CALIFORNIA
NURSING OBSERVATORY

How current are the records?

This page lists the reporting periods CNO uses, each source’s coverage, and planned updates. External sources have their own check dates below.

8source families tracked
444facility identities listed
30profiles reviewed
October 4, 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.

Records in CNO and updates due

“Loaded” means included in CNO. Each update is checked for source, reporting period, denominator, and review status.

Annual

HCAI Hospital Annual Financial Data

Loaded
Loaded period
2022–2024
Coverage
444 facility identities; 245 comparable RN histories; 208 annual contract RN histories; 30 reviewed profiles
Feeds
RN intensity · Contract RN share · Pre-pandemic comparison
External check
2022/2023 API records retrieved October 3, 2026; 2024 preserved workbook verified
Next maintenance action

Resolve excluded annual reporting windows and care-category changes against original filings; check the next annual release.

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.

Quarterly publication; rolling annual measure windows

CMS HCAHPS & healthcare-associated infections

Loaded
Loaded period
2024-10-01–2025-09-30; legacy responsiveness 2024
Coverage
268 matched reporting units; 243 nurse-communication values; 244 legacy responsiveness values; 230 units with published infection ratios; readmissions at 242 and mortality at 238 units
Feeds
Patient-reported nurse communication · Patient-reported staff responsiveness · Published standardized infection ratios · 30-day unplanned readmissions · 30-day mortality
External check
August 13, 2026 release; legacy responsiveness from November 26, 2025 snapshot; retrieved October 3, 2026; readmission/mortality release September 30, 2026
Next maintenance action

Check next CMS release and new responsiveness measure version; preserve source periods and CCN scope.

CMS release / survey processing

CMS QCOR Hospital 2567 inspection narratives

Loaded for three profiles
Loaded period
Three-provider survey history through April 23, 2026
Coverage
Alameda, Alta Bates–Alta Bates Campus, Children’s Oakland; 20 survey events, 37 citation rows, 20 initial-comment rows
Feeds
Patient protection · Nursing supervision · Medication administration · Documented response status
External check
Full CMS download retrieved October 4, 2026; CMS notice states hospital legacy coverage only through September 17, 2026
Next maintenance action

Obtain correction plans and later outcomes; extend only after surveyed-location review.

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. A newer number is added only after those checks.

The source date and the review date are recorded separately.