{ "format": "CNO retained hospital records v1", "hcaiId": "106150706", "profileRecord": { "id": "106150706", "name": "ADVENTIST HEALTH DELANO", "county": "Kern", "tier": "DESCRIPTIVE PROFILE — NO STATE CALL", "identity": "CLEAR — UNIQUE ID MATCH", "workforce": "PRESENT — 2024", "capacity": "PRESENT — 2025", "history": "UNIQUE", "filing": "Audited", "pilot": false, "ceiling": "UNCLASSIFIED — INSUFFICIENT INDEPENDENT AUDIT", "disclosure": "Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.", "next": "Acquire third independent audited domain before any state call", "ownership": "Non-Profit", "type": "Comparable", "rnHours": 164378, "contractHours": 11896, "contractShare": 0.02848, "rnPerPatientDay": 6.996, "licensedBeds": 156, "availableBeds": 156, "staffedBeds": 60, "capacityPatientDays": 22552, "baseline": 0.04182, "changePp": -1.33448, "ccn": null }, "comparisonEligibility": { "rnHistory": true, "agencyHistory": true }, "records": { "facilityRosterRecord": { "officialName": "ADVENTIST HEALTH DELANO", "county": "Kern", "city": "DELANO", "address": "1401 GARCES HIGHWAY", "zip": "93215", "level": "Parent Facility", "category": "General Acute Care Hospital", "status": "Open", "statusEffective": "1974-01-01", "licensedBeds": 156, "erServiceLevel": "Emergency - Basic", "licenseNumber": "120000180", "rosterDate": "2026-10-01", "checkedOn": "2026-10-12", "sourceRow": 71, "officialUrl": "https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing", "sourceFile": "/downloads/coverage/hcai-current-20261001.json.gz", "aliases": [ "ADVENTIST HEALTH DELANO", "ADVENTIST HEALTH DELANO D/P SNF" ], "parentId": null, "parentName": null, "cdphFacilityType": "GENERAL ACUTE CARE HOSPITAL", "crosswalkRows": [ { "_id": 2408, "LICENSED_CERTIFIED": "LICENSED AND CERTIFIED", "ELMS_FACID": "120000336", "LICENSE_NUMBER": "120000180", "LICENSE_STATUS_DESCRIPTION": "ACTIVE", "PERM_ID": "12765", "HCAI_ID": "106150706", "ASPEN_FACID": "CA120000336", "CCN": "050608", "NPI": "1073645388", "ASPEN_STATUS": "ACTIVE", "FACNAME": "ADVENTIST HEALTH DELANO", "FAC_TYPE_DESCRIPTION": "GENERAL ACUTE CARE HOSPITAL", "FAC_FDR": "GENERAL ACUTE CARE HOSPITAL", "FAC_FAC_RELATIONSHIP": "Parent", "ELMS_PARENT_FACID": null }, { "_id": 2424, "LICENSED_CERTIFIED": "LICENSED AND CERTIFIED", "ELMS_FACID": "120000399", "LICENSE_NUMBER": "120000180", "LICENSE_STATUS_DESCRIPTION": "ACTIVE", "PERM_ID": "12765", "HCAI_ID": "106150706", "ASPEN_FACID": "CA050000399", "CCN": "056426", "NPI": "1033247622", "ASPEN_STATUS": "ACTIVE", "FACNAME": "ADVENTIST HEALTH DELANO D/P SNF", "FAC_TYPE_DESCRIPTION": "SKILLED NURSING FACILITY", "FAC_FDR": "SKILLED NURSING FACILITY", "FAC_FAC_RELATIONSHIP": "Distinct Part", "ELMS_PARENT_FACID": "120000336" } ], "addedByCoverageAudit": false }, "annualFinancialRecords": [ { "year": 2022, "begin": "2022-01-01", "end": "2022-12-31", "reportDays": 365.0, "filing": "Audited", "type": "Comparable", "sourceRecord": 4, "name": "ADVENTIST HEALTH DELANO", "county": "Kern", "rnHours": 141711.0, "patientDays": 23927.0, "ratio": 5.922639695741213, "components": { "PRD_HR_RN": 141711.0, "PRD_HR_LVN": 60325.0, "PRD_HR_AID": 174385.0, "CNT_HR_RN": 42460.0 }, "nursingHours": 418881.0, "contractShare": 0.10136530422721489, "careDays": { "DAY_ACUTE": 7580.0, "DAY_PSYCH": 0.0, "DAY_CHEM": 0.0, "DAY_REHAB": 0.0, "DAY_LTC": 16347.0, "DAY_RESDNT": 0.0 } }, { "year": 2023, "begin": "2023-01-01", "end": "2023-12-31", "reportDays": 365.0, "filing": "Audited", "type": "Comparable", "sourceRecord": 4, "name": "ADVENTIST HEALTH DELANO", "county": "Kern", "rnHours": 140995.0, "patientDays": 23009.0, "ratio": 6.12781954887218, "components": { "PRD_HR_RN": 140995.0, "PRD_HR_LVN": 52170.0, "PRD_HR_AID": 169636.0, "CNT_HR_RN": 20848.0 }, "nursingHours": 383649.0, "contractShare": 0.05434133804597432, "careDays": { "DAY_ACUTE": 6094.0, "DAY_PSYCH": 0.0, "DAY_CHEM": 0.0, "DAY_REHAB": 0.0, "DAY_LTC": 16915.0, "DAY_RESDNT": 0.0 } }, { "year": 2024, "begin": "2024-01-01", "end": "2024-12-31", "reportDays": 366.0, "filing": "Audited", "type": "Comparable", "sourceRecord": 5, "name": "ADVENTIST HEALTH DELANO", "county": "Kern", "rnHours": 164378.0, "patientDays": 23496.0, "ratio": 6.995999319033027, "components": { "PRD_HR_RN": 164378.0, "PRD_HR_LVN": 57045.0, "PRD_HR_AID": 184408.0, "CNT_HR_RN": 11896.0 }, "nursingHours": 417727.0, "contractShare": 0.028477929365351054, "careDays": { "DAY_ACUTE": 5461.0, "DAY_PSYCH": 0.0, "DAY_CHEM": 0.0, "DAY_REHAB": 0.0, "DAY_LTC": 18035.0, "DAY_RESDNT": 0.0 } } ], "annualUtilizationRecords": [ { "year": 2022, "begin": "2022-01-01", "end": "2022-12-31", "operated": "Yes", "sourceId": "AUR-2022", "sourceRow": 75, "diversionReported": "No", "icuLicensed": 10, "nicuLicensed": 0, "perinatalLicensed": 16, "edStations": 10, "edNonAdmitVisits": 28373, "edAdmissions": 1150, "diversionHours": null }, { "year": 2023, "begin": "2023-01-01", "end": "2023-12-31", "operated": "Yes", "sourceId": "AUR-2023", "sourceRow": 76, "diversionReported": "No", "icuLicensed": 10, "nicuLicensed": 0, "perinatalLicensed": 16, "edStations": 10, "edNonAdmitVisits": 28578, "edAdmissions": 1290, "diversionHours": null }, { "year": 2024, "begin": "2024-01-01", "end": "2024-12-31", "operated": "Yes", "sourceId": "AUR-2024", "sourceRow": 77, "diversionReported": "No", "icuLicensed": 10, "nicuLicensed": 0, "perinatalLicensed": 16, "edStations": 10, "edNonAdmitVisits": 27790, "edAdmissions": 1233, "diversionHours": null } ], "licensedCareRecords": [ { "year": 2022, "begin": "2022-01-01", "end": "2022-12-31", "operated": "Yes", "beds": { "acute": 105, "psychiatric": 0, "chemical": 0, "skilledNursing": 51, "intermediateCare": 0, "developmentalCare": 0 }, "total": 156, "sourceRow": 75, "sourceId": "AUR-2022" }, { "year": 2023, "begin": "2023-01-01", "end": "2023-12-31", "operated": "Yes", "beds": { "acute": 97, "psychiatric": 0, "chemical": 0, "skilledNursing": 59, "intermediateCare": 0, "developmentalCare": 0 }, "total": 156, "sourceRow": 76, "sourceId": "AUR-2023" }, { "year": 2024, "begin": "2024-01-01", "end": "2024-12-31", "operated": "Yes", "beds": { "acute": 97, "psychiatric": 0, "chemical": 0, "skilledNursing": 59, "intermediateCare": 0, "developmentalCare": 0 }, "total": 156, "sourceRow": 77, "sourceId": "AUR-2024" } ], "cmsEdRecords": { "ccn": "050608", "name": "ADVENTIST HEALTH DELANO", "address": "1401 GARCES HIGHWAY", "city": "DELANO", "zip": "93215", "method": "unique normalized address + city + ZIP", "hcaiRow": 77, "measures": { "OP_18b": { "value": 150.0, "raw": "150", "sample": "412", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "sourceRow": 14478, "measureName": "Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better" }, "OP_18c": { "value": null, "raw": "Not Available", "sample": "Not Available", "footnote": "1", "start": "2024-10-01", "end": "2025-09-30", "sourceRow": 14479, "measureName": "Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better" }, "OP_18d": { "value": 360.0, "raw": "360", "sample": "15", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "sourceRow": 14480, "measureName": "Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better" }, "OP_22": { "value": 3.0, "raw": "3", "sample": "27605", "footnote": "", "start": "2024-01-01", "end": "2024-12-31", "sourceRow": 14481, "measureName": "Left before being seen" } } }, "cmsQualityRecords": { "ccn": "050608", "name": "ADVENTIST HEALTH DELANO", "address": "1401 GARCES HIGHWAY", "city": "DELANO", "zip": "93215", "match": "unique normalized address + city + ZIP", "measures": { "H_COMP_1_A_P": { "value": 78.0, "raw": "78", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hcahps", "sourceRow": 34070, "measureName": "Patients who reported that their nurses \"Always\" communicated well", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "", "surveys": "148", "surveysFootnote": "", "responseRate": "11", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "H_COMP_3_A_P": { "value": 65.0, "raw": "65", "footnote": "6", "start": "2024-01-01", "end": "2024-12-31", "source": "responsiveness", "sourceRow": 46902, "measureName": "Patients who reported that they \"Always\" received help as soon as they wanted", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "", "surveys": "92", "surveysFootnote": "6", "responseRate": "7", "responseRateFootnote": "6", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_1_SIR": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18043, "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards)", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_1_NUMERATOR": { "value": 1.0, "raw": "1", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18042, "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_1_ELIGCASES": { "value": 0.271, "raw": "0.271", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18041, "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_1_CILOWER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18038, "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_1_CIUPPER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18039, "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_2_SIR": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18049, "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards)", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_2_NUMERATOR": { "value": 1.0, "raw": "1", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18048, "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_2_ELIGCASES": { "value": 0.572, "raw": "0.572", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18047, "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_2_CILOWER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18044, "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_2_CIUPPER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18045, "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_3_SIR": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18055, "measureName": "SSI - Colon Surgery", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_3_NUMERATOR": { "value": 0.0, "raw": "0", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18054, "measureName": "SSI - Colon Surgery: Observed Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_3_ELIGCASES": { "value": 0.249, "raw": "0.249", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18053, "measureName": "SSI - Colon Surgery: Predicted Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_3_CILOWER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18050, "measureName": "SSI - Colon Surgery: Lower Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_3_CIUPPER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18051, "measureName": "SSI - Colon Surgery: Upper Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_4_SIR": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18061, "measureName": "SSI - Abdominal Hysterectomy", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_4_NUMERATOR": { "value": 0.0, "raw": "0", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18060, "measureName": "SSI - Abdominal Hysterectomy: Observed Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_4_ELIGCASES": { "value": 0.173, "raw": "0.173", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18059, "measureName": "SSI - Abdominal Hysterectomy: Predicted Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_4_CILOWER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18056, "measureName": "SSI - Abdominal Hysterectomy: Lower Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_4_CIUPPER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18057, "measureName": "SSI - Abdominal Hysterectomy: Upper Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_5_SIR": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18067, "measureName": "MRSA Bacteremia", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_5_NUMERATOR": { "value": 1.0, "raw": "1", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18066, "measureName": "MRSA Bacteremia: Observed Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_5_ELIGCASES": { "value": 0.336, "raw": "0.336", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18065, "measureName": "MRSA Bacteremia: Predicted Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_5_CILOWER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18062, "measureName": "MRSA Bacteremia: Lower Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_5_CIUPPER": { "value": null, "raw": "Not Available", "footnote": "13", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18063, "measureName": "MRSA Bacteremia: Upper Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_6_SIR": { "value": 0.0, "raw": "0.000", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18073, "measureName": "Clostridium Difficile (C.Diff)", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "No Different than National Benchmark", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_6_NUMERATOR": { "value": 0.0, "raw": "0", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18072, "measureName": "Clostridium Difficile (C.Diff): Observed Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "No Different than National Benchmark", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_6_ELIGCASES": { "value": 2.625, "raw": "2.625", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18071, "measureName": "Clostridium Difficile (C.Diff): Predicted Cases", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "No Different than National Benchmark", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_6_CILOWER": { "value": null, "raw": "Not Available", "footnote": "8", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18068, "measureName": "Clostridium Difficile (C.Diff): Lower Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "No Different than National Benchmark", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_6_CIUPPER": { "value": 1.141, "raw": "1.141", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18069, "measureName": "Clostridium Difficile (C.Diff): Upper Confidence Limit", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "No Different than National Benchmark", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "READM_30_AMI": { "value": null, "raw": "Not Available", "footnote": "1", "start": "2023-07-01", "end": "2025-06-30", "source": "readmissions", "sourceRow": 7024, "measureName": "Acute Myocardial Infarction (AMI) 30-Day Readmission Rate", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "READM_30_HF": { "value": 21.5, "raw": "21.5", "footnote": "", "start": "2023-07-01", "end": "2025-06-30", "source": "readmissions", "sourceRow": 7027, "measureName": "Heart failure (HF) 30-Day Readmission Rate", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "52", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "READM_30_PN": { "value": 17.1, "raw": "17.1", "footnote": "", "start": "2023-07-01", "end": "2025-06-30", "source": "readmissions", "sourceRow": 7029, "measureName": "Pneumonia (PN) 30-Day Readmission Rate", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "101", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "READM_30_COPD": { "value": null, "raw": "Not Available", "footnote": "1", "start": "2023-07-01", "end": "2025-06-30", "source": "readmissions", "sourceRow": 7026, "measureName": "Rate of readmission for chronic obstructive pulmonary disease (COPD) patients", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "READM_30_CABG": { "value": null, "raw": "Not Available", "footnote": "5", "start": "2023-07-01", "end": "2025-06-30", "source": "readmissions", "sourceRow": 7025, "measureName": "Rate of readmission for CABG", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "READM_30_HIP_KNEE": { "value": null, "raw": "Not Available", "footnote": "1", "start": "2023-07-01", "end": "2025-06-30", "source": "readmissions", "sourceRow": 7028, "measureName": "Rate of readmission after hip/knee replacement", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "MORT_30_AMI": { "value": null, "raw": "Not Available", "footnote": "1", "start": "2022-07-01", "end": "2025-06-30", "source": "mortality", "sourceRow": 10024, "measureName": "Death rate for heart attack patients", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "MORT_30_HF": { "value": 9.8, "raw": "9.8", "footnote": "", "start": "2022-07-01", "end": "2025-06-30", "source": "mortality", "sourceRow": 10027, "measureName": "Death rate for heart failure patients", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "44", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "MORT_30_PN": { "value": 17.3, "raw": "17.3", "footnote": "", "start": "2022-07-01", "end": "2025-06-30", "source": "mortality", "sourceRow": 10028, "measureName": "Death rate for pneumonia patients", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "105", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "MORT_30_COPD": { "value": null, "raw": "Not Available", "footnote": "1", "start": "2022-07-01", "end": "2025-06-30", "source": "mortality", "sourceRow": 10026, "measureName": "Death rate for COPD patients", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "MORT_30_CABG": { "value": null, "raw": "Not Available", "footnote": "5", "start": "2022-07-01", "end": "2025-06-30", "source": "mortality", "sourceRow": 10025, "measureName": "Death rate for CABG surgery patients", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "MORT_30_STK": { "value": null, "raw": "Not Available", "footnote": "1", "start": "2023-07-01", "end": "2025-06-30", "source": "mortality", "sourceRow": 10029, "measureName": "Death rate for stroke patients", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "Not Available", "lowerEstimate": "Not Available", "higherEstimate": "Not Available" }, "HAI_1_DOPC": { "value": 397.0, "raw": "397", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18040, "measureName": "Central Line Associated Bloodstream Infection: Number of Device Days", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_2_DOPC": { "value": 828.0, "raw": "828", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18046, "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_3_DOPC": { "value": 9.0, "raw": "9", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18052, "measureName": "SSI - Colon Surgery: Number of Procedures", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_4_DOPC": { "value": 18.0, "raw": "18", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18058, "measureName": "SSI - Abdominal Hysterectomy: Number of Procedures", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_5_DOPC": { "value": 7134.0, "raw": "7134", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18064, "measureName": "MRSA Bacteremia: Patient Days", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "Not Available", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" }, "HAI_6_DOPC": { "value": 6311.0, "raw": "6311", "footnote": "", "start": "2024-10-01", "end": "2025-09-30", "source": "hai", "sourceRow": 18070, "measureName": "Clostridium Difficile (C.Diff): Patient Days", "reportedName": "ADVENTIST HEALTH DELANO", "comparison": "No Different than National Benchmark", "surveys": "", "surveysFootnote": "", "responseRate": "", "responseRateFootnote": "", "denominator": "", "lowerEstimate": "", "higherEstimate": "" } } }, "ambulanceOffloadRecords": { "cemsisId": "20096", "name": "Delano Regional Medical Center", "lemsa": "Kern", "method": "explicit retained-identity alias + EMS geography", "history": [ { "month": "2024-10", "minutes": 32.68333333333333, "offloadCount": 229, "countPage": 31, "rawTime": "0:32:41", "sourceId": "EMSA-APOT-JUNE2025", "page": 20, "row": 4 }, { "month": "2024-11", "minutes": 32.25, "offloadCount": 259, "countPage": 36, "rawTime": "0:32:15", "sourceId": "EMSA-APOT-JUNE2025", "page": 20, "row": 4 }, { "month": "2024-12", "minutes": 29.266666666666666, "offloadCount": 218, "countPage": 41, "rawTime": "0:29:16", "sourceId": "EMSA-APOT-JUNE2025", "page": 20, "row": 4 }, { "month": "2025-01", "minutes": 37.35, "offloadCount": 220, "countPage": 46, "rawTime": "0:37:21", "sourceId": "EMSA-APOT-JUNE2025", "page": 20, "row": 4 }, { "month": "2025-02", "minutes": 35.68333333333333, "offloadCount": 266, "countPage": 51, "rawTime": "0:35:41", "sourceId": "EMSA-APOT-JUNE2025", "page": 20, "row": 4 }, { "month": "2025-03", "minutes": 29.533333333333335, "offloadCount": 235, "countPage": 56, "rawTime": "0:29:32", "sourceId": "EMSA-APOT-JUNE2025", "page": 20, "row": 4 } ], "recent": { "month": "2026-01", "minutes": 37.983333333333334, "rawTime": "0:37:59", "offloadCount": 223, "standardMinutes": 30.0, "rawStandard": "0:30:00", "compliantPercent": 81.2, "sourceId": "EMSA-APOT-FEB2026", "page": 6, "rawLine": "Kern County EMS Agency 20096 Delano Regional Medical Center 223 0:37:59 0:30:00 0:07:59 81.2%" } }, "rnReferenceRecord": { "begin": "2024-01-01", "end": "2024-12-31", "reportDays": 366, "filing": "Audited", "type": "Comparable", "ratio": 6.995999319033027, "rnHours": 164378, "patientDays": 23496, "careDays": { "acute": 5461, "psychiatric": 0, "chemical": 0, "rehabilitation": 0, "longTermCare": 18035, "residential": 0 }, "group": "longTermCare", "majorityShare": 0.7675774599931904, "sourceRow": 5 } }, "quarterlyComparison": null, "sources": { "annualFinancial": [ { "year": 2022, "file": "/downloads/hcai/afd-2022-api.json", "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=28df017b-7693-4d83-b105-69eeca4a12e0&limit=10000", "sha256": "a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e", "locator": "API record ID", "records": 444 }, { "year": 2023, "file": "/downloads/hcai/afd-2023-api.json", "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=244efb23-daf0-4137-9609-1bc25e4612b8&limit=10000", "sha256": "50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba", "locator": "API record ID", "records": 447 }, { "year": 2024, "file": "/downloads/hcai/hadr-2024.xlsx", "url": "https://data.chhs.ca.gov/dataset/ea0c8ca9-023e-46a3-b95b-b9d4ab8ec195/resource/3969a3b0-ec23-4962-b09d-89840a326b44/download/hadr-2024.xlsx", "sha256": "0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26", "locator": "HADR 01-01-2024 to 12-31-2024 row", "records": 444 } ], "annualUtilization": [ { "id": "AUR-2022", "sha256": "e94af1efd72ea5eec5d8db0302c3cb9f7070d0eac794be60d51909df5beaa466", "file": "/downloads/hcai/hosp22_util_data_final_revised_11.28.2023.xlsx", "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/2b63a9e4-f695-4ea1-b229-5dff70f04ae8/download/hosp22_util_data_final_revised_11.28.2023.xlsx" }, { "id": "AUR-2023", "sha256": "26de94367bc4c9056a18cd7517dbedc377bb2dea6d9b54627a4c87dd43a1c9f1", "file": "/downloads/hcai/hosp23_util_data_final.xlsx", "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/d7b1bd2c-fd8c-4ebe-b1ac-1de197c01e5e/download/hosp23_util_data_final.xlsx" }, { "id": "AUR-2024", "sha256": "f423f999c729ee333169bd161ade11550158d5147ae1ed91c1cfafe2d3e6f953", "file": "/downloads/hcai/hosp24_util_data_final.xlsx", "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/e4f70066-c0ca-40f9-8f54-0ea033f900d9/download/hosp24_util_data_final.xlsx" } ], "cmsEd": [ { "id": "yv7e-xc69", "released": "2026-08-13", "modified": "2026-07-22", "checked": "2026-10-03", "url": "https://data.cms.gov/provider-data/dataset/yv7e-xc69", "downloadUrl": "https://data.cms.gov/provider-data/sites/default/files/resources/0437b5494ac61507ad90f2af6b8085a7_1785189967/Timely_and_Effective_Care-Hospital.csv", "file": "/downloads/cms/cms-ed-2026-10-03.csv.gz", "sha256": "3cb70d2720e06eb7cffdc7c5139fce6347cfd51c9123e4eea57677fb50c3b7e9", "uncompressedSha256": "1e5a1ca803c2b09468fe3ae3fe60fef3e910f5f5300630a24791c88a1abff516" }, { "id": "xubh-q36u", "released": "2026-08-13", "modified": "2026-07-22", "checked": "2026-10-03", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "downloadUrl": "https://data.cms.gov/provider-data/sites/default/files/resources/893c372430d9d71a1c52737d01239d47_1785189955/Hospital_General_Information.csv", "file": "/downloads/cms/cms-hosp-2026-10-03.csv", "sha256": "f874f09fef895a1ccf5bb7392dcbb2be05c9860339261b093fe00f0c1b013480", "uncompressedSha256": "f874f09fef895a1ccf5bb7392dcbb2be05c9860339261b093fe00f0c1b013480" }, { "id": "y9us-9xdf", "released": "2026-08-13", "modified": "2025-09-18", "checked": "2026-10-03", "url": "https://data.cms.gov/provider-data/dataset/y9us-9xdf", "downloadUrl": "https://data.cms.gov/provider-data/sites/default/files/resources/f29bb7c812e242f6edfef0a4b7d0eaca_1760630713/Footnote_Crosswalk.csv", "file": "/downloads/cms/cms-footnotes-2026-10-03.csv", "sha256": "5214e1468fb04c5cdeac8920f2c446cccaa65e2f6f929424cd228042a52d963e", "uncompressedSha256": "5214e1468fb04c5cdeac8920f2c446cccaa65e2f6f929424cd228042a52d963e" } ], "cmsQuality": [ { "id": "hcahps", "release": "2026-08-13", "url": "https://data.cms.gov/provider-data/sites/default/files/resources/78a50346fbe828ea0ce2837847af6a7c_1785189950/HCAHPS-Hospital.csv", "file": "/downloads/cms/quality/hcahps.csv.gz", "metadata": "/downloads/cms/quality/hcahps-metadata.json", "sha256": "b70e598f29552df302e30ed649d178abd1b3d3c868ae97cf8e55453dd33898fc", "gzipSha256": "95684a71416b383524c79ad0c7ad112622e632df97f33dbc1d701827eeff04a9" }, { "id": "responsiveness", "release": "2025-11-26", "url": "https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/hospitals/hospitals_2025-11-26.zip", "file": "/downloads/cms/quality/responsiveness.csv.gz", "metadata": "/downloads/cms/quality/responsiveness-metadata.json", "sha256": "c11338a55a9ee674566493fe8abde8748d2809163e86de100bc45aaa382d8751", "gzipSha256": "7c48b1aefcba65ebbe26a1dba592c0319261b847cdd9bb7c58306d55466cd4f8" }, { "id": "hai", "release": "2026-08-13", "url": "https://data.cms.gov/provider-data/sites/default/files/resources/43825e12dc0c923df9ba5cbdf473c9d5_1785189952/Healthcare_Associated_Infections-Hospital.csv", "file": "/downloads/cms/quality/hai.csv.gz", "metadata": "/downloads/cms/quality/hai-metadata.json", "sha256": "95283bf20e66c5f9271e6b0b98969d8655487b4d5fa074dcee6e204ee4574f3d", "gzipSha256": "f6f0f580606726171c93adad77cd1c92a4ec00a8b37563114414ff19116c39af" }, { "id": "readmissions", "release": "2026-09-30", "url": "https://data.cms.gov/provider-data/sites/default/files/resources/30edc1d0417a34b58affcc2495a02b0a_1790013959/Unplanned_Hospital_Visits-Hospital.csv", "file": "/downloads/cms/quality/readmissions.csv.gz", "metadata": "/downloads/cms/quality/readmissions-metadata.json", "sha256": "98cc64f5fc330ffa7e4bef97f8e86a772a1d3dfe2f7dd08976cb1ee43fad1b2d", "gzipSha256": "1110a7b338b17e815ee9a2e3f6e40f7c53d9fde1df7663ff452b2f82ed7bb575" }, { "id": "mortality", "release": "2026-09-30", "url": "https://data.cms.gov/provider-data/sites/default/files/resources/6af7c44d77436e5a1caac3ce39a83fe9_1790013956/Complications_and_Deaths-Hospital.csv", "file": "/downloads/cms/quality/mortality.csv.gz", "metadata": "/downloads/cms/quality/mortality-metadata.json", "sha256": "2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a", "gzipSha256": "04b606e8f24603cc6711bd630abc02fee2ee707d81a529360c72433806b180ce" } ], "ambulanceOffload": [ { "id": "EMSA-APOT-JUNE2025", "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2025/07/Ambulance-Patient-Offload-Delays-Report-to-the-Commission-on-EMS-June-2025.pdf", "file": "/downloads/emsa/apot-june2025.pdf", "period": "October 2024–March 2025", "checked": "2026-10-03", "sha256": "d23ed95df643fe752ac0f8c8038b8575b0ac31d5ce9cf5406fb600a9fa93f401" }, { "id": "EMSA-APOT-FEB2026", "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2026/02/February-2026-APOT-Exceedance-Report-to-the-Commission-on-EMS.pdf", "file": "/downloads/emsa/apot-feb2026.pdf", "period": "January 2026", "checked": "2026-10-03", "sha256": "b2dbac3bf6ce822c8c3f0e5d586874c13242bd4ed0998dda5b36fbdf0211d3d7" } ] }, "profileRecordProvenance": "Existing CNO reporting layers. Exact source locators are retained where recorded in the records below." }