Missouri hospital Medicare penalties
Which Missouri hospitals Medicare is penalizing for infections and patient-safety problems in fiscal year 2026, and which had more readmissions than expected.
Safety penalty (HAC)9 of 6215% · U.S. 24%
Excess readmissions54 of 62Above expected on 1+ condition
In the programs62Missouri hospitals
Fiscal year2026Penalty year
Every Missouri hospital in the programs
Penalized hospitals first. Click a column to sort.
| Hospital | HAC penalty | Readmissions above expected | VBP score |
|---|---|---|---|
| Hannibal Regional HospitalHannibal | 1% cut | 4 of 5Highest: Heart failure 1.14 | 27.8 |
| Barnes Jewish HospitalSt Louis | 1% cut | 3 of 6Highest: Heart failure 1.08 | 25.5 |
| Fitzgibbon Memorial HospitalMarshall | 1% cut | 3 of 3Highest: Heart failure 1.04 | 37.6 |
| Nkc HealthNorth Kansas City | 1% cut | 3 of 6Highest: COPD 1.04 | 17.3 |
| Jefferson Memorial HospitalCrystal City | 1% cut | 2 of 5Highest: Heart failure 1.11 | 31.8 |
| Mosaic Life Care at St JosephSt Joseph | 1% cut | 2 of 5Highest: Heart failure 1.03 | 28.8 |
| Freeman Health System - Freeman WestJoplin | 1% cut | 1 of 6Highest: Pneumonia 1.01 | 29.3 |
| Truman Medical Center Hospital HillKansas City | 1% cut | 1 of 2Highest: Pneumonia 1.01 | 20.3 |
| SSM St Joseph Hospital WestLake St Louis | 1% cut | 0 of 4 | 11.3 |
| Phelps County Regional Medical CenterRolla | No | 5 of 5Highest: Pneumonia 1.11 | 23.5 |
| St John's Mercy Medical CenterSt Louis | No | 5 of 6Highest: Heart bypass surgery 1.28 | 31.6 |
| St Louis University HospitalSt Louis | No | 5 of 5Highest: Heart failure 1.10 | 14.1 |
| University Hospitals & ClinicsColumbia | No | 5 of 6Highest: Hip or knee replacement 1.08 | 27.5 |
| Lee's Summit HospitalLee's Summit | No | 4 of 5Highest: Pneumonia 1.06 | 27.8 |
| Liberty HospitalLiberty | No | 4 of 6Highest: Hip or knee replacement 1.20 | 30.3 |
| Mercy Hospital JoplinJoplin | No | 4 of 5Highest: Heart bypass surgery 1.13 | 20.9 |
| Missouri Baptist Medical CenterTown and Country | No | 4 of 6Highest: Heart bypass surgery 1.07 | 35.7 |
| Research Belton HospitalBelton | No | 4 of 4Highest: Hip or knee replacement 1.14 | 23.5 |
| Barnes-Jewish St Peters HospitalSt Peters | No | 3 of 5Highest: Hip or knee replacement 1.10 | 14.3 |
| Christian Hospital NortheastSt Louis | No | 3 of 6Highest: Hip or knee replacement 1.05 | 35.2 |
| Mercy Hospital SouthSt Louis | No | 3 of 6Highest: Hip or knee replacement 1.24 | 15.4 |
| Mercy Hospital SpringfieldSpringfield | No | 3 of 6Highest: Heart bypass surgery 1.06 | 24.1 |
| Moberly Regional Medical CenterMoberly | No | 3 of 3Highest: Pneumonia 1.04 | 33.3 |
| Northeast Regional Medical CenterKirksville | No | 3 of 4Highest: Heart attack 1.03 | 14.8 |
| Research Medical CenterKansas City | No | 3 of 5Highest: Heart bypass surgery 1.09 | 14 |
| SSM St Joseph Health CenterSt Charles | No | 3 of 4Highest: COPD 1.09 | 24.5 |
| SSM St Joseph Hosp of KirkwoodSt Louis | No | 3 of 5Highest: Heart failure 1.05 | 23.3 |
| SSM St Mary's Health CenterSt Louis | No | 3 of 4Highest: Heart failure 1.08 | 21.5 |
| St Lukes HospitalChesterfield | No | 3 of 6Highest: Hip or knee replacement 1.42 | 31.3 |
| St Marys Health CenterJefferson City | No | 3 of 5Highest: Heart failure 1.12 | 40.3 |
| St Mary's Medical CenterBlue Springs | No | 3 of 5Highest: Pneumonia 1.09 | 34.8 |
| Western Missouri Medical CenterWarrensburg | No | 3 of 4Highest: Heart failure 1.08 | 32.4 |
| Barnes-Jewish West County HospitalSt Louis | No | 2 of 3Highest: Heart failure 1.08 | 49.3 |
| Boone Hospital CenterColumbia | No | 2 of 6Highest: Heart attack 1.05 | 19.8 |
| Bothwell Regional Health CenterSedalia | No | 2 of 3Highest: COPD 1.06 | 58.2 |
| Centerpoint Medical CenterIndependence | No | 2 of 6Highest: Pneumonia 1.11 | 19 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | No | 2 of 4Highest: Heart failure 1.04 | – |
| Saint Luke's East Lee's Summit HospitalLee's Summit | No | 2 of 5Highest: Hip or knee replacement 1.12 | 29 |
| Southeast Missouri HospitalCape Girardeau | No | 2 of 6Highest: Heart failure 1.11 | 28.1 |
| St Francis Medical CenterCape Girardeau | No | 2 of 6Highest: Heart bypass surgery 1.04 | 22.3 |
| St Joseph Medical CenterKansas City | No | 2 of 6Highest: Hip or knee replacement 1.19 | 37.3 |
| Bates County Memorial HospitalButler | No | 1 of 2Highest: Pneumonia 1.01 | – |
| Citizens Memorial HospitalBolivar | No | 1 of 4Highest: Heart attack 1.06 | 26.5 |
| Cox Medical Center BransonBranson | No | 1 of 4Highest: Heart attack 1.03 | 38 |
| Golden Valley Memorial HospitalClinton | No | 1 of 4Highest: Pneumonia 1.01 | 34.4 |
| Lake Regional Health SystemOsage Beach | No | 1 of 5Highest: Heart attack 1.03 | 41.8 |
| Lester E Cox Medical CentersSpringfield | No | 1 of 6Highest: Heart attack 1.13 | 24.8 |
| Mercy Hospital StoddardDexter | No | 1 of 2Highest: COPD 1.01 | 40.7 |
| Missouri Delta Medical CenterSikeston | No | 1 of 3Highest: Heart failure 1.02 | 27.9 |
| Ozarks Medical CenterWest Plains | No | 1 of 5Highest: Heart attack 1.01 | 34.3 |
| Pemiscot Memorial HospitalHayti | No | 1 of 2Highest: Pneumonia 1.04 | – |
| St Johns Mercy HospitalWashington | No | 1 of 5Highest: Hip or knee replacement 1.15 | 18.3 |
| St Lukes Hospital of Kansas CityKansas City | No | 1 of 6Highest: Hip or knee replacement 1.05 | 39 |
| Texas County Memorial HospitalHouston | No | 1 of 3Highest: Heart failure 1.02 | 45.3 |
| Truman Medical Center LakewoodKansas City | No | 1 of 1Highest: Hip or knee replacement 1.05 | 50 |
| Cameron Community HospitalCameron | No | 0 of 4 | 22.1 |
| Nevada Regional Medical CenterNevada | No | 0 of 1 | – |
| Parkland Health CenterFarmington | No | 0 of 4 | 48 |
| Progress West Healthcare CenterO'fallon | No | 0 of 5 | 27.5 |
| Saint Luke's Northland HospSmithville | No | 0 of 4 | 31.2 |
| SSM Depaul Health CenterBridgeton | No | 0 of 6 | 30.5 |
| St Johns Hospital-LebanonLebanon | No | 0 of 2 | 63.8 |
Questions
Which Missouri hospitals does Medicare penalize for patient safety?
9 of 62 Missouri hospitals in the program (15%, vs 24% nationally) have their Medicare payments cut 1% in fiscal year 2026: Hannibal Regional Hospital, Barnes Jewish Hospital, Fitzgibbon Memorial Hospital, Nkc Health, Jefferson Memorial Hospital, Mosaic Life Care at St Joseph, Freeman Health System - Freeman West, Truman Medical Center Hospital Hill, SSM St Joseph Hospital West.
What does a readmission ratio above 1.00 mean?
It means the hospital's Medicare patients were readmitted within 30 days more often than CMS expected for similar patients. In Missouri, 54 of 62 rated hospitals were above 1.00 on at least one condition.
HAC: the quarter of hospitals with the worst hospital-acquired condition scores get a 1% cut to Medicare inpatient payments. Readmissions: a ratio above 1.00 means more readmissions than expected; whether payments are cut depends on how the hospital compares with similar hospitals, so a ratio above 1.00 alone isn't a penalty. VBP: Value-Based Purchasing total performance score out of 100. How the penalties work.