Mercy Health - West Hospital
An acute care hospital in Cincinnati, Ohio 45211
3300 Mercy Health Blvd, Cincinnati, Ohio 45211. (513) 215-5000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 297 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- 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.
What did inspectors find?
The last inspection on record was on Apr 29, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Apr 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
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.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Apr 28, 2026: complaint inspection1 deficiency
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Patient Rights: Informed Consent
The inspectors’ words, 979 words
“PATIENT RIGHTS: INFORMED CONSENT CFR(s): 482.13(b)(2) The patient or his or her representative (as allowed under State law) has the right to make informed decisions regarding his or her care. The patient’s rights include being informed of his or her health status, being involved in care planning and treatment, and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate. This Standard is not met as evidenced by: 47059 Based on record review and interview, the facility failed to include the patient in the plan of care and failed to ensure paperwork was sent with fetal remains. This affected one (Patient #1) of 10 patient records reviewed for patients presenting to the emergency department with an obstetric related condition. Findings include: Review of the patient records revealed Patient #1 was a gravida two para one female who presented to the emergency department on 04/07/26 at 10:43 PM with the complaint of vaginal bleeding. Patient #1 stated she was pregnant and her last menstrual period was late November and she believed she was 16 weeks pregnant. She had vaginal bleeding that started at 4:00 PM and at 6:00 PM she felt her water break. She reported abdominal pains of a five on a scale of one to 10. Patient #1 stated she had not established prenatal care yet for this pregnancy. On 04/07/26 at 11:03 PM the physician medical screening was done and orders for lab work were placed that included a urine pregnancy test and a blood type and screen. When the urine pregnancy test was positive the provider ordered a quantitative pregnancy test. On 04/07/26 at 11:18 PM the nursing staff attempted to assess fetal heart tones and were unable to locate any. The provider was notified. On 04/08/26 at 12:25 AM the provider ordered an ultrasound. The interpretation per the radiologist included this was an obstetrical ultrasound for a single gestation with no indications of an ectopic pregnancy. There was fetal bradycardia with a heart rate of 70 beats per minute and no observed fetal body movements with very little to no amniotic fluid visualized. The results were discussed with the emergency department physician on 04/08/26 at 3:08 AM. On 04/08/26 at about 3:15 AM Patient #1 ambulated to the bathroom with assistance and proceeded to release products of conception into a bed pan. Patient #1 was assisted back to bed and at 3:17 AM. The emergency room physician cut the umbilical cord of the fetus. The provider note documented assessment of the fetus on delivery it was motionless, translucent, underdeveloped. Ultrasound had revealed a single intrauterine gestation with fetal bradycardia at 70 beats per minute with no fetal or limb movements and very little amniotic fluid. The provider had spoken with the radiologist on the phone who could not discern gestational age due to the lack of amniotic fluid. Patient #1 was asked again her estimated last menstrual period which she reported the end of November which estimates 19 weeks gestational age, although Patient #1 initially reported 16 weeks. Patient #1 also reported vaginal bleeding and large amount of fluid loss earlier in the day suggestive of premature rupture of membranes. Using last menstrual period for estimated gestational age of less than 20 weeks, history of no prenatal care, symptoms of bleeding, abdominal pain, initial bradycardia, without signs of life on delivery, decision was made to forgo neonatal resuscitation. With a retained placenta requiring additional obstetrical interventions the emergency department provider arranged for transfer to a facility with obstetrical services. The fetal remains were sent with Patient #1. A Quality Review was completed by the Emergency Department Medical Director (EDMD) on 04/14/26, who reviewed his findings with the emergency department manager. The EDMD also spoke with the treating physician who then added to the chart to provide further details regarding care/decision making regarding resuscitative efforts. The EDMD documented the emergency department clinical care was appropriate. During an interview on 04/27/26 at 2:00 PM, Staff C verified Patient #1 had a retained placenta so when she was sent to a facility with OB services the fetus was sent with her. The fetus was placed in a container and labeled with Patient #01’s information because they needed to stay together. The Emergency Medical Treatment and Labor Act (EMTALA) form was sent as well. The physician filled out the “Report of Fetal Death” on 04/17/26 and it was then uploaded into the mother’s chart. Staff C also verified the paperwork did not go with the fetus when it was transferred. During an interview on 04/20/26 at 9:00 AM, Licensed Social Worker (LSW) #20 of the receiving hospital stated Patient #1 was admitted directly to the receiving facility’s labor and delivery department. Fetal remains were sent with Patient #1 but the fetal remains had no paperwork. During an interview on 04/30/26 at 9:20 AM, Patient #1 stated she presented to the facility on 04/07/26 at 10:45 PM because she thought her water broke, she was bleeding from her vagina, and she was in a lot of pain. Patient #1’s father was with her, and they both kept asking what they were going to do for her. Patient #1 said they were told nothing other than they needed to send her to another hospital. Patient #1 said she went to the bathroom and felt the baby come out so she screamed for help. The nurses came first and helped her to bed. The nurses told her the baby had a heartbeat but no one ever told her when the baby died. Patient #1 said she didn’t know what was happening. No one would let her see or hold the baby, “they just put the baby in a bucket”. Patient #01 said she was told the other hospital would take care of everything.”
All 6 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 29, 2026 | Complaint inspection | No deficiencies cited |
| Apr 28, 2026 | Complaint inspection | 1 deficiency cited |
| Jun 18, 2025 | Complaint inspection | No deficiencies cited |
| Dec 30, 2024 | Complaint inspection | No deficiencies cited |
| Sep 19, 2024 | Complaint inspection | No deficiencies cited |
| May 1, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall 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. for it is 4 of 5.
- Of the measures behind its 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., CMS counts against the national value: mortality, 2 better and 0 worse of 7; safety of care, 1 better and 0 worse of 7; readmission, 1 better and 1 worse of 8.
- Patients rate it 3 of 5 in CMS’s patient survey (952 surveys completed, Oct 1, 2024 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 66% 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, no different than 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 11.6%, heart failure 10.1%, pneumonia 14.1%, COPD 7.2%, stroke 6.9%. 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 15.5%, heart failure 20.6%, pneumonia 18.5%, COPD 20.4%, hip or knee replacement 6.7%. 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; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 142 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 60% 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 0.95 times the national median (Jan 1, 2024 to Dec 31, 2024).
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.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since May 1, 1971.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No 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. deficiency on record in the last three years.
- It has an inpatient rehabilitation unit of 12 beds, which CMS lists apart as a rehabilitation facility.
- Voluntary non-profit - Private.
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.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
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.
- 85% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Mercy Health Cincinnati LLC owns 100% directly since Jan 1, 1984.
- 17 owners or officers are people: Daniel Feldmann (corporate director); Janice C Jones (corporate director); Michael Bezney (corporate director); Alexander Garvey (corporate director); John Starcher (runs it (operational or managerial control)); John Luellen (corporate director); Jason Asic (corporate officer); Jason Asic (corporate director); Jason Asic (managing employee (on the payroll)); Eric Thiemann (corporate director); Mark O Carter (corporate director); Suzanne M Kathman (corporate director); James J Mcgraw (corporate director); Edward Babbitt (corporate director); Kevin J Cochran (corporate director); Vincent A Dinapoli (corporate director); Kimberly M Ralston (managing employee (on the payroll)).
- 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.
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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Mercy Health Cincinnati LLC | Owns 5% or more directly | 100% | Jan 1, 1984 |
| Bon Secours Mercy Health Inc. | Owns 5% or more through other companies | 100% | Sep 1, 2018 |
How does it compare nearby?
- Of the 13 hospitals CMS lists in Hamilton County, 8 have an overall star rating from CMS: 1 rated 5 of 5, 5 rated 4 of 5, 2 rated 3 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
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
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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.
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.