🏥 John Muir Medical Center-Walnut Creek Campus

Contra Costa County · HCAI 106070988

1601 YGNACIO VALLEY ROAD, WALNUT CREEK 94598

Open · Hospital facility · roster 2026-10-01

Acute care + rehabilitation reporting unit

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

Acute care + rehabilitation reporting unit · RN hours / patient day: 14.86↑
Productive RN hours: 1,558,470
RN-only FTEs · productive, calculated: 749.26

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 6.7%↑
Contract RN hours: 131,962

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 503
🛏️ Reported staffed beds: 317—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 399
❤️ Licensed ICU beds: 55
👶 Licensed NICU beds: 60
🤰 Licensed perinatal beds: 83
🚑 ED treatment stations: 44

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 65,016
🛏️ ED admissions: 12,794
⏱️ Median ED stay · excludes psych / transfers: 171 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 54.03 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: 75%↓
Help as soon as wanted · Always · legacy measure: 53%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.341↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.536↓CMS: lower than national benchmark · better
MRSA bloodstream infections · SIR: 0.245↓CMS: lower than national benchmark · better
C. diff infections · SIR: 0.455↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 2.734↑CMS: higher than national benchmark · worse
Surgical-site infections · hysterectomy · SIR: 1.880↔CMS: no different from national benchmark

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 14.7%↑
Heart failure: 19.9%↓
Pneumonia: 16.7%↓
COPD: 20.4%↑
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 4.9%↓

30-day mortality

Heart attack: 10%↓
Heart failure: 9.8%↓
Pneumonia: 12.5%↓
COPD: 6.4%↓
Coronary bypass surgery: — UNKNOWN
Stroke: 14.1%↑

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 59,352 to 65,016.

🚑 ED activity · ↑ 9.5%

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	Contract RN hours	Patient days	Filing status	Source
2022-01-01–2022-12-31	1,620,555	11,450	118,391	Audited	Preserved fileAPI record ID 159
2023-01-01–2023-12-31	1,626,425	6,232	112,014	Audited	Preserved fileAPI record ID 156
2024-01-01–2024-12-31	1,558,470	131,962	104,849	In Process	Preserved fileHADR 01-01-2024 to 12-31-2024 row 157

Full source records & reporting scope →

🔎 Records & complete history →

Acute care + rehabilitation reporting unit · RN hours / patient day

14.86

2024-01-01–2024-12-31📈 Trend: ↑ Increasing · 2022–2024 · provisional reported series · 2024 filing In Process

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

93.5% of this report’s patient days: acute care

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

1,558,470

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

749.26

2024-01-01–2024-12-31 · productive RN hours ÷ 2,080

📈 Reported RN hours per patient day · provisional series

Reported RN hours per patient day · provisional series · RN hours / patient day
Period	RN hours / patient day
2022	13.69
2023	14.52
2024	14.86

2022: Audited · 2023: Audited · 2024: In Process

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 6.7%
Contract RN hours: 131,962

📈 Contract RN share of nursing hours

Contract RN share of nursing hours · % · reported contract RN share
Period	% · reported contract RN share
2018–2019 baseline	0.02
2024	6.71

2024 contract RN share was 6.7 percentage points above the 2018–2019 baseline.

↑ 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: 503
🛏️ Reported staffed beds: 317
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 399
❤️ Licensed ICU beds: 55
👶 Licensed NICU beds: 60
🤰 Licensed perinatal beds: 83
🚑 ED treatment stations: 44

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	55	55	55
👶 NICU	60	60	60
🤰 Perinatal	83	83	83

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	44
2023	44
2024	44

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 65,016
🛏️ ED admissions: 12,794
⏱️ Median ED stay · excludes psych / transfers: 171 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 54.03 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	53.12
Nov 2024	46.38
Dec 2024	70.63
Jan 2025	70.97
Feb 2025	56.4
Mar 2025	54.03

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	59,352
2023	62,470
2024	65,016

↑ Back to snapshot

🔄 Services & Changes

Open details

Service review not documented

All documented service changes →↑ Back to snapshot

💬 Patient experience

Open details

Patient Experience

CMS reporting unit 050180 · JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS

Patients who answered “Always”

Nurses communicated well: 75%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 53%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050180 · JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.341↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.536↓CMS: lower than national benchmark · better
MRSA bloodstream infections · SIR: 0.245↓CMS: lower than national benchmark · better
C. diff infections · SIR: 0.455↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 2.734↑CMS: higher than national benchmark · worse
Surgical-site infections · hysterectomy · SIR: 1.880↔CMS: no different from national benchmark

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050180 · JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS

Unplanned readmissions within 30 days

Heart attack: 14.7%↑Above national rate 14.4% · numerical comparison
Heart failure: 19.9%↓Below national rate 21.3% · numerical comparison
Pneumonia: 16.7%↓Below national rate 17.3% · numerical comparison
COPD: 20.4%↑Above national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 4.9%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 10%↓Below national rate 11.9% · numerical comparison
Heart failure: 9.8%↓Below national rate 11.1% · numerical comparison
Pneumonia: 12.5%↓Below national rate 15.2% · numerical comparison
COPD: 6.4%↓Below national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 14.1%↑Above national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 33 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106070988 · 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 · 2022-01-01–2022-12-31 · Audited

Download preserved source · Official source · API record ID 159

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

159

name

JOHN MUIR MEDICAL CENTER - WALNUT CREEK

county

Contra Costa

rnHours

1620555

patientDays

118391

ratio

13.688160417599311

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1620555
PRD_HR_LVN	36523
PRD_HR_AID	22232
CNT_HR_RN	11450

nursingHours

1690760

contractShare

0.006772102486455795

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	112625
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	5766
DAY_LTC	0
DAY_RESDNT	0

2023 · 2023-01-01–2023-12-31 · Audited

Download preserved source · Official source · API record ID 156

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

156

name

JOHN MUIR MEDICAL CENTER - WALNUT CREEK

county

Contra Costa

rnHours

1626425

patientDays

112014

ratio

14.519836806113522

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1626425
PRD_HR_LVN	72950
PRD_HR_AID	53241
CNT_HR_RN	6232

nursingHours

1758848

contractShare

0.003543228294883924

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	105385
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	6629
DAY_LTC	0
DAY_RESDNT	0

2024 · 2024-01-01–2024-12-31 · In Process

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 157

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

In Process

type

Comparable

sourceRecord

157

name

JOHN MUIR MEDICAL CENTER - WALNUT CREEK

county

Contra Costa

rnHours

1558470

patientDays

104849

ratio

14.863947200259421

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1558470
PRD_HR_LVN	203
PRD_HR_AID	275623
CNT_HR_RN	131962

nursingHours

1966258

contractShare

0.06711326794347436

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	98079
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	6770
DAY_LTC	0
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	1558470
contractHours	131962
contractShare	0.06711
rnPerPatientDay	14.86395
baseline	0.0002
history	UNIQUE
filing	In Process

Beds and capacity · records & history

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

Official HCAI roster · Retained source · row 33

Field

Value

officialName

JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS

county

Contra Costa

city

WALNUT CREEK

address

1601 YGNACIO VALLEY ROAD

zip

94598

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1965-06-15

licensedBeds

503

erServiceLevel

Emergency - Basic

licenseNumber

140000265

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

JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2597
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	140000187
LICENSE_NUMBER	140000265
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10081
HCAI_ID	106070988
ASPEN_FACID	CA140000187
CCN	050180
NPI	1740215219
ASPEN_STATUS	ACTIVE
FACNAME	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	503
staffedBeds	317
availableBeds	399
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 39

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	554
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

554

sourceRow

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 39

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	554
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

554

sourceRow

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 40

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	554
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

554

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 106070988 · source row 39

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	39
diversionReported	No
icuLicensed	55
nicuLicensed	60
perinatalLicensed	83
edStations	44
edNonAdmitVisits	47846
edAdmissions	11506
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106070988 · source row 39

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	39
diversionReported	No
icuLicensed	55
nicuLicensed	60
perinatalLicensed	83
edStations	44
edNonAdmitVisits	50764
edAdmissions	11706
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106070988 · source row 40

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	40
diversionReported	No
icuLicensed	55
nicuLicensed	60
perinatalLicensed	83
edStations	44
edNonAdmitVisits	52222
edAdmissions	12794
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050180 · JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS · 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 10613

Retained record fields
Field	Value
value	171
raw	171
sample	366
footnote
start	2024-10-01
end	2025-09-30
sourceRow	10613
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 10614

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	10614
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 10615

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	10615
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 10616

Retained record fields
Field	Value
value	1
raw	1
sample	66500
footnote
start	2024-01-01
end	2024-12-31
sourceRow	10616
measureName	Left before being seen

Ambulance offload · records & history
John Muir Medical Center, Walnut Creek · CEMSIS 20180 · 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 53.11666666666667
offloadCount 1151
countPage 29
rawTime 0:53:07
sourceId EMSA-APOT-JUNE2025
page 19
row 39
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 46.38333333333333
offloadCount 1099
countPage 34
rawTime 0:46:23
sourceId EMSA-APOT-JUNE2025
page 19
row 39
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 70.63333333333334
offloadCount 1214
countPage 39
rawTime 1:10:38
sourceId EMSA-APOT-JUNE2025
page 19
row 39
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 70.96666666666667
offloadCount 1192
countPage 44
rawTime 1:10:58
sourceId EMSA-APOT-JUNE2025
page 19
row 39
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 56.4
offloadCount 1016
countPage 49
rawTime 0:56:24
sourceId EMSA-APOT-JUNE2025
page 19
row 39
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 54.03333333333333
offloadCount 1204
countPage 54
rawTime 0:54:02
sourceId EMSA-APOT-JUNE2025
page 19
row 39

CMS patient experience, infection, readmission & mortality records

CMS 050180 · JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS · 1601 YGNACIO VALLEY RD, WALNUT CREEK 94598 · 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
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Exact CMS records · reporting unit 050180
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	75	2024-10-01–2025-09-30	hcahps / 24958	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	53	2024-01-01–2024-12-31	responsiveness / 34347	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.341	2024-10-01–2025-09-30	hai / 13219	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	4	2024-10-01–2025-09-30	hai / 13218	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	11.732	2024-10-01–2025-09-30	hai / 13217	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.108	2024-10-01–2025-09-30	hai / 13214	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	0.822	2024-10-01–2025-09-30	hai / 13215	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.536	2024-10-01–2025-09-30	hai / 13225	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	10	2024-10-01–2025-09-30	hai / 13224	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	18.674	2024-10-01–2025-09-30	hai / 13223	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.272	2024-10-01–2025-09-30	hai / 13220	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	0.955	2024-10-01–2025-09-30	hai / 13221	None
HAI_3_SIRSSI - Colon Surgery	2.734	2024-10-01–2025-09-30	hai / 13231	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	11	2024-10-01–2025-09-30	hai / 13230	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	4.024	2024-10-01–2025-09-30	hai / 13229	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	1.437	2024-10-01–2025-09-30	hai / 13226	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	4.751	2024-10-01–2025-09-30	hai / 13227	None
HAI_4_SIRSSI - Abdominal Hysterectomy	1.880	2024-10-01–2025-09-30	hai / 13237	None
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	7	2024-10-01–2025-09-30	hai / 13236	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	3.724	2024-10-01–2025-09-30	hai / 13235	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	0.822	2024-10-01–2025-09-30	hai / 13232	None
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	3.718	2024-10-01–2025-09-30	hai / 13233	None
HAI_5_SIRMRSA Bacteremia	0.245	2024-10-01–2025-09-30	hai / 13243	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	2	2024-10-01–2025-09-30	hai / 13242	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	8.151	2024-10-01–2025-09-30	hai / 13241	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.041	2024-10-01–2025-09-30	hai / 13238	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	0.811	2024-10-01–2025-09-30	hai / 13239	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.455	2024-10-01–2025-09-30	hai / 13249	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	34	2024-10-01–2025-09-30	hai / 13248	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	74.669	2024-10-01–2025-09-30	hai / 13247	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.320	2024-10-01–2025-09-30	hai / 13244	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.629	2024-10-01–2025-09-30	hai / 13245	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	14.7CMS cohort: 93Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5148	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	19.9CMS cohort: 729Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5151	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	16.7CMS cohort: 818Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5153	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	20.4CMS cohort: 139Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5150	None
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 / 5149	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	4.9CMS cohort: 584Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5152	None
MORT_30_AMIDeath rate for heart attack patients	10CMS cohort: 148Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7344	None
MORT_30_HFDeath rate for heart failure patients	9.8CMS cohort: 695Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7347	None
MORT_30_PNDeath rate for pneumonia patients	12.5CMS cohort: 827Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7348	None
MORT_30_COPDDeath rate for COPD patients	6.4CMS cohort: 131Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7346	None
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 / 7345	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	14.1CMS cohort: 509Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 7349	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	10783	2024-10-01–2025-09-30	hai / 13216	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	11420	2024-10-01–2025-09-30	hai / 13222	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	153	2024-10-01–2025-09-30	hai / 13228	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	463	2024-10-01–2025-09-30	hai / 13234	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	112578	2024-10-01–2025-09-30	hai / 13240	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	98649	2024-10-01–2025-09-30	hai / 13246	None

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 106070988 · HADR 01-01-2024 to 12-31-2024 · row 157 · In Process · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 1,558,470 ÷ total patient days: 104,849
- Acute care: 98,079 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 6,770 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 19 · Preserved report
Offload hospital identity & source times
John Muir Medical Center, Walnut Creek · Contra Costa · CEMSIS 20180 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:53:07 · 90th percentile · 1,151 qualifying offloads · page 19 · count page 29
- Nov 2024: 0:46:23 · 90th percentile · 1,099 qualifying offloads · page 19 · count page 34
- Dec 2024: 1:10:38 · 90th percentile · 1,214 qualifying offloads · page 19 · count page 39
- Jan 2025: 1:10:58 · 90th percentile · 1,192 qualifying offloads · page 19 · count page 44
- Feb 2025: 0:56:24 · 90th percentile · 1,016 qualifying offloads · page 19 · count page 49
- Mar 2025: 0:54:02 · 90th percentile · 1,204 qualifying offloads · page 19 · count page 54
CMS ED measures · reporting unit 050180 · JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS · Preserved file
CMS values, dates & identity match
1601 YGNACIO VALLEY RD, WALNUT CREEK 94598 · unique normalized address + city + ZIP
- OP_18b: 171 · 2024-10-01–2025-09-30 · sample 366
- 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 1
- OP_22: 1 · 2024-01-01–2024-12-31 · sample 66500
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
2024 contract RN share calculation
Nursing-hour denominator
Contract RN hours ÷ (productive RN + productive LVN + productive aide + contract RN hours). HCAI fields: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record

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Evidence standards & methodology →↑ Back to snapshot

Research record, provenance & reporting scope

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Public Record Profile · No state call

John Muir Medical Center - Walnut Creek

Contra Costa County · HCAI 106070988

Profile statusLISTED — NOT YET REVIEWEDDescriptive profile · two source layers2024 financial filing in process2024 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 labor1,558,470 productive RN hours.

1,558,470Hospital-wide productive RN hours · 2024

Contract RN share6.7% of reported RN labor.

6.7%Agency, registry, or contract RN share · 2024

Reported RN intensity14.9 RN hours per patient day.

14.9Hospital-wide annual proxy · 2024

Reported capacity317 staffed beds.

399 → 317Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106070988.

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	53.11666666666667
offloadCount	1151
countPage	29
rawTime	0:53:07
sourceId	EMSA-APOT-JUNE2025
page	19
row	39

Field	Value
month	2024-11
minutes	46.38333333333333
offloadCount	1099
countPage	34
rawTime	0:46:23
sourceId	EMSA-APOT-JUNE2025
page	19
row	39

Field	Value
month	2024-12
minutes	70.63333333333334
offloadCount	1214
countPage	39
rawTime	1:10:38
sourceId	EMSA-APOT-JUNE2025
page	19
row	39

Field	Value
month	2025-01
minutes	70.96666666666667
offloadCount	1192
countPage	44
rawTime	1:10:58
sourceId	EMSA-APOT-JUNE2025
page	19
row	39

Field	Value
month	2025-02
minutes	56.4
offloadCount	1016
countPage	49
rawTime	0:56:24
sourceId	EMSA-APOT-JUNE2025
page	19
row	39

Field	Value
month	2025-03
minutes	54.03333333333333
offloadCount	1204
countPage	54
rawTime	0:54:02
sourceId	EMSA-APOT-JUNE2025
page	19
row	39