🏥 John Muir Medical Center-Concord Campus

Contra Costa County · HCAI 106071018

2540 EAST STREET, CONCORD 94520

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: 15.92↓
Productive RN hours: 927,836
RN-only FTEs · productive, calculated: 446.08

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 6.7%↑
Contract RN hours: 82,985

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 276
🛏️ Reported staffed beds: 206—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 247
❤️ Licensed ICU beds: 36
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 32

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 67,059
🛏️ ED admissions: 9,157
⏱️ Median ED stay · excludes psych / transfers: 145 min↓
⏱️ Psychiatric / mental-health ED stay · median: 285 min↑
⏱️ ED stay before transfer · median: 215 min↓
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 24.58 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: 78%↓
Help as soon as wanted · Always · legacy measure: 61%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.235↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.636↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.254↔CMS: no different from national benchmark
C. diff infections · SIR: 0.675↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 0.904↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 13.5%↓
Heart failure: 19.1%↓
Pneumonia: 17.1%↓
COPD: 21.7%↑
Coronary bypass surgery: 8.8%↓
Hip/knee replacement: 6.1%↑

30-day mortality

Heart attack: 10.4%↓
Heart failure: 8%↓
Pneumonia: 13.5%↓
COPD: 7.6%↓
Coronary bypass surgery: 1.2%↓
Stroke: 13%↑

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 59,890 to 67,059.

🚑 ED activity · ↑ 12.0%

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	1,630,683	110,923	60,894	Audited	Preserved fileAPI record ID 158
2023-01-01–2023-12-31	1,097,913	100,552	58,403	Audited	Preserved fileAPI record ID 155
2024-01-01–2024-12-31	927,836	82,985	58,271	In Process	Preserved fileHADR 01-01-2024 to 12-31-2024 row 156

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

15.92

2024-01-01–2024-12-31📈 Trend: ↓ Decreasing · 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

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

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

927,836

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

446.08

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	26.78
2023	18.8
2024	15.92

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: 82,985

📈 Contract RN share of nursing hours

Contract RN share of nursing hours · % · reported contract RN share
Period	% · reported contract RN share
2018–2019 baseline	1.98
2024	6.74

2024 contract RN share was 4.8 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: 276
🛏️ Reported staffed beds: 206
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 247
❤️ Licensed ICU beds: 36
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 32

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	36	36	36
👶 NICU	0	0	0
🤰 Perinatal	0	0	0

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	32
2023	32
2024	32

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 67,059
🛏️ ED admissions: 9,157
⏱️ Median ED stay · excludes psych / transfers: 145 min↓
⏱️ Psychiatric / mental-health ED stay · median: 285 min↑
⏱️ ED stay before transfer · median: 215 min↓
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 24.58 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	32.08
Nov 2024	29.62
Dec 2024	33.35
Jan 2025	37.22
Feb 2025	38.43
Mar 2025	30.2

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	59,890
2023	62,207
2024	67,059

↑ 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 050496 · JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS

Patients who answered “Always”

Nurses communicated well: 78%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 61%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050496 · JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.235↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.636↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.254↔CMS: no different from national benchmark
C. diff infections · SIR: 0.675↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 0.904↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050496 · JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS

Unplanned readmissions within 30 days

Heart attack: 13.5%↓Below national rate 14.4% · numerical comparison
Heart failure: 19.1%↓Below national rate 21.3% · numerical comparison
Pneumonia: 17.1%↓Below national rate 17.3% · numerical comparison
COPD: 21.7%↑Above national rate 20% · numerical comparison
Coronary bypass surgery: 8.8%↓Below national rate 11% · numerical comparison
Hip/knee replacement: 6.1%↑Above national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 10.4%↓Below national rate 11.9% · numerical comparison
Heart failure: 8%↓Below national rate 11.1% · numerical comparison
Pneumonia: 13.5%↓Below national rate 15.2% · numerical comparison
COPD: 7.6%↓Below national rate 8.6% · numerical comparison
Coronary bypass surgery: 1.2%↓Below national rate 2.4% · numerical comparison
Stroke: 13%↑Above national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 35 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106071018 · 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 158

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

158

name

JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS

county

Contra Costa

rnHours

1630683

patientDays

60894

ratio

26.7790422701744

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1630683
PRD_HR_LVN	0
PRD_HR_AID	270557
CNT_HR_RN	110923

nursingHours

2012163

contractShare

0.055126249712374197

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	60894
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 155

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

155

name

JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS

county

Contra Costa

rnHours

1097913

patientDays

58403

ratio

18.798914439326747

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1097913
PRD_HR_LVN	16
PRD_HR_AID	190300
CNT_HR_RN	100552

nursingHours

1388781

contractShare

0.0724030642700325

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	58403
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
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 156

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

In Process

type

Comparable

sourceRecord

156

name

JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS

county

Contra Costa

rnHours

927836

patientDays

58271

ratio

15.922774622024678

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	927836
PRD_HR_LVN	6211
PRD_HR_AID	213537
CNT_HR_RN	82985

nursingHours

1230569

contractShare

0.06743628354037848

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	58271
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	927836
contractHours	82985
contractShare	0.06744
rnPerPatientDay	15.92277
baseline	0.01977
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 35

Field

Value

officialName

JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS

county

Contra Costa

city

CONCORD

address

2540 EAST STREET

zip

94520

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1946-01-01

licensedBeds

276

erServiceLevel

Emergency - Basic

licenseNumber

140000128

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-CONCORD CAMPUS

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2602
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	140000196
LICENSE_NUMBER	140000128
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10048
HCAI_ID	106071018
ASPEN_FACID	CA140000196
CCN	050496
NPI	1801821376
ASPEN_STATUS	ACTIVE
FACNAME	JOHN MUIR MEDICAL CENTER-CONCORD 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	276
staffedBeds	206
availableBeds	247
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 41

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	244
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

244

sourceRow

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 41

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	276
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

276

sourceRow

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 42

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	276
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

276

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 106071018 · source row 41

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	41
diversionReported	Yes
icuLicensed	36
nicuLicensed	0
perinatalLicensed	0
edStations	32
edNonAdmitVisits	51640
edAdmissions	8250
diversionHours	5

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106071018 · source row 41

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	41
diversionReported	No
icuLicensed	36
nicuLicensed	0
perinatalLicensed	0
edStations	32
edNonAdmitVisits	53545
edAdmissions	8662
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106071018 · source row 42

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	42
diversionReported	No
icuLicensed	36
nicuLicensed	0
perinatalLicensed	0
edStations	32
edNonAdmitVisits	57902
edAdmissions	9157
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050496 · JOHN MUIR MEDICAL CENTER - CONCORD 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 13495

Retained record fields
Field	Value
value	145
raw	145
sample	347
footnote
start	2024-10-01
end	2025-09-30
sourceRow	13495
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 13496

Retained record fields
Field	Value
value	285
raw	285
sample	23
footnote
start	2024-10-01
end	2025-09-30
sourceRow	13496
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 13497

Retained record fields
Field	Value
value	215
raw	215
sample	11
footnote
start	2024-10-01
end	2025-09-30
sourceRow	13497
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 13498

Retained record fields
Field	Value
value	1
raw	1
sample	68357
footnote
start	2024-01-01
end	2024-12-31
sourceRow	13498
measureName	Left before being seen

Ambulance offload · records & history

John Muir Medical Center, Concord · CEMSIS 20179 · explicit retained-identity alias + EMS geography

Download preserved report · Official report

Record 1 · 2024-10

Retained record fields
Field	Value
month	2024-10
minutes	32.083333333333336
offloadCount	1075
countPage	31
rawTime	0:32:05
sourceId	EMSA-APOT-JUNE2025
page	19
row	38

Record 2 · 2024-11

Retained record fields
Field	Value
month	2024-11
minutes	29.616666666666667
offloadCount	1012
countPage	36
rawTime	0:29:37
sourceId	EMSA-APOT-JUNE2025
page	19
row	38

Record 3 · 2024-12

Retained record fields
Field	Value
month	2024-12
minutes	33.35
offloadCount	1185
countPage	41
rawTime	0:33:21
sourceId	EMSA-APOT-JUNE2025
page	19
row	38

Record 4 · 2025-01

Retained record fields
Field	Value
month	2025-01
minutes	37.21666666666667
offloadCount	1170
countPage	46
rawTime	0:37:13
sourceId	EMSA-APOT-JUNE2025
page	19
row	38

Record 5 · 2025-02

Retained record fields
Field	Value
month	2025-02
minutes	38.43333333333333
offloadCount	1034
countPage	51
rawTime	0:38:26
sourceId	EMSA-APOT-JUNE2025
page	19
row	38

Record 6 · 2025-03

Retained record fields
Field	Value
month	2025-03
minutes	30.2
offloadCount	1048
countPage	56
rawTime	0:30:12
sourceId	EMSA-APOT-JUNE2025
page	19
row	38

Latest retained offload record · 2026-01

Retained record fields
Field	Value
month	2026-01
minutes	24.583333333333332
rawTime	0:24:35
offloadCount	1173
standardMinutes	20
rawStandard	0:20:00
compliantPercent	84.7
sourceId	EMSA-APOT-FEB2026
page	7
rawLine	Contra Costa County EMS Agency 20179 John Muir Medical Center, Concord 1173 0:24:35 0:20:00 0:04:35 84.7%

CMS patient experience, infection, readmission & mortality records

CMS 050496 · JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS · 2540 EAST ST, CONCORD 94520 · 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 050496
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	78	2024-10-01–2025-09-30	hcahps / 31826	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	61	2024-01-01–2024-12-31	responsiveness / 43740	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.235	2024-10-01–2025-09-30	hai / 16855	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	2	2024-10-01–2025-09-30	hai / 16854	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	8.500	2024-10-01–2025-09-30	hai / 16853	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.039	2024-10-01–2025-09-30	hai / 16850	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	0.777	2024-10-01–2025-09-30	hai / 16851	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.636	2024-10-01–2025-09-30	hai / 16861	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	7	2024-10-01–2025-09-30	hai / 16860	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	11.011	2024-10-01–2025-09-30	hai / 16859	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.278	2024-10-01–2025-09-30	hai / 16856	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.258	2024-10-01–2025-09-30	hai / 16857	None
HAI_3_SIRSSI - Colon Surgery	0.904	2024-10-01–2025-09-30	hai / 16867	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	6	2024-10-01–2025-09-30	hai / 16866	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	6.638	2024-10-01–2025-09-30	hai / 16865	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.366	2024-10-01–2025-09-30	hai / 16862	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	1.880	2024-10-01–2025-09-30	hai / 16863	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 16873	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	1	2024-10-01–2025-09-30	hai / 16872	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.564	2024-10-01–2025-09-30	hai / 16871	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 16868	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 16869	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	0.254	2024-10-01–2025-09-30	hai / 16879	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	1	2024-10-01–2025-09-30	hai / 16878	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	3.931	2024-10-01–2025-09-30	hai / 16877	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.013	2024-10-01–2025-09-30	hai / 16874	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	1.255	2024-10-01–2025-09-30	hai / 16875	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.675	2024-10-01–2025-09-30	hai / 16885	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	33	2024-10-01–2025-09-30	hai / 16884	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	48.904	2024-10-01–2025-09-30	hai / 16883	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.472	2024-10-01–2025-09-30	hai / 16880	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.937	2024-10-01–2025-09-30	hai / 16881	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	13.5CMS cohort: 312Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6562	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	19.1CMS cohort: 768Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6565	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17.1CMS cohort: 504Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6567	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	21.7CMS cohort: 186Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6564	None
READM_30_CABGRate of readmission for CABG	8.8CMS cohort: 154Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6563	None
READM_30_HIP_KNEERate of readmission after hip/knee replacement	6.1CMS cohort: 250Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6566	None
MORT_30_AMIDeath rate for heart attack patients	10.4CMS cohort: 172Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9364	None
MORT_30_HFDeath rate for heart failure patients	8CMS cohort: 537Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9367	None
MORT_30_PNDeath rate for pneumonia patients	13.5CMS cohort: 434Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9368	None
MORT_30_COPDDeath rate for COPD patients	7.6CMS cohort: 124Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9366	None
MORT_30_CABGDeath rate for CABG surgery patients	1.2CMS cohort: 175Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9365	None
MORT_30_STKDeath rate for stroke patients	13CMS cohort: 215Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 9369	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	8309	2024-10-01–2025-09-30	hai / 16852	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	8631	2024-10-01–2025-09-30	hai / 16858	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	262	2024-10-01–2025-09-30	hai / 16864	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	80	2024-10-01–2025-09-30	hai / 16870	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	62574	2024-10-01–2025-09-30	hai / 16876	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	62574	2024-10-01–2025-09-30	hai / 16882	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 106071018 · HADR 01-01-2024 to 12-31-2024 · row 156 · In Process · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 927,836 ÷ total patient days: 58,271
- Acute care: 58,271 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 19 · Preserved report
Offload hospital identity & source times
John Muir Medical Center, Concord · Contra Costa · CEMSIS 20179 · explicit retained-identity alias + EMS geography
- Oct 2024: 0:32:05 · 90th percentile · 1,075 qualifying offloads · page 19 · count page 31
- Nov 2024: 0:29:37 · 90th percentile · 1,012 qualifying offloads · page 19 · count page 36
- Dec 2024: 0:33:21 · 90th percentile · 1,185 qualifying offloads · page 19 · count page 41
- Jan 2025: 0:37:13 · 90th percentile · 1,170 qualifying offloads · page 19 · count page 46
- Feb 2025: 0:38:26 · 90th percentile · 1,034 qualifying offloads · page 19 · count page 51
- Mar 2025: 0:30:12 · 90th percentile · 1,048 qualifying offloads · page 19 · count page 56
Jan 2026: 0:24:35 · 1,173 qualifying offloads · local standard 0:20:00 · 84.7% within standard · page 7
Jan 2026 · EMSA hospital offload exceedance table · page 7 · Preserved report
CMS ED measures · reporting unit 050496 · JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS · Preserved file
CMS values, dates & identity match
2540 EAST ST, CONCORD 94520 · unique normalized address + city + ZIP
- OP_18b: 145 · 2024-10-01–2025-09-30 · sample 347
- OP_18c: 285 · 2024-10-01–2025-09-30 · sample 23
- OP_18d: 215 · 2024-10-01–2025-09-30 · sample 11
- OP_22: 1 · 2024-01-01–2024-12-31 · sample 68357
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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Research record, provenance & reporting scope

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Public Record Profile · No state call

John Muir Medical Center - Concord Campus

Contra Costa County · HCAI 106071018

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 labor927,836 productive RN hours.

927,836Hospital-wide productive RN hours · 2024

Contract RN share6.7% of reported RN labor.

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

Reported RN intensity15.9 RN hours per patient day.

15.9Hospital-wide annual proxy · 2024

Reported capacity206 staffed beds.

247 → 206Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106071018.

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.

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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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