🏥 Orchard Hospital

Butte County · HCAI 106040802

240 SPRUCE STREET, GRIDLEY 95948

Open · Hospital facility · roster 2026-10-01

Hospital Snapshot

The available data, together. Tap a section to open its history and sources.

↑ Increasing · ↓ Decreasing · → Stable · Provisional = filing still in process

Read the arrows

Trends: ↑ increasing, ↓ decreasing, → stable over the dates shown. Provisional means a filing is still in process.

CMS / CDPH comparisons: ↑ above, ↓ below, ↔ equal to the national number or the source reports no difference. The label identifies which comparison is shown.

—: no matched comparison.

👩‍⚕️ RN staffing

Reporting-unit RN hours / patient day: 9.44—
Productive RN hours: 57,489
RN-only FTEs · productive, calculated: 27.64

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: — UNKNOWN
Contract RN hours: — UNKNOWN

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 106
🛏️ Reported staffed beds: 24—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 24
❤️ Licensed ICU beds: 4
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 5

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 10,849
🛏️ ED admissions: 266
⏱️ Median ED stay · excludes psych / transfers: 177 min↑
🚑 Left before being seen: 5%↑
⏱️ Ambulance offload · 90th percentile: 15.15 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation and contract records →

History & details →

💬 Patient experience

Nurses communicated well · Always: 71%↓
Help as soon as wanted · Always · legacy measure: 69%↑

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: — UNKNOWN
Catheter-associated urinary infections · CAUTI · SIR: — UNKNOWN
MRSA bloodstream infections · SIR: — UNKNOWN
C. diff infections · SIR: 0.000↔
Surgical-site infections · colon surgery · SIR: — UNKNOWN
Surgical-site infections · hysterectomy · SIR: — UNKNOWN

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: 17.2%↓
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: 18.2%↑
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: — UNKNOWN

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

Charge-nurse patient assignment — UNKNOWN · charge availability affects every nurse’s backupIs the charge nurse free of a patient assignment on this unit? If not, is it a partial or full assignment, how many patients, and how often? What dedicated RN/LVN support is provided, and who covers charge duties during emergencies?Source →

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation & contract

RN overtime: UNKNOWN — no matched RN-specific hours
Current RN wage scale: UNKNOWN — no matched current scale
Orientation: UNKNOWN — no matched unit policy
Contract provisions: UNKNOWN — no executed local contract reviewed

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

2022–2024: ED encounters increased from 10,469 to 10,849.

🚑 ED activity · ↑ 3.6%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Patient days	Filing status	Source
2021-07-01–2022-06-30	49,815	4,555	Audited	Preserved fileAPI record ID 282
2022-07-01–2023-06-30	54,101	3,805	Audited	Preserved fileAPI record ID 279
2023-07-01–2024-06-30	57,489	6,089	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 277

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

9.44

2023-07-01–2024-06-30📈 Trend: — UNKNOWN

California peer comparison

Peer median: 14.85
Typical reported range · middle 50%: 11.14–19.49

RN hours / patient day · 191 audited 2024 reports

Mostly acute-care patient days

100.0% of this report’s patient days: acute care

Below the typical reported range

🔎 Comparison source & calculation

Productive RN hours

57,489

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

27.64

2023-07-01–2024-06-30 · productive RN hours ÷ 2,080

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: — UNKNOWN
Contract RN hours: — UNKNOWN

📈 Historical trend: — UNKNOWN

↑ Back to snapshot

🛏️ Beds & Capacity

Open details

Which kind of bed capacity is reported?

What do these bed counts mean?

🏥 Licensed: Authorized bed capacity under the facility license.
🛏️ Staffed: Beds the hospital reports having personnel to operate during the reporting period.
⚙️ Operational: Beds open and equipped for patient care at a stated time.
📋 Reported available: The source’s available-bed count for its dated reporting period. Live availability means an empty, staffed bed ready to accept a patient now.

🔎 Records & complete history →

🏥 Reported licensed beds: 106
🛏️ Reported staffed beds: 24
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 24
❤️ Licensed ICU beds: 4
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 5

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	4	4	4
👶 NICU	0	0	0
🤰 Perinatal	0	0	0

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	5
2023	5
2024	5

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 10,849
🛏️ ED admissions: 266
⏱️ Median ED stay · excludes psych / transfers: 177 min↑
🚑 Left before being seen: 5%↑
⏱️ Ambulance offload · 90th percentile: 15.15 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 Ambulance offload · 90th percentile · Oct 2024–Mar 2025

Ambulance offload · 90th percentile · Oct 2024–Mar 2025 · Minutes
Period	Minutes
Oct 2024	13.67
Nov 2024	9.92
Dec 2024	12.87
Jan 2025	14.15
Feb 2025	13.92
Mar 2025	15.15

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	10,469
2023	9,992
2024	10,849

📈 Reported diversion hours

Reported diversion hours · Hours
Period	Hours
2022	88
2023	86

↑ Back to snapshot

🔄 Services & Changes

Open details

Service review not documented

All documented service changes →↑ Back to snapshot

💬 Patient experience, infections & outcomes

Open details

Patient Experience & Outcomes

CMS reporting unit 051311 · ORCHARD HOSPITAL

Patients who answered “Always”

Nurses communicated well: 71%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 69%↑Above national rate 67% · numerical comparison

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI: — UNKNOWN
Catheter-associated urinary infections · CAUTI: — UNKNOWN
MRSA bloodstream infections: — UNKNOWN
C. diff infections: 0.000↔CMS: no different from national benchmark
Surgical-site infections · colon surgery: — UNKNOWN
Surgical-site infections · hysterectomy: — UNKNOWN

30-day readmissions & mortality · risk-standardized rates

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: 17.2%↓Below national rate 17.3% · numerical comparison
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: 18.2%↑Above national rate 15.2% · numerical comparison
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: — UNKNOWN

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 24 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106040802 · dates, source locators and original values included

RN labor and workload · records & history

RN trend comparison: not included. Contract-share trend comparison: not included.

2022 · 2021-07-01–2022-06-30 · Audited

Download preserved source · Official source · API record ID 282

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

282

name

ORCHARD HOSPITAL

county

Butte

rnHours

49815

patientDays

4555

ratio

10.936333699231614

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	49815
PRD_HR_LVN	7335
PRD_HR_AID	27926
CNT_HR_RN	0

nursingHours

85076

contractShare

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	3393
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	1162
DAY_RESDNT	0

2023 · 2022-07-01–2023-06-30 · Audited

Download preserved source · Official source · API record ID 279

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

279

name

ORCHARD HOSPITAL

county

Butte

rnHours

54101

patientDays

3805

ratio

14.218396846254928

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	54101
PRD_HR_LVN	5434
PRD_HR_AID	28363
CNT_HR_RN	0

nursingHours

87898

contractShare

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	3805
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2024 · 2023-07-01–2024-06-30 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 277

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

277

name

ORCHARD HOSPITAL

county

Butte

rnHours

57489

patientDays

6089

ratio

9.441451798324849

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	57489
PRD_HR_LVN	12283
PRD_HR_AID	23394
CNT_HR_RN	0

nursingHours

93166

contractShare

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	6089
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	57489
contractHours	— UNKNOWN
contractShare	— UNKNOWN
rnPerPatientDay	9.44145
baseline	— UNKNOWN
history	UNIQUE
filing	Audited

Beds and capacity · records & history

Official facility identity, campus scope & licensed beds · 2026-10-01

Official HCAI roster · Retained source · row 24

Field

Value

officialName

ORCHARD HOSPITAL

county

Butte

city

GRIDLEY

address

240 SPRUCE STREET

zip

95948

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1949-05-24

licensedBeds

erServiceLevel

Emergency - Standby

licenseNumber

230000007

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

officialUrl

https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing

sourceFile

/downloads/coverage/hcai-current-20261001.json.gz

aliases

Open aliases

Record 1

GRIDLEY POST ACUTE

Record 2

ORCHARD HOSPITAL

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2993
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	230000001
LICENSE_NUMBER	230000007
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10006
HCAI_ID	106040802
ASPEN_FACID	CA230000001
CCN	051311
NPI	1477522019
ASPEN_STATUS	ACTIVE
FACNAME	ORCHARD HOSPITAL
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

Record 2

Retained record fields
Field	Value
_id	3078
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	230000327
LICENSE_NUMBER	550008226
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10006
HCAI_ID	106040802
ASPEN_FACID	CA230000767
CCN	555776
NPI	1083387765
ASPEN_STATUS	ACTIVE
FACNAME	GRIDLEY POST ACUTE
FAC_TYPE_DESCRIPTION	SKILLED NURSING FACILITY
FAC_FDR	SKILLED NURSING FACILITY
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	106
staffedBeds	24
availableBeds	24
reportingYear	2025
scope	Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.

Licensed beds by care type · 2022 · 2022-01-01–2022-12-31

Preserved utilization workbook · Page 1-6 · row 29

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	24
psychiatric	0
chemical	0
skilledNursing	82
intermediateCare	0
developmentalCare	0

total

106

sourceRow

sourceId

AUR-2022

Licensed beds by care type · 2023 · 2023-01-01–2023-12-31

Preserved utilization workbook · Page 1-6 · row 29

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	24
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

sourceRow

sourceId

AUR-2023

Licensed beds by care type · 2024 · 2024-01-01–2024-12-31

Preserved utilization workbook · Page 1-6 · row 29

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	24
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

sourceRow

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106040802 · source row 29

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	29
diversionReported	Yes
icuLicensed	4
nicuLicensed	0
perinatalLicensed	0
edStations	5
edNonAdmitVisits	10227
edAdmissions	242
diversionHours	88

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106040802 · source row 29

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	29
diversionReported	Yes
icuLicensed	4
nicuLicensed	0
perinatalLicensed	0
edStations	5
edNonAdmitVisits	9671
edAdmissions	321
diversionHours	86

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106040802 · source row 29

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	29
diversionReported	No
icuLicensed	4
nicuLicensed	0
perinatalLicensed	0
edStations	5
edNonAdmitVisits	10583
edAdmissions	266
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 051311 · ORCHARD HOSPITAL · Download preserved CMS file · Official source

OP_18b · 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 · source row 16721

Retained record fields
Field	Value
value	177
raw	177
sample	375
footnote
start	2024-10-01
end	2025-09-30
sourceRow	16721
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 · Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better · source row 16722

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	16722
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 · Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better · source row 16723

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	7
start	2024-10-01
end	2025-09-30
sourceRow	16723
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 · Left before being seen · source row 16724

Retained record fields
Field	Value
value	5
raw	5
sample	11038
footnote
start	2024-01-01
end	2024-12-31
sourceRow	16724
measureName	Left before being seen

Ambulance offload · records & history
Orchard Hospital · CEMSIS 20040 · unique normalized hospital / retained CMS name + EMS geography
Download preserved report · Official report
Record 1 · 2024-10
Retained record fields
Field Value
month 2024-10
minutes 13.666666666666666
offloadCount 62
countPage 32
rawTime 0:13:40
sourceId EMSA-APOT-JUNE2025
page 23
row 10
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 9.916666666666666
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:09:55
sourceId EMSA-APOT-JUNE2025
page 23
row 10
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 12.866666666666667
offloadCount 66
countPage 42
rawTime 0:12:52
sourceId EMSA-APOT-JUNE2025
page 23
row 10
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 14.15
offloadCount 73
countPage 47
rawTime 0:14:09
sourceId EMSA-APOT-JUNE2025
page 23
row 10
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 13.916666666666666
offloadCount 64
countPage 52
rawTime 0:13:55
sourceId EMSA-APOT-JUNE2025
page 23
row 10
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 15.15
offloadCount 60
countPage 57
rawTime 0:15:09
sourceId EMSA-APOT-JUNE2025
page 23
row 10

CMS patient experience, infection, readmission & mortality records

CMS 051311 · ORCHARD HOSPITAL · 240 SPRUCE STREET, GRIDLEY 95948 · unique normalized address + city + ZIP

Unplanned Hospital Visits - National · Preserved national benchmarks · SHA-256 42db9aba1b194c9c65cbba3db83a990ffa653795d38a037bc660f12f58fecf98
Complications and Deaths - National · Preserved national benchmarks · SHA-256 b5e488f242f3e577db0e5cc8223bf2964cf914b424464fba95976e2931d15dc6
Patient survey (HCAHPS) - National · Preserved national benchmarks · SHA-256 1168d562ee10f94eaef2d29e4e8571a9be912c6e27b8dc37b215ad4300d0d6ed
Timely and Effective Care - National · Preserved national benchmarks · SHA-256 9a9201b989acb29177312caf5c9340cf5c07bc7469f58a15b80fbc7eab3636de
HCAHPS National · November 26, 2025 archive · Preserved national benchmarks · SHA-256 4b9d43013c67022783fd5cb4fc12fb8076afb084cc774644586093d1843f04af
HCAHPS · nurse communication · released 2026-08-13 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: b70e598f29552df302e30ed649d178abd1b3d3c868ae97cf8e55453dd33898fc
Gzip SHA-256: 95684a71416b383524c79ad0c7ad112622e632df97f33dbc1d701827eeff04a9
HCAHPS · legacy responsiveness · released 2025-11-26 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: c11338a55a9ee674566493fe8abde8748d2809163e86de100bc45aaa382d8751
Gzip SHA-256: 7c48b1aefcba65ebbe26a1dba592c0319261b847cdd9bb7c58306d55466cd4f8
Healthcare-associated infections · released 2026-08-13 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 95283bf20e66c5f9271e6b0b98969d8655487b4d5fa074dcee6e204ee4574f3d
Gzip SHA-256: f6f0f580606726171c93adad77cd1c92a4ec00a8b37563114414ff19116c39af
CMS unplanned readmissions · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 98cc64f5fc330ffa7e4bef97f8e86a772a1d3dfe2f7dd08976cb1ee43fad1b2d
Gzip SHA-256: 1110a7b338b17e815ee9a2e3f6e40f7c53d9fde1df7663ff452b2f82ed7bb575
CMS 30-day mortality · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a
Gzip SHA-256: 04b606e8f24603cc6711bd630abc02fee2ee707d81a529360c72433806b180ce

Exact CMS records · reporting unit 051311
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	71	2024-10-01–2025-09-30	hcahps / 39442	10Fewer than 50 surveys
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	69	2024-01-01–2024-12-31	responsiveness / 54156	10Fewer than 50 surveys
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 20887	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 20886	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.155	2024-10-01–2025-09-30	hai / 20885	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20882	13CMS cannot calculate
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20883	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 20893	13CMS cannot calculate
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 20892	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	0.805	2024-10-01–2025-09-30	hai / 20891	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20888	13CMS cannot calculate
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20889	13CMS cannot calculate
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 20899	5No CMS result for this period
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 20898	5No CMS result for this period
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 20897	5No CMS result for this period
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20894	5No CMS result for this period
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20895	5No CMS result for this period
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 20905	5No CMS result for this period
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 20904	5No CMS result for this period
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 20903	5No CMS result for this period
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20900	5No CMS result for this period
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20901	5No CMS result for this period
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 20911	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 20910	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.127	2024-10-01–2025-09-30	hai / 20909	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20906	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20907	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.000	2024-10-01–2025-09-30	hai / 20917	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	0	2024-10-01–2025-09-30	hai / 20916	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	1.072	2024-10-01–2025-09-30	hai / 20915	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20912	8Lower confidence limit unavailable
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	2.795	2024-10-01–2025-09-30	hai / 20913	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8130	1Too few cases to report
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8133	1Too few cases to report
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17.2CMS cohort: 25Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8135	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8132	1Too few cases to report
READM_30_CABGRate of readmission for CABG	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8131	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8134	5No CMS result for this period
MORT_30_AMIDeath rate for heart attack patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11604	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11607	1Too few cases to report
MORT_30_PNDeath rate for pneumonia patients	18.2CMS cohort: 40Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11608	None
MORT_30_COPDDeath rate for COPD patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11606	1Too few cases to report
MORT_30_CABGDeath rate for CABG surgery patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11605	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 11609	1Too few cases to report

CMS footnote definitions · HCAHPS survey versions

2024 HCAI selected annual financial reports · RN hours and patient-day care mix · Preserved workbook
RN comparison calculation & reporting scope
Unweighted median of hospital report ratios PRD_HR_RN / DAY_TOT. Middle 50%: inclusive linear-interpolated 25th and 75th percentiles. Same 2024 selected-report file; audited Comparable reports, 365 or 366 days, majority (>50%) patient-day care group, exact unique HCAI IDs, reconciled care-day totals and existing CNO ratio. Includes reported zero RN hours; excludes missing values. No reference for mixed care-day groups or cohorts smaller than eight.
HCAI 106040802 · HADR 01-01-2024 to 12-31-2024 · row 277 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 57,489 ÷ total patient days: 6,089
- Acute care: 6,089 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 0 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 23 · Preserved report
Offload hospital identity & source times
Orchard Hospital · Sierra-Sacramento Valley · CEMSIS 20040 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:13:40 · 90th percentile · 62 qualifying offloads · page 23 · count page 32
- Nov 2024: 0:09:55 · 90th percentile · — UNKNOWN qualifying offloads · page 23
- Dec 2024: 0:12:52 · 90th percentile · 66 qualifying offloads · page 23 · count page 42
- Jan 2025: 0:14:09 · 90th percentile · 73 qualifying offloads · page 23 · count page 47
- Feb 2025: 0:13:55 · 90th percentile · 64 qualifying offloads · page 23 · count page 52
- Mar 2025: 0:15:09 · 90th percentile · 60 qualifying offloads · page 23 · count page 57
CMS ED measures · reporting unit 051311 · ORCHARD HOSPITAL · Preserved file
CMS values, dates & identity match
240 SPRUCE STREET, GRIDLEY 95948 · unique normalized address + city + ZIP
- OP_18b: 177 · 2024-10-01–2025-09-30 · sample 375
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 7
- OP_22: 5 · 2024-01-01–2024-12-31 · sample 11038
Preserved hospital identities · CMS footnote definitions
2022-01-01–2022-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2023-01-01–2023-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024-01-01–2024-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record

All public source collections →
Evidence standards & methodology →↑ Back to snapshot

Research record, provenance & reporting scope

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Public Record Profile · No state call

Orchard Hospital

Butte County · HCAI 106040802

Profile statusLISTED — NOT YET REVIEWEDDescriptive profile · two source layers2024 financial filing audited2024 workforce record available2025 capacity record available

What this page can show2024 nursing labor and 2025 capacity, reported separately.

What the public record reports

What is reported?

This facility is listed, but its records have not received the additional hospital-specific review shown on reviewed profiles.

Reported RN labor57,489 productive RN hours.

57,489Hospital-wide productive RN hours · 2024

Contract RN shareNo matched contract-RN share

UnknownAgency, registry, or contract RN share · 2024

Reported RN intensity9.4 RN hours per patient day.

9.4Hospital-wide annual proxy · 2024

Reported capacity24 staffed beds.

24 → 24Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106040802.

Open official facility source ↗

Workforce source

2024 productive RN hours and contract-RN measures come from the HCAI hospital financial/workforce reporting layer.

Open HCAI hospital financials ↗

Capacity source

2025 licensed, available, and staffed-bed records are a separate capacity layer with its own reporting scope.

Open California health data ↗

Next evidence step

Acquire third independent audited domain before any state call.

Read CNO’s methodology →

Use the gap

What changed in patient demand, staffed capacity, and permanent RN coverage during the same reporting period—and what happened on my unit?

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Field	Value
month	2024-10
minutes	13.666666666666666
offloadCount	62
countPage	32
rawTime	0:13:40
sourceId	EMSA-APOT-JUNE2025
page	23
row	10

Field	Value
month	2024-11
minutes	9.916666666666666
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:09:55
sourceId	EMSA-APOT-JUNE2025
page	23
row	10

Field	Value
month	2024-12
minutes	12.866666666666667
offloadCount	66
countPage	42
rawTime	0:12:52
sourceId	EMSA-APOT-JUNE2025
page	23
row	10

Field	Value
month	2025-01
minutes	14.15
offloadCount	73
countPage	47
rawTime	0:14:09
sourceId	EMSA-APOT-JUNE2025
page	23
row	10

Field	Value
month	2025-02
minutes	13.916666666666666
offloadCount	64
countPage	52
rawTime	0:13:55
sourceId	EMSA-APOT-JUNE2025
page	23
row	10

Field	Value
month	2025-03
minutes	15.15
offloadCount	60
countPage	57
rawTime	0:15:09
sourceId	EMSA-APOT-JUNE2025
page	23
row	10