🏥 Marshall Medical Center

El Dorado County · HCAI 106090933

1100 MARSHALL WAY, PLACERVILLE 95667

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: 21.61↑
Productive RN hours: 359,390
RN-only FTEs · productive, calculated: 172.78

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 1.1%↓
Contract RN hours: 5,044

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 111
🛏️ Reported staffed beds: 51—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 110
❤️ Licensed ICU beds: 20
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 17
🚑 ED treatment stations: 24

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 26,414
🛏️ ED admissions: 4,107
⏱️ Median ED stay · excludes psych / transfers: 176 min↑
⏱️ Psychiatric / mental-health ED stay · median: 286 min↑
⏱️ ED stay before transfer · median: 415 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 16.5 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: 82%↑
Help as soon as wanted · Always · legacy measure: 59%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.000↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.000↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.560↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: 19.1%↓
Pneumonia: 16.4%↓
COPD: 18.8%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5%↓

30-day mortality

Heart attack: 11.7%↓
Heart failure: 11.3%↑
Pneumonia: 15.1%↓
COPD: 8.7%↑
Coronary bypass surgery: — UNKNOWN
Stroke: 12.9%↑

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 25,900 to 26,414.

🚑 ED activity · ↑ 2.0%

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
2021-11-01–2022-10-31	333,921	15,627	18,550	Audited	Preserved fileAPI record ID 240
2022-11-01–2023-10-31	343,016	8,998	16,683	Audited	Preserved fileAPI record ID 240
2023-11-01–2024-10-31	359,390	5,044	16,631	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 238

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

21.61

2023-11-01–2024-10-31📈 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

Above the typical reported range

🔎 Comparison source & calculation

Productive RN hours

359,390

2023-11-01–2024-10-31

RN-only FTEs · productive, calculated

172.78

2023-11-01–2024-10-31 · 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	18
2023	20.56
2024	21.61

2022–2024 pattern: RN hours per patient day went from 18 to 21.61.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 1.1%
Contract RN hours: 5,044

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	3.42
2023	1.92
2024	1.06

2022–2024 pattern: contract RN share went from 3.4% to 1.1%.

2018–2019 baseline: 3.6%.

↑ 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: 111
🛏️ Reported staffed beds: 51
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 110
❤️ Licensed ICU beds: 20
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 17
🚑 ED treatment stations: 24

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	20	20	20
👶 NICU	0	0	0
🤰 Perinatal	17	17	17

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	24
2023	24
2024	24

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 26,414
🛏️ ED admissions: 4,107
⏱️ Median ED stay · excludes psych / transfers: 176 min↑
⏱️ Psychiatric / mental-health ED stay · median: 286 min↑
⏱️ ED stay before transfer · median: 415 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 16.5 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	13.32
Nov 2024	12.18
Dec 2024	14.73
Jan 2025	16.83
Feb 2025	20.23
Mar 2025	16.5

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	25,900
2023	30,307
2024	26,414

↑ 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 050254 · MARSHALL MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 82%↑Above national rate 80% · numerical comparison
Received help as soon as wanted: 59%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050254 · MARSHALL MEDICAL CENTER

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.000↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.000↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.560↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: Not calculable

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050254 · MARSHALL MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: 19.1%↓Below national rate 21.3% · numerical comparison
Pneumonia: 16.4%↓Below national rate 17.3% · numerical comparison
COPD: 18.8%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 11.7%↓Below national rate 11.9% · numerical comparison
Heart failure: 11.3%↑Above national rate 11.1% · numerical comparison
Pneumonia: 15.1%↓Below national rate 15.2% · numerical comparison
COPD: 8.7%↑Above national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 12.9%↑Above national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 43 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106090933 · dates, source locators and original values included

RN labor and workload · records & history

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

2022 · 2021-11-01–2022-10-31 · Audited

Download preserved source · Official source · API record ID 240

Field

Value

year

2022

begin

2021-11-01

end

2022-10-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

240

name

MARSHALL MEDICAL CENTER

county

El Dorado

rnHours

333921

patientDays

18550

ratio

18.0011320754717

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	333921
PRD_HR_LVN	29598
PRD_HR_AID	77942
CNT_HR_RN	15627

nursingHours

457088

contractShare

0.034188165079809575

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	18550
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2023 · 2022-11-01–2023-10-31 · Audited

Download preserved source · Official source · API record ID 240

Field

Value

year

2023

begin

2022-11-01

end

2023-10-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

240

name

MARSHALL MEDICAL CENTER

county

El Dorado

rnHours

343016

patientDays

16683

ratio

20.560810405802314

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	343016
PRD_HR_LVN	32461
PRD_HR_AID	83634
CNT_HR_RN	8998

nursingHours

468109

contractShare

0.019222018803312903

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	16683
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2024 · 2023-11-01–2024-10-31 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 238

Field

Value

year

2024

begin

2023-11-01

end

2024-10-31

reportDays

366

filing

Audited

type

Comparable

sourceRecord

238

name

MARSHALL MEDICAL CENTER

county

El Dorado

rnHours

359390

patientDays

16631

ratio

21.60964463952859

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	359390
PRD_HR_LVN	32557
PRD_HR_AID	78278
CNT_HR_RN	5044

nursingHours

475269

contractShare

0.010612937094571706

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	16631
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	359390
contractHours	5044
contractShare	0.01061
rnPerPatientDay	21.60964
baseline	0.0359
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 43

Field

Value

officialName

MARSHALL MEDICAL CENTER

county

El Dorado

city

PLACERVILLE

address

1100 MARSHALL WAY

zip

95667

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1959-05-22

licensedBeds

111

erServiceLevel

Emergency - Basic

licenseNumber

030000059

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

MARSHALL MEDICAL CENTER

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	240
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	030000121
LICENSE_NUMBER	030000059
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10112
HCAI_ID	106090933
ASPEN_FACID	CA030000121
CCN	050254
NPI	1972503142
ASPEN_STATUS	ACTIVE
FACNAME	MARSHALL 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	111
staffedBeds	51
availableBeds	110
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 48

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	111
psychiatric	0
chemical	0
skilledNursing	14
intermediateCare	0
developmentalCare	0

total

125

sourceRow

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 49

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	111
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

111

sourceRow

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 50

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	111
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

111

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 106090933 · source row 48

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	48
diversionReported	No
icuLicensed	20
nicuLicensed	0
perinatalLicensed	17
edStations	24
edNonAdmitVisits	21830
edAdmissions	4070
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106090933 · source row 49

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	49
diversionReported	No
icuLicensed	20
nicuLicensed	0
perinatalLicensed	17
edStations	24
edNonAdmitVisits	26341
edAdmissions	3966
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106090933 · source row 50

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	50
diversionReported	No
icuLicensed	20
nicuLicensed	0
perinatalLicensed	17
edStations	24
edNonAdmitVisits	22307
edAdmissions	4107
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050254 · MARSHALL 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 11379

Retained record fields
Field	Value
value	176
raw	176
sample	364
footnote
start	2024-10-01
end	2025-09-30
sourceRow	11379
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 11380

Retained record fields
Field	Value
value	286
raw	286
sample	27
footnote
start	2024-10-01
end	2025-09-30
sourceRow	11380
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 11381

Retained record fields
Field	Value
value	415
raw	415
sample	13
footnote
start	2024-10-01
end	2025-09-30
sourceRow	11381
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 11382

Retained record fields
Field	Value
value	2
raw	2
sample	37570
footnote
start	2024-01-01
end	2024-12-31
sourceRow	11382
measureName	Left before being seen

Ambulance offload · records & history
Marshall Medical Center · CEMSIS 20272 · 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 13.316666666666666
offloadCount 574
countPage 32
rawTime 0:13:19
sourceId EMSA-APOT-JUNE2025
page 19
row 46
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 12.183333333333334
offloadCount 617
countPage 38
rawTime 0:12:11
sourceId EMSA-APOT-JUNE2025
page 19
row 46
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 14.733333333333333
offloadCount 673
countPage 42
rawTime 0:14:44
sourceId EMSA-APOT-JUNE2025
page 19
row 46
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 16.833333333333332
offloadCount 682
countPage 47
rawTime 0:16:50
sourceId EMSA-APOT-JUNE2025
page 19
row 46
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 20.233333333333334
offloadCount 599
countPage 52
rawTime 0:20:14
sourceId EMSA-APOT-JUNE2025
page 19
row 46
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 16.5
offloadCount 560
countPage 57
rawTime 0:16:30
sourceId EMSA-APOT-JUNE2025
page 19
row 46

CMS patient experience, infection, readmission & mortality records

CMS 050254 · MARSHALL MEDICAL CENTER · 1100 MARSHALL WAY, PLACERVILLE 95667 · 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 050254
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	82	2024-10-01–2025-09-30	hcahps / 26726	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	59	2024-01-01–2024-12-31	responsiveness / 36765	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.000	2024-10-01–2025-09-30	hai / 14155	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 14154	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	1.158	2024-10-01–2025-09-30	hai / 14153	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14150	8Lower confidence limit unavailable
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	2.587	2024-10-01–2025-09-30	hai / 14151	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.000	2024-10-01–2025-09-30	hai / 14161	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 14160	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	1.309	2024-10-01–2025-09-30	hai / 14159	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14156	8Lower confidence limit unavailable
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	2.289	2024-10-01–2025-09-30	hai / 14157	None
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 14167	13CMS cannot calculate
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 14166	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	0.896	2024-10-01–2025-09-30	hai / 14165	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14162	13CMS cannot calculate
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14163	13CMS cannot calculate
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 14173	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 14172	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.010	2024-10-01–2025-09-30	hai / 14171	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14168	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14169	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 14179	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 14178	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.642	2024-10-01–2025-09-30	hai / 14177	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14174	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14175	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.560	2024-10-01–2025-09-30	hai / 14185	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	6	2024-10-01–2025-09-30	hai / 14184	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	10.716	2024-10-01–2025-09-30	hai / 14183	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.227	2024-10-01–2025-09-30	hai / 14180	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	1.165	2024-10-01–2025-09-30	hai / 14181	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5512	1Too few cases to report
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	19.1CMS cohort: 242Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5515	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	16.4CMS cohort: 384Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5517	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	18.8CMS cohort: 150Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5514	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 / 5513	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5CMS cohort: 43Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5516	None
MORT_30_AMIDeath rate for heart attack patients	11.7CMS cohort: 52Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7864	None
MORT_30_HFDeath rate for heart failure patients	11.3CMS cohort: 245Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7867	None
MORT_30_PNDeath rate for pneumonia patients	15.1CMS cohort: 368Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7868	None
MORT_30_COPDDeath rate for COPD patients	8.7CMS cohort: 116Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7866	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 / 7865	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	12.9CMS cohort: 171Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 7869	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	1636	2024-10-01–2025-09-30	hai / 14152	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	1884	2024-10-01–2025-09-30	hai / 14158	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	30	2024-10-01–2025-09-30	hai / 14164	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	1	2024-10-01–2025-09-30	hai / 14170	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	20947	2024-10-01–2025-09-30	hai / 14176	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	20022	2024-10-01–2025-09-30	hai / 14182	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106090933 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-11-01–2022-10-31	333,921	18,550	15,627	457,088
2023	2022-11-01–2023-10-31	343,016	16,683	8,998	468,109
2024	2023-11-01–2024-10-31	359,390	16,631	5,044	475,269

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 240 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 240 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 238 · 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 106090933 · HADR 01-01-2024 to 12-31-2024 · row 238 · Audited · 2023-11-01–2024-10-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 359,390 ÷ total patient days: 16,631
- Acute care: 16,631 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
Marshall Medical Center · El Dorado · CEMSIS 20272 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:13:19 · 90th percentile · 574 qualifying offloads · page 19 · count page 32
- Nov 2024: 0:12:11 · 90th percentile · 617 qualifying offloads · page 19 · count page 38
- Dec 2024: 0:14:44 · 90th percentile · 673 qualifying offloads · page 19 · count page 42
- Jan 2025: 0:16:50 · 90th percentile · 682 qualifying offloads · page 19 · count page 47
- Feb 2025: 0:20:14 · 90th percentile · 599 qualifying offloads · page 19 · count page 52
- Mar 2025: 0:16:30 · 90th percentile · 560 qualifying offloads · page 19 · count page 57
CMS ED measures · reporting unit 050254 · MARSHALL MEDICAL CENTER · Preserved file
CMS values, dates & identity match
1100 MARSHALL WAY, PLACERVILLE 95667 · unique normalized address + city + ZIP
- OP_18b: 176 · 2024-10-01–2025-09-30 · sample 364
- OP_18c: 286 · 2024-10-01–2025-09-30 · sample 27
- OP_18d: 415 · 2024-10-01–2025-09-30 · sample 13
- OP_22: 2 · 2024-01-01–2024-12-31 · sample 37570
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

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Public Record Profile · No state call

Marshall Medical Center

El Dorado County · HCAI 106090933

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 labor359,390 productive RN hours.

359,390Hospital-wide productive RN hours · 2024

Contract RN share1.1% of reported RN labor.

1.1%Agency, registry, or contract RN share · 2024

Reported RN intensity21.6 RN hours per patient day.

21.6Hospital-wide annual proxy · 2024

Reported capacity51 staffed beds.

110 → 51Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106090933.

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.

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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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Field	Value
month	2024-10
minutes	13.316666666666666
offloadCount	574
countPage	32
rawTime	0:13:19
sourceId	EMSA-APOT-JUNE2025
page	19
row	46

Field	Value
month	2024-11
minutes	12.183333333333334
offloadCount	617
countPage	38
rawTime	0:12:11
sourceId	EMSA-APOT-JUNE2025
page	19
row	46

Field	Value
month	2024-12
minutes	14.733333333333333
offloadCount	673
countPage	42
rawTime	0:14:44
sourceId	EMSA-APOT-JUNE2025
page	19
row	46

Field	Value
month	2025-01
minutes	16.833333333333332
offloadCount	682
countPage	47
rawTime	0:16:50
sourceId	EMSA-APOT-JUNE2025
page	19
row	46

Field	Value
month	2025-02
minutes	20.233333333333334
offloadCount	599
countPage	52
rawTime	0:20:14
sourceId	EMSA-APOT-JUNE2025
page	19
row	46

Field	Value
month	2025-03
minutes	16.5
offloadCount	560
countPage	57
rawTime	0:16:30
sourceId	EMSA-APOT-JUNE2025
page	19
row	46