CALIFORNIA
NURSING OBSERVATORY

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Ten hospitals. Three findings each. Questions to take to the interview.

Alameda Hospital

Alameda County

  • RN turnover: 85.7% in the separate SNF. Acute-hospital RN turnover: UNKNOWN. CMS August 2026 release.
  • The staffing figure combines acute and skilled-nursing care. Most reported patient days are outside acute care.
  • December 2025: CMS cited failures to investigate and report abuse allegations. Correction and follow-up: UNKNOWN.
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Alta Bates Summit Medical Center-Alta Bates Campus

Alameda County

  • Employed RN hours rose 39.5% from 2022 to 2024; patient days rose 12.1%. The filing includes psychiatric care.
  • June 2025: an amended CMS report cites a medication-route and nursing-supervision failure. Follow-up: UNKNOWN.
  • An acute-care move to Emeryville is planned. Follow the service timeline.
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UCSF Benioff Children's Hospital Oakland

Alameda County

  • CMS found patient-protection failures in July 2025 and April 2026. Jeopardy was lifted August 5, 2025 and May 14, 2026.
  • Employed RN hours rose 17.8% from FY2021–22 to FY2023–24 while patient days fell 1.4%.
  • 2024 planning baseline: 177 licensed, 163 operational, 141 functional beds. Different counts answer different questions.
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Bakersfield Memorial Hospital

Kern County

  • The Grossman Burn Center closed June 30, 2026. Seven inpatient burn beds and outpatient burn services were named in the notice.
  • Planned transfer destinations changed between notices. Actual transfer times: UNKNOWN.
  • Four of five recovered quarters through Q1 2026 show operating losses.
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San Joaquin General Hospital

San Joaquin County

  • Reported RN hours per patient day: 15.45 β†’ 21.36 Β· 2022–2024.
  • Agency/contract RNs supplied 9.8% of reported nursing hours in 2024.
  • Staffed beds: 147 β†’ 157 Β· Q1 2025 β†’ Q1 2026.
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Kaiser Foundation Hospital - Manteca

San Joaquin County

  • Reported RN hours per patient day: 17.16 Β· 2024. Comparable trend: UNKNOWN.
  • Agency/contract RNs supplied 7.0% of reported nursing hours in 2024.
  • Current RN turnover, vacancies and overtime: UNKNOWN. Ask for the unit’s numbers.
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Doctors Medical Center

Stanislaus County

  • Reported employed RN hours fell 9.6% from 2022 to 2024. Traveler hours fell too.
  • 15 fewer staffed beds in Q1 2026 than Q1 2025. Reported utilization stayed near 96%.
  • 2025–2028 contract: the union reports minimum orientation and a dedicated rapid-response RN. Local implementation: UNKNOWN.
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Emanuel Medical Center

Stanislaus County

  • Reported RN hours per patient day: 18.12 β†’ 17.92 Β· 2022–2024.
  • Agency/contract RNs supplied 5.4% of reported nursing hours in 2024.
  • Current RN turnover, vacancies and overtime: UNKNOWN. Ask for the unit’s numbers.
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Memorial Medical Center – Modesto

Stanislaus County

  • Patient days rose 3.1% while reported staffed beds fell by 25: Q1 2025 β†’ Q1 2026.
  • Employed RN hours rose 14.9% from 2022 to 2024. Newer comparable RN hours: UNKNOWN.
  • Contract hours swung sharply in 2022–2024. The labor coding needs checking.
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Oak Valley Hospital District

Stanislaus County

  • Reported RN hours per patient day: 3.17 β†’ 2.92 Β· 2022–2024.
  • Agency/contract RNs supplied 14.6% of reported nursing hours in 2024.
  • Oakdale SNF RN turnover: 29.2%; all nursing staff: 51.4%. Acute-hospital turnover: UNKNOWN. CMS August 2026 release.
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