California Nursing ObservatoryPublic evidence for nurses
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Data freshness, without false freshness.

This ledger records the newest period currently loaded into CNO, the signals each source supports, its coverage, and the next maintenance action. It does not imply that every external source has been checked today.

6source families tracked
444facility identities listed
30profiles reviewed
August 29, 2026ledger reviewed

Periods shown are the newest records currently loaded into the CNO Evidence Engine. They are not a claim that no newer external release exists.

What is loaded—and what happens next?

“Loaded” describes the Evidence Engine, not the entire external data universe. Every update must preserve source identity, reporting period, denominator, and review status.

Annual

HCAI Hospital Annual Financial Data

Loaded
Loaded period
2022–2024
Coverage
444 facility identities; 30 reviewed profiles
Feeds
RN intensity · Contract RN share · Pre-pandemic comparison
External check
Next external release not yet verified
Next maintenance action

Check the official catalog; ingest only a final or clearly labeled release and preserve its checksum.

Annual

HCAI Hospital Annual Utilization Data

Loaded
Loaded period
2022–2024
Coverage
Original five-hospital longitudinal pilot
Feeds
Patient demand · Occupancy context · Service utilization
External check
Next external release not yet verified
Next maintenance action

Check for a final 2025 file; retain revised-final labels and never overwrite an earlier source silently.

Annual record in the current engine

California hospital capacity records

Loaded with scope warnings
Loaded period
2025
Coverage
Statewide directory; facility-specific scope review varies
Feeds
Licensed beds · Available beds · Staffed beds
External check
Current loaded period documented
Next maintenance action

Reconcile records where staffed beds exceed licensed beds or where campuses and non-acute facilities share a reporting scope.

Quarterly

HCAI Quarterly Financial and Utilization Data

Partial pilot loaded
Loaded period
Q1 2025–Q1 2026
Coverage
Five reviewed pilot hospitals
Feeds
Recent patient-day change · Recent staffed-bed movement · Outpatient change
External check
Expansion required before statewide use
Next maintenance action

Extend the same-quarter comparison to the remaining reviewed hospitals before presenting it as statewide coverage.

Event-driven and periodic

Official facility, license, ownership, and campus records

Active review layer
Loaded period
Reviewed through August 29, 2026
Coverage
444 listed; 30 hospital profiles reviewed; 33 expansion-review records
Feeds
Hospital identity · Ownership context · Campus/reporting scope · Evidence tier
External check
Changes can occur between scheduled checks
Next maintenance action

Recheck ownership, license, campus, closure, and consolidation records whenever a material service change is detected.

Source-specific

CMS, EMS, CDPH, and other operational records

Partial contextual layer
Loaded period
Mixed source-specific periods
Coverage
Five-hospital pilot; selected investigations
Feeds
ED pressure · Ambulance offload · Transfers · Regulatory context
External check
No single standardized refresh cycle
Next maintenance action

Keep each source date attached to its measure and do not combine mixed periods into a single current-state score.

A newer file is not automatically a better answer.

A refresh is complete only after facility identities, campus scope, source definitions, denominators, revisions, and comparability are checked. CNO will not silently substitute a newer number into an older analytical frame.

Freshness is a documented chain of custody—not merely a recent date.