🏥 San Ramon Regional Medical Center

Contra Costa County · HCAI 106074017

6001 NORRIS CANYON ROAD, SAN RAMON 94583

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: 18.55↑
Productive RN hours: 276,475
RN-only FTEs · productive, calculated: 132.92

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 6.1%↓
Contract RN hours: 21,546

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 123
🛏️ Reported staffed beds: 43—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 116
❤️ Licensed ICU beds: 6
👶 Licensed NICU beds: 2
🤰 Licensed perinatal beds: 10
🚑 ED treatment stations: 12

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 20,589
🛏️ ED admissions: 2,727
⏱️ Median ED stay · excludes psych / transfers: 151 min↓
⏱️ Psychiatric / mental-health ED stay · median: 160 min↓
⏱️ ED stay before transfer · median: 232 min↓
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 20.63 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: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: Not calculable
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.553↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 1.104↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: N/A

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 13.9%↓
Heart failure: 21.2%↓
Pneumonia: 16.6%↓
COPD: 19.7%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.9%↑

30-day mortality

Heart attack: 10.8%↓
Heart failure: 10.2%↓
Pneumonia: 11.7%↓
COPD: 8.1%↓
Coronary bypass surgery: — UNKNOWN
Stroke: 10.5%↓

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 decreased from 20,662 to 20,589.

🚑 ED activity · ↓ 0.4%

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	294,950	47,423	16,822	Audited	Preserved fileAPI record ID 340
2023-01-01–2023-12-31	259,212	32,613	14,257	Audited	Preserved fileAPI record ID 342
2024-01-01–2024-12-31	276,475	21,546	14,908	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 339

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

18.55

2024-01-01–2024-12-31📈 Trend: ↑ Increasing · 2022–2024

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

276,475

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

132.92

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

📈 RN hours per patient day · annual reports

RN hours per patient day · annual reports · RN hours / patient day
Period	RN hours / patient day
2022	17.53
2023	18.18
2024	18.55

2022–2024 pattern: RN hours per patient day went from 17.53 to 18.55.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 6.1%
Contract RN hours: 21,546

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	11.7
2023	9.39
2024	6.13

2022–2024 pattern: contract RN share went from 11.7% to 6.1%.

2018–2019 baseline: 7.3%.

↑ 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: 123
🛏️ Reported staffed beds: 43
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 116
❤️ Licensed ICU beds: 6
👶 Licensed NICU beds: 2
🤰 Licensed perinatal beds: 10
🚑 ED treatment stations: 12

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	6	6	6
👶 NICU	2	2	2
🤰 Perinatal	10	10	10

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	12
2023	12
2024	12

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 20,589
🛏️ ED admissions: 2,727
⏱️ Median ED stay · excludes psych / transfers: 151 min↓
⏱️ Psychiatric / mental-health ED stay · median: 160 min↓
⏱️ ED stay before transfer · median: 232 min↓
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 20.63 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	13.35
Nov 2024	12.87
Dec 2024	18.47
Jan 2025	15.3
Feb 2025	19.68
Mar 2025	20.63

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	20,662
2023	19,651
2024	20,589

↑ 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 050689 · SAN RAMON REGIONAL MEDICAL CENTER

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 050689 · SAN RAMON REGIONAL MEDICAL CENTER

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: Not calculable
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.553↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 1.104↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: N/A

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050689 · SAN RAMON REGIONAL MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: 13.9%↓Below national rate 14.4% · numerical comparison
Heart failure: 21.2%↓Below national rate 21.3% · numerical comparison
Pneumonia: 16.6%↓Below national rate 17.3% · numerical comparison
COPD: 19.7%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.9%↑Above national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 10.8%↓Below national rate 11.9% · numerical comparison
Heart failure: 10.2%↓Below national rate 11.1% · numerical comparison
Pneumonia: 11.7%↓Below national rate 15.2% · numerical comparison
COPD: 8.1%↓Below national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 10.5%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 37 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106074017 · dates, source locators and original values included

RN labor and workload · records & history

RN trend comparison: eligible. Contract-share trend comparison: eligible.

2022 · 2022-01-01–2022-12-31 · Audited

Download preserved source · Official source · API record ID 340

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

340

name

SAN RAMON REGIONAL MEDICAL CENTER

county

Contra Costa

rnHours

294950

patientDays

16822

ratio

17.533586969444773

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	294950
PRD_HR_LVN	0
PRD_HR_AID	62985
CNT_HR_RN	47423

nursingHours

405358

contractShare

0.11699041341234169

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	16822
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 342

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

342

name

SAN RAMON REGIONAL MEDICAL CENTER

county

Contra Costa

rnHours

259212

patientDays

14257

ratio

18.181384583011855

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	259212
PRD_HR_LVN	0
PRD_HR_AID	55464
CNT_HR_RN	32613

nursingHours

347289

contractShare

0.0939073797327298

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	14257
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2024 · 2024-01-01–2024-12-31 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 339

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

Audited

type

Comparable

sourceRecord

339

name

SAN RAMON REGIONAL MEDICAL CENTER

county

Contra Costa

rnHours

276475

patientDays

14908

ratio

18.545411859404346

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	276475
PRD_HR_LVN	0
PRD_HR_AID	53331
CNT_HR_RN	21546

nursingHours

351352

contractShare

0.061323117557321435

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	14908
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	276475
contractHours	21546
contractShare	0.06132
rnPerPatientDay	18.54541
baseline	0.07313
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 37

Field

Value

officialName

SAN RAMON REGIONAL MEDICAL CENTER

county

Contra Costa

city

SAN RAMON

address

6001 NORRIS CANYON ROAD

zip

94583

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1990-02-12

licensedBeds

123

erServiceLevel

Emergency - Basic

licenseNumber

140000345

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

SAN RAMON REGIONAL MEDICAL CENTER

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2651
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	140000704
LICENSE_NUMBER	140000345
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	16228
HCAI_ID	106074017
ASPEN_FACID	CA140000704
CCN	050689
NPI	1932131489
ASPEN_STATUS	ACTIVE
FACNAME	SAN RAMON REGIONAL MEDICAL CENTER
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	123
staffedBeds	43
availableBeds	116
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 42

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	123
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

123

sourceRow

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 43

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	123
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

123

sourceRow

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 44

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	123
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

123

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 106074017 · source row 42

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	42
diversionReported	No
icuLicensed	6
nicuLicensed	2
perinatalLicensed	10
edStations	12
edNonAdmitVisits	17415
edAdmissions	3247
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106074017 · source row 43

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	43
diversionReported	No
icuLicensed	6
nicuLicensed	2
perinatalLicensed	10
edStations	12
edNonAdmitVisits	16447
edAdmissions	3204
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106074017 · source row 44

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	44
diversionReported	No
icuLicensed	6
nicuLicensed	2
perinatalLicensed	10
edStations	12
edNonAdmitVisits	17862
edAdmissions	2727
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050689 · SAN RAMON REGIONAL MEDICAL CENTER · 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 14898

Retained record fields
Field	Value
value	151
raw	151
sample	408
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14898
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 14899

Retained record fields
Field	Value
value	160
raw	160
sample	14
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14899
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 14900

Retained record fields
Field	Value
value	232
raw	232
sample	13
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14900
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 14901

Retained record fields
Field	Value
value	1
raw	1
sample	20981
footnote
start	2024-01-01
end	2024-12-31
sourceRow	14901
measureName	Left before being seen

Ambulance offload · records & history
San Ramon Regional Medical Center · CEMSIS 20396 · 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 13.35
offloadCount 229
countPage 32
rawTime 0:13:21
sourceId EMSA-APOT-JUNE2025
page 19
row 43
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 12.866666666666667
offloadCount 233
countPage 37
rawTime 0:12:52
sourceId EMSA-APOT-JUNE2025
page 19
row 43
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 18.466666666666665
offloadCount 256
countPage 42
rawTime 0:18:28
sourceId EMSA-APOT-JUNE2025
page 19
row 43
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 15.3
offloadCount 294
countPage 47
rawTime 0:15:18
sourceId EMSA-APOT-JUNE2025
page 19
row 43
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 19.683333333333334
offloadCount 250
countPage 52
rawTime 0:19:41
sourceId EMSA-APOT-JUNE2025
page 19
row 43
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 20.633333333333333
offloadCount 265
countPage 57
rawTime 0:20:38
sourceId EMSA-APOT-JUNE2025
page 19
row 43

CMS patient experience, infection, readmission & mortality records

CMS 050689 · SAN RAMON REGIONAL MEDICAL CENTER · 6001 NORRIS CANYON ROAD, SAN RAMON 94583 · 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 050689
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 / 35022	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 / 48204	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 18547	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 18546	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.460	2024-10-01–2025-09-30	hai / 18545	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18542	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 / 18543	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 18553	13CMS cannot calculate
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	2	2024-10-01–2025-09-30	hai / 18552	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	0.618	2024-10-01–2025-09-30	hai / 18551	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18548	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 / 18549	13CMS cannot calculate
HAI_3_SIRSSI - Colon Surgery	1.104	2024-10-01–2025-09-30	hai / 18559	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	2	2024-10-01–2025-09-30	hai / 18558	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	1.811	2024-10-01–2025-09-30	hai / 18557	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.185	2024-10-01–2025-09-30	hai / 18554	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	3.649	2024-10-01–2025-09-30	hai / 18555	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 18565	12Not applicable
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 18564	12Not applicable
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 18563	12Not applicable
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18560	12Not applicable
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18561	12Not applicable
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 18571	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 18570	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.578	2024-10-01–2025-09-30	hai / 18569	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18566	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18567	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.553	2024-10-01–2025-09-30	hai / 18577	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	5	2024-10-01–2025-09-30	hai / 18576	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	9.047	2024-10-01–2025-09-30	hai / 18575	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.202	2024-10-01–2025-09-30	hai / 18572	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	1.225	2024-10-01–2025-09-30	hai / 18573	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	13.9CMS cohort: 84Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7220	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	21.2CMS cohort: 186Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7223	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	16.6CMS cohort: 314Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7225	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.7CMS cohort: 37Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7222	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 / 7221	1Too few cases to report
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5.9CMS cohort: 84Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7224	None
MORT_30_AMIDeath rate for heart attack patients	10.8CMS cohort: 87Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10304	None
MORT_30_HFDeath rate for heart failure patients	10.2CMS cohort: 195Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10307	None
MORT_30_PNDeath rate for pneumonia patients	11.7CMS cohort: 284Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10308	None
MORT_30_COPDDeath rate for COPD patients	8.1CMS cohort: 36Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10306	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 / 10305	1Too few cases to report
MORT_30_STKDeath rate for stroke patients	10.5CMS cohort: 63Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 10309	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	610	2024-10-01–2025-09-30	hai / 18544	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	845	2024-10-01–2025-09-30	hai / 18550	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	76	2024-10-01–2025-09-30	hai / 18556	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	Not Available	2024-10-01–2025-09-30	hai / 18562	12Not applicable
HAI_5_DOPCMRSA Bacteremia: Patient Days	15279	2024-10-01–2025-09-30	hai / 18568	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	14798	2024-10-01–2025-09-30	hai / 18574	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106074017 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2022-01-01–2022-12-31	294,950	16,822	47,423	405,358
2023	2023-01-01–2023-12-31	259,212	14,257	32,613	347,289
2024	2024-01-01–2024-12-31	276,475	14,908	21,546	351,352

RN hours per patient day: PRD_HR_RN ÷ DAY_TOT. Contract RN share: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).

2022 HCAI annual financial records · Preserved source · API record ID 340 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 342 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 339 · Audited · ComparableSHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26

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 106074017 · HADR 01-01-2024 to 12-31-2024 · row 339 · Audited · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 276,475 ÷ total patient days: 14,908
- Acute care: 14,908 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
San Ramon Regional Medical Center · Contra Costa · CEMSIS 20396 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:13:21 · 90th percentile · 229 qualifying offloads · page 19 · count page 32
- Nov 2024: 0:12:52 · 90th percentile · 233 qualifying offloads · page 19 · count page 37
- Dec 2024: 0:18:28 · 90th percentile · 256 qualifying offloads · page 19 · count page 42
- Jan 2025: 0:15:18 · 90th percentile · 294 qualifying offloads · page 19 · count page 47
- Feb 2025: 0:19:41 · 90th percentile · 250 qualifying offloads · page 19 · count page 52
- Mar 2025: 0:20:38 · 90th percentile · 265 qualifying offloads · page 19 · count page 57
CMS ED measures · reporting unit 050689 · SAN RAMON REGIONAL MEDICAL CENTER · Preserved file
CMS values, dates & identity match
6001 NORRIS CANYON ROAD, SAN RAMON 94583 · unique normalized address + city + ZIP
- OP_18b: 151 · 2024-10-01–2025-09-30 · sample 408
- OP_18c: 160 · 2024-10-01–2025-09-30 · sample 14
- OP_18d: 232 · 2024-10-01–2025-09-30 · sample 13
- OP_22: 1 · 2024-01-01–2024-12-31 · sample 20981
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

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

Research record, provenance & reporting scope

← Return to the statewide directory

Public Record Profile · No state call

San Ramon Regional Medical Center

Contra Costa County · HCAI 106074017

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 labor276,475 productive RN hours.

276,475Hospital-wide productive RN hours · 2024

Contract RN share6.1% of reported RN labor.

6.1%Agency, registry, or contract RN share · 2024

Reported RN intensity18.5 RN hours per patient day.

18.5Hospital-wide annual proxy · 2024

Reported capacity43 staffed beds.

116 → 43Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106074017.

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?

Search another hospital →REQUEST AN ANONYMOUS REVIEW →

Compare hospitals →Request an anonymous review →

Field	Value
month	2024-10
minutes	13.35
offloadCount	229
countPage	32
rawTime	0:13:21
sourceId	EMSA-APOT-JUNE2025
page	19
row	43

Field	Value
month	2024-11
minutes	12.866666666666667
offloadCount	233
countPage	37
rawTime	0:12:52
sourceId	EMSA-APOT-JUNE2025
page	19
row	43

Field	Value
month	2024-12
minutes	18.466666666666665
offloadCount	256
countPage	42
rawTime	0:18:28
sourceId	EMSA-APOT-JUNE2025
page	19
row	43

Field	Value
month	2025-01
minutes	15.3
offloadCount	294
countPage	47
rawTime	0:15:18
sourceId	EMSA-APOT-JUNE2025
page	19
row	43

Field	Value
month	2025-02
minutes	19.683333333333334
offloadCount	250
countPage	52
rawTime	0:19:41
sourceId	EMSA-APOT-JUNE2025
page	19
row	43

Field	Value
month	2025-03
minutes	20.633333333333333
offloadCount	265
countPage	57
rawTime	0:20:38
sourceId	EMSA-APOT-JUNE2025
page	19
row	43