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Data are presented as one citation per row.", "title": "Health Deficiencies", "programCode": [ "009:000" ], "distribution": [ { "@type": "dcat:Distribution", "downloadURL": "https://data.cms.gov/provider-data/sites/default/files/resources/600f5d1861dd2e0280b2e961e8396245_1786724148/NH_HealthCitations_Aug2026.csv", "mediaType": "text/csv", "describedBy": "https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/nursing_home/NH_Data_Dictionary.pdf", "describedByType": "application/pdf" } ], "theme": [ "Nursing homes including rehab services" ] }, "originalCsvSha256": "54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741" } }, "identity": "Official HCAI/ELMS crosswalk identifies SNF CCN 555381 separately from acute CCN 050211; exact CMS name/address/city matched. CMS 181 certified beds cover the SNF reporting entity, not 181 acute beds at Clinton Avenue.", "period": "CMS August 26, 2026 release; processing date August 1. 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"Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "29.09", "Hrs_RNadmin_emp": "29.09", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "193.31", "Hrs_RN_emp": "193.31", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "0", "Hrs_LPNadmin_emp": "0", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "124", "Hrs_LPN_emp": "124", "Hrs_LPN_ctr": "0", "Hrs_CNA": "466.19", "Hrs_CNA_emp": "466.19", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260322", "MDScensus": "173", "Hrs_RNDON": "0", "Hrs_RNDON_emp": "0", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "9.13", "Hrs_RNadmin_emp": "9.13", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "186.27", "Hrs_RN_emp": "186.27", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "0", "Hrs_LPNadmin_emp": "0", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "136.29", "Hrs_LPN_emp": "136.29", "Hrs_LPN_ctr": "0", "Hrs_CNA": "469.02", "Hrs_CNA_emp": "469.02", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260323", "MDScensus": "174", "Hrs_RNDON": "16", "Hrs_RNDON_emp": "16", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "70.51", "Hrs_RNadmin_emp": "70.51", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "200.02", "Hrs_RN_emp": "200.02", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "32.55", "Hrs_LPNadmin_emp": "32.55", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "116.09", "Hrs_LPN_emp": "116.09", "Hrs_LPN_ctr": "0", "Hrs_CNA": "480.56", "Hrs_CNA_emp": "480.56", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260324", "MDScensus": "171", "Hrs_RNDON": "16", "Hrs_RNDON_emp": "16", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "76.18", "Hrs_RNadmin_emp": "76.18", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "198.5", "Hrs_RN_emp": "198.5", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "33.57", "Hrs_LPNadmin_emp": "33.57", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "133.83", "Hrs_LPN_emp": "133.83", "Hrs_LPN_ctr": "0", "Hrs_CNA": "478.84", "Hrs_CNA_emp": "478.84", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260325", "MDScensus": "171", "Hrs_RNDON": "16", "Hrs_RNDON_emp": "16", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "53.8", "Hrs_RNadmin_emp": "53.8", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "189.02", "Hrs_RN_emp": "189.02", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "33", "Hrs_LPNadmin_emp": "33", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "131.57", "Hrs_LPN_emp": "131.57", "Hrs_LPN_ctr": "0", "Hrs_CNA": "477.85", "Hrs_CNA_emp": "477.85", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260326", "MDScensus": "171", "Hrs_RNDON": "16", "Hrs_RNDON_emp": "16", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "72.3", "Hrs_RNadmin_emp": "72.3", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "197.35", "Hrs_RN_emp": "197.35", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "24", "Hrs_LPNadmin_emp": "24", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "125.9", "Hrs_LPN_emp": "125.9", "Hrs_LPN_ctr": "0", "Hrs_CNA": "486.15", "Hrs_CNA_emp": "486.15", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260327", "MDScensus": "170", "Hrs_RNDON": "16", "Hrs_RNDON_emp": "16", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "78.85", "Hrs_RNadmin_emp": "78.85", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "188.88", "Hrs_RN_emp": "188.88", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "16", "Hrs_LPNadmin_emp": "16", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "132.71", "Hrs_LPN_emp": "132.71", "Hrs_LPN_ctr": "0", "Hrs_CNA": "478.01", "Hrs_CNA_emp": "478.01", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260328", "MDScensus": "169", "Hrs_RNDON": "0", "Hrs_RNDON_emp": "0", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "4.88", "Hrs_RNadmin_emp": "4.88", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "198.85", "Hrs_RN_emp": "198.85", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "8", "Hrs_LPNadmin_emp": "8", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "124.12", "Hrs_LPN_emp": "124.12", "Hrs_LPN_ctr": "0", "Hrs_CNA": "477.58", "Hrs_CNA_emp": "477.58", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260329", "MDScensus": "169", "Hrs_RNDON": "0", "Hrs_RNDON_emp": "0", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "0", "Hrs_RNadmin_emp": "0", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "204.32", "Hrs_RN_emp": "204.32", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "0", "Hrs_LPNadmin_emp": "0", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "127.61", "Hrs_LPN_emp": "127.61", "Hrs_LPN_ctr": "0", "Hrs_CNA": "450.54", "Hrs_CNA_emp": "450.54", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260330", "MDScensus": "170", "Hrs_RNDON": "16", "Hrs_RNDON_emp": "16", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "73.07", "Hrs_RNadmin_emp": "73.07", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "208.37", "Hrs_RN_emp": "208.37", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "24", "Hrs_LPNadmin_emp": "24", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "112.13", "Hrs_LPN_emp": "112.13", "Hrs_LPN_ctr": "0", "Hrs_CNA": "475.86", "Hrs_CNA_emp": "475.86", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" }, { "PROVNUM": "555381", "PROVNAME": "ALAMEDA HOSPITAL D/P SNF", "CITY": "ALAMEDA", "STATE": "CA", "COUNTY_NAME": "Alameda", "COUNTY_FIPS": "001", "CY_Qtr": "2026Q1", "WorkDate": "20260331", "MDScensus": "171", "Hrs_RNDON": "16", "Hrs_RNDON_emp": "16", "Hrs_RNDON_ctr": "0", "Hrs_RNadmin": "63.23", "Hrs_RNadmin_emp": "63.23", "Hrs_RNadmin_ctr": "0", "Hrs_RN": "185.58", "Hrs_RN_emp": "185.58", "Hrs_RN_ctr": "0", "Hrs_LPNadmin": "16", "Hrs_LPNadmin_emp": "16", "Hrs_LPNadmin_ctr": "0", "Hrs_LPN": "130.34", "Hrs_LPN_emp": "130.34", "Hrs_LPN_ctr": "0", "Hrs_CNA": "463.91", "Hrs_CNA_emp": "463.91", "Hrs_CNA_ctr": "0", "Hrs_NAtrn": "0", "Hrs_NAtrn_emp": "0", "Hrs_NAtrn_ctr": "0", "Hrs_MedAide": "0", "Hrs_MedAide_emp": "0", "Hrs_MedAide_ctr": "0" } ], "summary": { "label": "Whole quarter", "days": 90, "censusSum": 15317.0, "averageCensus": 170.1888888888889, "hours": { "RNDON": 952.0, "RNadmin": 4454.34, "RN": 16982.05, "LPNadmin": 1883.57, "LPN": 11523.67, "CNA": 42476.6, "NAtrn": 0.0, "MedAide": 0.0 }, "totalNursingHprd": 5.110154077169158, "allRoleRnHprd": 1.46166938695567, "rnCategoryHprd": 1.1087060129268134, "directCategoryHprd": 4.634218188940393, "contractHours": 0.0, "contractShare": 0.0 }, "comparisons": [ { "label": "January", "days": 31, "censusSum": 5200.0, "averageCensus": 167.74193548387098, "hours": { "RNDON": 304.0, "RNadmin": 1482.89, "RN": 5728.39, "LPNadmin": 637.73, "LPN": 3997.93, "CNA": 14606.73, "NAtrn": 0.0, "MedAide": 0.0 }, "totalNursingHprd": 5.145705769230769, "allRoleRnHprd": 1.445246153846154, "rnCategoryHprd": 1.1016134615384616, "directCategoryHprd": 4.679432692307692, "contractHours": 0.0, "contractShare": 0.0 }, { "label": "February", "days": 28, "censusSum": 4821.0, "averageCensus": 172.17857142857142, "hours": { "RNDON": 296.0, "RNadmin": 1383.1299999999999, "RN": 5271.72, "LPNadmin": 586.95, "LPN": 3657.6, "CNA": 13327.41, "NAtrn": 0.0, "MedAide": 0.0 }, "totalNursingHprd": 5.086664592408214, "allRoleRnHprd": 1.4417859365276915, "rnCategoryHprd": 1.0934909769757313, "directCategoryHprd": 4.616621032980709, "contractHours": 0.0, "contractShare": 0.0 }, { "label": "March", "days": 31, "censusSum": 5296.0, "averageCensus": 170.83870967741936, "hours": { "RNDON": 352.0, "RNadmin": 1588.32, "RN": 5981.9400000000005, "LPNadmin": 658.89, "LPN": 3868.14, "CNA": 14542.46, "NAtrn": 0.0, "MedAide": 0.0 }, "totalNursingHprd": 5.096629531722054, "allRoleRnHprd": 1.4958950151057402, "rnCategoryHprd": 1.1295203927492448, "directCategoryHprd": 4.605842145015106, "contractHours": 0.0, "contractShare": 0.0 }, { "label": "Weekdays", "days": 64, "censusSum": 10898.0, "averageCensus": 170.28125, "hours": { "RNDON": 952.0, "RNadmin": 4136.08, "RN": 12079.8, "LPNadmin": 1770.92, "LPN": 8201.01, "CNA": 30552.21, "NAtrn": 0.0, "MedAide": 0.0 }, "totalNursingHprd": 5.293817214167737, "allRoleRnHprd": 1.5753239126445218, "rnCategoryHprd": 1.1084419159478802, "directCategoryHprd": 4.664435676270875, "contractHours": 0.0, "contractShare": 0.0 }, { "label": "Weekends", "days": 26, "censusSum": 4419.0, "averageCensus": 169.96153846153845, "hours": { "RNDON": 0.0, "RNadmin": 318.26, "RN": 4902.25, "LPNadmin": 112.65, "LPN": 3322.66, "CNA": 11924.39, "NAtrn": 0.0, "MedAide": 0.0 }, "totalNursingHprd": 4.657209775967413, "allRoleRnHprd": 1.1813781398506449, "rnCategoryHprd": 1.109357320660783, "directCategoryHprd": 4.55969676397375, "contractHours": 0.0, "contractShare": 0.0 } ], "sourceUrl": "https://data.cms.gov/data-api/v1/dataset/6e5d5e28-66fd-41bc-a36c-db54dcbffd3e/data?filter%5BPROVNUM%5D=555381&size=500", "sourceFile": "/downloads/deep-review/cms-pbj-alameda.json", "formula": "Sum paid hours / sum daily MDS census. All-role RN includes DON and RN administration; RN category excludes both. Direct-category total uses RN, LPN and CNA only. Contract share sums all eight reported nursing role categories.", "reconciliation": "Quarterly all-role RN and total nursing HPRD match the CMS August 2026 provider values within displayed precision. Turnover period is not inferred from this match." } }