand5%N/A
Patients who reported that their doctors "Usually" explained things in a way they could understand23%N/A
Patients who reported that their doctors "Always" listened carefully to them79%N/A
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them3%N/A
Patients who reported that their doctors "Usually" listened carefully to them18%N/A
Patients who reported that their doctors "Always" treated them with courtesy and respect88%N/A
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect3%N/A
Patients who reported that their doctors "Usually" treated them with courtesy and respect9%N/A
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)8%N/A
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)29%N/A
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)63%N/A
Overall hospital rating - linear mean scoreNot Applicable%N/A
Overall hospital rating - star ratingNot Applicable%★★★☆☆ (3)
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for73%N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for8%N/A
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.19%N/A
Patients who reported that their nurses "Always" explained things in a way they could understand71%N/A
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand4%N/A
Patients who reported that their nurses "Usually" explained things in a way they could understand25%N/A
Patients who reported that their nurses "Always" listened carefully to them72%N/A
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them4%N/A
Patients who reported that their nurses "Usually" listened carefully to them24%N/A
Patients who reported that their nurses "Always" treated them with courtesy and respect84%N/A
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect3%N/A
Patients who reported that their nurses "Usually" treated them with courtesy and respect13%N/A
Patients who reported that the area around their room was "Always" quiet at night56%N/A
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night11%N/A
Patients who reported that the area around their room was "Usually" quiet at night33%N/A
Quietness - linear mean scoreNot Applicable%N/A
Quietness - star ratingNot Applicable%★★★☆☆ (3)
Patients who reported NO, they would probably not or definitely not recommend the hospital6%N/A
Patients who reported YES, they would definitely recommend the hospital60%N/A
Recommend hospital - linear mean scoreNot Applicable%N/A
Patients who reported YES, they would probably recommend the hospital34%N/A
Recommend hospital - star ratingNot Applicable%★★★☆☆ (3)
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects48%N/A
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects29%N/A
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects23%N/A
Summary star ratingNot Applicable%★★★☆☆ (3)
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge13%N/A
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge87%N/A

Survey response rate: 24% (348 surveys completed). Data from 04/01/2024 to 03/31/2025 .

Services & Specialties

Mercy Health System Corp offers the following services based on CMS Provider of Services data:

Emergency & Critical Care

Mercy Health System Corp offers 5 of 8 possible critical care capabilities, classified as Moderate. Moderate critical care (3–5 unit types) covers many common emergencies but may require transfers for specialized trauma, burns, or pediatric/neonatal intensive care. Consider whether your likely health needs are covered.

🚨 Emergency Department
🏥 Intensive Care Unit (ICU)
🔬 Surgical ICU
❤️ Coronary Care Unit (CCU)
🆘 Shock-Trauma

Surgical Services

🏥 Inpatient Surgery
🏢 Outpatient Surgery
❤️ Open-Heart Surgery
🧠 Neurosurgery
💓 Cardiac Catheterization Lab
Reconstructive Surgery
👁️ Ophthalmic Surgery

Specialty Services

🤰 Obstetrics (OB)
🧒 Pediatric Services
🧠 Psychiatric Services
🩺 Substance Abuse Treatment
💉 Chemotherapy
🌬️ Respiratory Care

Service availability is self-reported by the facility. Confirm specific services directly with the hospital. Use our printable question list to prepare for the conversation.

Bed Count, Capacity & Staffing

Mercy Health System Corp has 240 licensed beds (240 Medicare-certified) with a nurse-to-bed ratio of 0.9:1. Higher ratios generally indicate more nursing staff per patient, which research links to better outcomes in medication errors, patient falls, and response times.

Bed Type Count
Total Licensed Beds240
CMS Certified Beds240
Psychiatric Unit Beds28
Staffing snapshot: 382 affiliated physicians • 227 registered nurses

Doctors Affiliated with Mercy Health System Corp

382 physicians are affiliated with Mercy Health System Corp, including 56 surgeons. Doctor affiliations are sourced from CMS Physician Compare data and indicate physicians who have a formal relationship with this hospital.

382
Total Doctors
68
Procedural Specialists
56
Surgeons

Featured Affiliated Physicians

Daniel D. Ofori
Cataract surgery
NPI: 1619388691
Jonathan F. Williams
Upper gastrointestinal (GI) endoscopy for acid reflux
NPI: 1013195650
Altaf Dawood
Upper gastrointestinal (GI) endoscopy for acid reflux
NPI: 1295034759
Jung M. Rhee
Cataract surgery
NPI: 1023031770
Kimberley R. Lovelace
Cataract surgery
NPI: 1629293493
Ramez M. Khoury
Upper gastrointestinal (GI) endoscopy for acid reflux
NPI: 1780743682

Showing 382 of 382 affiliated physicians. Doctor affiliations from CMS Physician Compare data.

Healthcare-Associated Infections (HAI)

Healthcare-associated infections are one of the most important safety metrics when evaluating a hospital. These infections are acquired during a hospital stay, not the reason for admission. CMS tracks rates for specific infection types and compares each hospital to the national benchmark.

Infection TypeScore (SIR)vs. National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.222No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.685No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days7165No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.726No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.699No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitN/ABetter than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.717Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5133Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.177Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than the National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.186No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit3.673No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures66No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases1.799No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2No Different than National Benchmark
SSI - Colon Surgery1.112No Different than National Benchmark
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot AvailableNot Available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot AvailableNot Available
SSI - Abdominal Hysterectomy: Number of Procedures28Not Available
SSI - Abdominal Hysterectomy: Predicted Cases0.250Not Available
SSI - Abdominal Hysterectomy: Observed Cases0Not Available
SSI - Abdominal HysterectomyNot AvailableNot Available
MRSA Bacteremia: Lower Confidence LimitN/ANo Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit1.495No Different than National Benchmark
MRSA Bacteremia: Patient Days38829No Different than National Benchmark
MRSA Bacteremia: Predicted Cases2.004No Different than National Benchmark
MRSA Bacteremia: Observed Cases0No Different than National Benchmark
MRSA Bacteremia0.000No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.121Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.731Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days38829Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases15.163Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases5Better than the National Benchmark
Clostridium Difficile (C.Diff)0.330Better than the National Benchmark

How to read this: "Better than national" means the hospital's infection rate is statistically significantly lower than the national average — a sign of strong infection-control protocols (hand hygiene, sterilization, catheter management). "Worse than national" may warrant asking the hospital about their improvement initiatives.

Infection data reported to the CDC's National Healthcare Safety Network (NHSN).

Complications & Deaths

CMS tracks post-surgical complications and mortality rates for common procedures and conditions (heart attack, heart failure, pneumonia, hip/knee replacement, and more). These measures reflect how patients actually fare at this hospital compared to the national average.

MeasureScorePatientsvs. National
Rate of complications for hip/knee replacement patients347No Different Than the National Rate
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9693No Different Than the National Rate
Death rate for heart attack patients12.9120No Different Than the National Rate
Death rate for CABG surgery patients3.834No Different Than the National Rate
Death rate for COPD patients10.186No Different Than the National Rate
Death rate for heart failure patients10.6199No Different Than the National Rate
Death rate for pneumonia patients13.6134No Different Than the National Rate
Death rate for stroke patients14.577No Different Than the National Rate
Pressure ulcer rate0.632,525No Different Than the National Rate
Death rate among surgical inpatients with serious treatable complicationsN/AN/ANumber of Cases Too Small
Iatrogenic pneumothorax rate0.242,826No Different Than the National Rate
In-hospital fall-associated fracture rate0.292,935No Different Than the National Rate
Postoperative hemorrhage or hematoma rate3.63629No Different Than the National Rate
Postoperative acute kidney injury requiring dialysis rate1.54239No Different Than the National Rate
Postoperative respiratory failure rate10.95242No Different Than the National Rate
Perioperative pulmonary embolism or deep vein thrombosis rate4.13651No Different Than the National Rate
Postoperative sepsis rate7.04239No Different Than the National Rate
Postoperative wound dehiscence rate2.0294No Different Than the National Rate
Abdominopelvic accidental puncture or laceration rate1.22382No Different Than the National Rate
CMS Medicare PSI 90: Patient safety and adverse events composite1.16N/ANo Different Than the National Value

What to consider: A "worse than national" rating on mortality or complications is a serious signal — particularly for elective procedures where you have time to choose a facility. For emergency care, proximity and speed often outweigh these metrics. Ask the hospital about their outcomes for your specific procedure.

Readmissions & Unplanned Hospital Visits

A readmission means a patient returned to the hospital within 30 days of discharge. High readmission rates can signal gaps in discharge planning, patient education, or follow-up care coordination. CMS penalizes hospitals with excess readmissions through the HRRP.

MeasureScorePatientsvs. National
Hospital return days for heart attack patients69.9114More Days Than Average per 100 Discharges
Hospital return days for heart failure patients34.7222More Days Than Average per 100 Discharges
Hospital return days for pneumonia patients9.2140Average Days per 100 Discharges
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.11,129No Different Than the National Rate
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.51,404No Different Than the National Rate
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6181No Different Than the National Rate
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1181No Different Than the National Rate
Ratio of unplanned hospital visits after hospital outpatient surgery1394No Different than expected
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15114No Different Than the National Rate
Rate of readmission for CABG11.232No Different Than the National Rate
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.299No Different Than the National Rate
Heart failure (HF) 30-Day Readmission Rate20.6222No Different Than the National Rate
Rate of readmission after hip/knee replacement536No Different Than the National Rate
Pneumonia (PN) 30-Day Readmission Rate15.3140No Different Than the National Rate

What to ask: If this hospital has higher-than-average readmission rates, ask about their discharge process — do they provide follow-up appointments, medication reconciliation, and clear care instructions before you leave?

Nearby Hospitals

If Mercy Health System Corp isn't in your Medicare plan's network — or you want to compare quality ratings before a procedure — these are the closest alternatives within 15 miles:

Ssm Health St Mary's Hospital - Janesville

3.1 miles
★★★★☆ 4/5
Janesville, WI · 50 beds

Beloit Health System

9.7 miles
★★★★☆ 4/5
Beloit, WI · 256 beds

Edgerton Hospital And Health Services

10 miles
Not Rated N/A
Edgerton, WI · 29 beds

View all hospitals near 53548, WI →

Switching hospitals may mean switching plans. Check the Medicare enrollment timeline to make sure you don't miss your window, and use our enrollment checklist to stay organized.

Location & Directions

Address: 1000 Mineral Point Ave, Janesville, WI 53547
Phone: (608) 756-6161

Get directions on Google Maps →

What to Do with This Information

Hospital quality data is most useful when paired with your specific situation. Here's how to act on it:

  • Check network status: Before choosing this hospital, verify it's in-network for your Medicare Advantage plan. Out-of-network care can cost significantly more.
  • Ask about specific outcomes: If you're considering an elective procedure, ask the hospital for their outcomes data on that specific surgery — not just overall ratings.
  • Compare nearby options: Use the nearby hospitals section above to compare quality scores across facilities in the area.
  • Review your Medicare plan: Your plan's network determines which hospitals you can access affordably. Use our enrollment checklist to stay organized if you're switching plans. Check enrollment deadlines →
  • Talk to your doctor: Ask your primary care physician which hospitals they're affiliated with and whether they're in-network for your plan. Print our doctor questions checklist →
View on Medicare.gov Compare Medicare Plans in 53548, WI →

Mercy Health System Corp: Common Questions

What does a 3-star rating mean for Mercy Health System Corp?

CMS rates hospitals on a 1-to-5 star scale based on quality measures across mortality, safety, readmission, patient experience, and timely care. A 3-star rating means this hospital meets the national average across these domains. The rating is updated quarterly by CMS.

Does Mercy Health System Corp have an emergency room?

Yes, Mercy Health System Corp operates an emergency department.

How many doctors are affiliated with Mercy Health System Corp?

382 physicians are affiliated with this hospital according to CMS Physician Compare data. This includes 56 surgeons.

Does Mercy Health System Corp accept Medicare?

Yes. All hospitals listed on Medicare Hospital Compare are Medicare-certified facilities. However, whether this hospital is in-network for your specific Medicare Advantage plan depends on your plan's provider network. Check your plan documents or call your insurer to verify.

How many beds does Mercy Health System Corp have?

Mercy Health System Corp has 240 licensed beds. Bed count is an indicator of hospital capacity — larger hospitals often offer more specialized services.

Where does the data on this page come from?

All data is sourced from official CMS (Centers for Medicare & Medicaid Services) databases: Hospital Compare for quality measures and star ratings, Provider of Services for beds and services, and Physician Compare for doctor affiliations. Data is updated quarterly. Read our full methodology →

About the Reviewer

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward is the founder of InsuranceDataNow.org and reviews all hospital quality data and methodology for accuracy. Every hospital profile — including the CMS quality measures, infection rates, and doctor affiliations on this page — goes through his data-validation pipeline before publication.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to healthcare transparency. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org.

View full profile →LinkedIn

Data sources: CMS Hospital Compare (February 2026), Provider of Services (Q4 2025), CMS Physician Compare, CDC NHSN. This page is for informational purposes only. Always verify information directly with the hospital. Read our full methodology →

Medicare Resources

Hospital quality data is just one piece of the Medicare puzzle. Explore our guides to make the best decisions for your coverage:

Does your Medicare plan cover Mercy Health System Corp?

Compare Plans in 53548, WI →