Hearth Record

Mercy Health St Ritas Medical Center

An acute care hospital in Lima, Ohio 45801

730 West Market Street, Lima, Ohio 45801. (419) 227-3361.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 2 deficiencies in 1 month of the last 36. Last cited Dec 2023. Most serious: Condition-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean4
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Condition-level deficiency
For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.

What did inspectors find?

The last inspection on record was on Sep 23, 2024: a complaint inspection.

2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.

1 deficiency at condition level, the more serious of CMS’s two levels

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

2 deficiencies in 1 month of the last 36. Last cited Dec 2023. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Dec 7, 2023: complaint inspection2 deficiencies

  • Nursing Services

    “NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 29000 Based on observation, record review and staff interview, the facility failed to ensure post operative respiratory exercises were implemented and intakes and output were recorded as per the physician orders. This affected three (Patients #3, #4 and #5) of ten patients reviewed. See A392.”

    Rule A0385. Condition-level. From a complaint.

  • Staffing And Delivery Of Care

    The inspectors’ words, 868 words

    “STAFFING AND DELIVERY OF CARE CFR(s): 482.23(b) The nursing service must have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed. There must be supervisory and staff personnel for each department or nursing unit to ensure, when needed, the immediate availability of a registered nurse for care of any patient. This Standard is not met as evidenced by: 29000 Based on observation, record review and staff interview, the facility failed to ensure post operative respiratory exercises were implemented and intakes and output were recorded as per the physician orders. This affected three (Patients #3, #4 and #5) of ten patients reviewed. Findings include: 1. Record review revealed Patient #4 had gastric sleeve surgery on 12/04/23 and was admitted to floor 7 K at 11:15 PM. Post-op orders were written by the surgeon at 11:18 PM to complete incentive spirometry every two hours while awake. The medical record listed lungs sounds as clear at 11:15 PM and again on 12/05/23 at 9:00 AM. No documentation was found in this medical record that the incentive spirometry was completed every two hours as ordered. The first documentation of cough and deep breathing completed was on 12/05/23 at 8:15 PM. During an interview on 12/05/23 at 4:30 PM, Patient #4 stated surgery had been done the day prior. Patient #4 stated they had received an incentive spirometer and pointed to the device still in the bag in the room. Patient #4 stated they thought they were supposed to use the spirometer four times a day. 2. Record review revealed Patient #5 was admitted to their room on 12/04/23 at 11:48 AM after robotic surgery for a gastric sleeve. Orders were received for incentive spirometry every two hours while awake. The medical record lacked evidence of the use of the spirometer or any cough and deep breathing exercises completed. During interview on 12/05/23 at 4:35 PM, Patient #5 stated they had surgery the day prior, received a spirometer yesterday but have not used it at all today. 3. Record review revealed Patient #3 was admitted on 09/11/23 at 5:21 AM for a scheduled cholecystectomy (gallbladder removal.) The operative notes indicated the gallbladder was removed by laparoscope with no evidence of a bile leak documented and the right upper quadrant was copiously irrigated. Notes in the post anesthesia care unit (PACU) revealed this patient complained of severe abdominal pain with physician orders to keep overnight for pain control. Patient #3 was transferred to floor 7 K on 09/11/23 at 9:50 AM for observation. Physician orders post-op were received on 09/11/23 at 4:56 PM to encourage coughing and deep breathing, provide an incentive spirometry to use every two hours while awake, to document intake and output every eight hours and to advance to a regular diet as tolerated. No documentation was found in this medical record that an incentive spirometer was provided or that coughing and deep breathing exercises were provided every two hours while awake. Documentation was found that 200 ml of fluid was given in the PACU but the record lacked documentation Patient #3 was given any more food or fluid during the hospital stay. Patient #3 discharged home on 09/12/23 at 9:51 AM. Nursing assessments on 09/11/23 at 5:08 PM and 09/12/23 at 1:20 AM listed loss of appetite and nausea. Nursing notes on 09/12/23 at 7:39 AM again listed loss of appetite and no gas. The gastrointestinal care plan on 09/11/23 and 09/12/23 stated to monitor percentage of each meal consumed, administer IV fluids as ordered to ensure adequate hydration and to maintain NPO status until nausea is gone. The medical record was reviewed with Staff A who found one entry of documentation on 09/11/23 at 8:45 PM of cough and deep breathing exercises completed, otherwise no documentation was found. Staff A further verified on 12/06/23 at 4:14 PM that there was no evidence this patient had anything to drink or eat after leaving the PACU. During an interview on 12/07/23 at 9:50 AM, discharge nurse Staff E stated they have no recollection if this patient ate or drank anything prior to discharge. The medical record was reviewed with Staff E revealing no documentation of eating or monitoring intakes and output. Staff E stated her head to toe assessment stated loss of appetite. They generally document intakes and outputs when the meal tray is removed from the room but nothing was marked. Most likely Patient #3 was not drinking. Staff E further stated the standard of care would be to have the patient tolerate liquids without vomiting prior to discharge. Nursing notes stated the IV was taken out at 9:01 AM, the patient was given discharge instructions at 9:24 AM and discharged home at 9:51 AM. A request was made to Staff A for a policy related to completing intakes and outputs, use of incentive spirometry and discharge criteria. Staff A stated on 12/06/23 at 4:30 PM this facility does not have a policy for these issues, that staff are to follow the physicians orders. These findings were verified with Staff D on 12/04/23 at 4:30 PM and with Staff A and B on 12/07/23 at 1:00 PM.”

    Rule A0392. Standard-level. From a complaint.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Sep 23, 2024Complaint inspectionNo deficiencies cited
Dec 7, 2023Complaint inspection2 deficiencies cited

How do patients fare?

  • CMS’s overall for it is 4 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 1 better and 0 worse of 8; safety of care, 2 better and 1 worse of 7; readmission, 3 better and 2 worse of 11.
  • Patients rate it 3 of 5 in CMS’s patient survey (884 surveys completed, Oct 1, 2024 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 69% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, worse than the national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.7%, heart failure 10.3%, pneumonia 15.1%, COPD 9.5%, stroke 10%, heart bypass surgery 2.3%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.7%, heart failure 21.6%, pneumonia 17.1%, COPD 19%, heart bypass surgery 10.2%, hip or knee replacement 6.4%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, worse than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, worse than expected.
  • Emergency department patients spent a median of 159 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
  • 55% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 0.99 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 54 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1966.
  • Ownership: voluntary non-profit - private.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
  • It has an inpatient rehabilitation unit of 28 beds, which CMS lists apart as a rehabilitation facility.
  • Voluntary non-profit - Private.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
  • 79% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Bon Secours Mercy Health Inc. owns 100% directly since Jan 1, 2020.
  • 20 owners or officers are people: Jennifer Moenter (corporate director); Herbert Ford (corporate director); Veronica Mclaurine (corporate director); Dorothy Thum (corporate director); David Frost (corporate director); Ronda Lehman (corporate director); Kari Taylor (corporate director); Karen Grothouse (corporate director); Alexander Garvey (corporate director); John Starcher (runs it (operational or managerial control)); John Luellen (corporate director); Jason May (corporate director); Nicole Hutchison (corporate officer); Nicole Hutchison (corporate director); Nicole Hutchison (managing employee (on the payroll)); Temple Patton (corporate director); Jill Miller (corporate director); Chad King (corporate director); Kimberly M Ralston (managing employee (on the payroll)); Travis Crum (corporate director).
  • CMS’s Provider of Services file records 1 change of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Bon Secours Mercy Health Inc.Owns 5% or more directly100%Jan 1, 2020

How does it compare nearby?

  • Of the 4 hospitals CMS lists in Allen County, 2 have an overall star rating from CMS: 1 rated 4 of 5, 1 rated 3 of 5.
  • CMS rates this one 4 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

3 compared
PlaceOverall star rating
Lima Memorial Health System3
Institute for Orthopaedic SurgeryNot given
Bluffton HospitalNot given

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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