🏥 Community Regional Medical Center-Fresno

Fresno County · HCAI 106100717

2823 FRESNO STREET, FRESNO 93721

Open · Hospital facility · roster 2026-10-01

Acute care + LTC + other care reporting unit

Hospital Snapshot

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

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

Read the arrows

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

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

—: no matched comparison.

👩‍⚕️ RN staffing

Acute care + LTC + other care reporting unit · RN hours / patient day: 8.93↑
Productive RN hours: 2,681,287
RN-only FTEs · productive, calculated: 1,289.08

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 1.3%↑
Contract RN hours: 58,936

History & details →

🛏️ Beds & capacity

🏥 Campus licensed beds: 685
🏥 Reported licensed-bed total: 1,075
🛏️ Reported staffed beds: 845—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 1,075
❤️ Licensed ICU beds: 78
👶 Licensed NICU beds: 84
🤰 Licensed perinatal beds: 49
🚑 ED treatment stations: 73

Licensed care types · 2024 reporting unit

Acute care: 685
Skilled nursing / LTC: 106

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 118,412
🛏️ ED admissions: 26,190
⏱️ Median ED stay · excludes psych / transfers: 232 min↑
⏱️ Psychiatric / mental-health ED stay · median: 357 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 35.2 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: 74%↓
Help as soon as wanted · Always · legacy measure: 57%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 1.031↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.817↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.837↔CMS: no different from national benchmark
C. diff infections · SIR: 0.705↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 0.853↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: 0.810↔CMS: no different from national benchmark

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 15.8%↑
Heart failure: 22%↑
Pneumonia: 19.3%↑
COPD: 21.6%↑
Coronary bypass surgery: 12.4%↑
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: 11.7%↓
Heart failure: 10.6%↓
Pneumonia: 15.2%↔
COPD: 8.6%↔
Coronary bypass surgery: 3.2%↑
Stroke: 10.1%↓

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

Charge-nurse patient assignment — UNKNOWN · charge availability affects every nurse’s backupIs the charge nurse free of a patient assignment on this unit? If not, is it a partial or full assignment, how many patients, and how often? What dedicated RN/LVN support is provided, and who covers charge duties during emergencies?Source →
RN hours / patient day: 8.93 · 2024Who covers call-outs and breaks on this unit?Source →
Contract RN share of nursing hours: 1.3% · 2024How many agency RNs are here now? How long is orientation?Source →
Current unit turnover / vacancies — UNKNOWNWhat is this unit’s RN turnover over the last year? How many RN vacancies?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 115,124 to 118,412.

🚑 ED activity · ↑ 2.9%

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
2021-09-01–2022-08-31	2,533,456	5,370	305,680	Audited	Preserved fileAPI record ID 88
2022-09-01–2023-08-31	2,545,175	33,883	294,301	Audited	Preserved fileAPI record ID 87
2023-09-01–2024-08-31	2,681,287	58,936	300,301	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 88

Full source records & reporting scope →

🔎 Records & complete history →

Acute care + LTC + other care reporting unit · RN hours / patient day

8.93

2023-09-01–2024-08-31📈 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

78.7% of this report’s patient days: acute care

Below the typical reported range

🔎 Comparison source & calculation

Productive RN hours

2,681,287

2023-09-01–2024-08-31

RN-only FTEs · productive, calculated

1,289.08

2023-09-01–2024-08-31 · 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	8.29
2023	8.65
2024	8.93

2022–2024 pattern: RN hours per patient day went from 8.29 to 8.93.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 1.3%
Contract RN hours: 58,936

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	0.14
2023	0.83
2024	1.34

2022–2024 pattern: contract RN share went from 0.1% to 1.3%.

2018–2019 baseline: 0.2%.

↑ 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 →

Licensed beds by care type · 2024

🛏️ Acute care licensed beds: 685
🛏️ Skilled nursing / LTC licensed beds: 106
🏥 Total licensed beds · reporting unit: 791

🔎 2024 annual utilization · source & history

🏥 Campus licensed beds: 685
🏥 Reported licensed-bed total: 1,075
🛏️ Reported staffed beds: 845
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 1,075
❤️ Licensed ICU beds: 78
👶 Licensed NICU beds: 84
🤰 Licensed perinatal beds: 49
🚑 ED treatment stations: 73

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	78	78	78
👶 NICU	84	84	84
🤰 Perinatal	49	49	49

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	73
2023	73
2024	73

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 118,412
🛏️ ED admissions: 26,190
⏱️ Median ED stay · excludes psych / transfers: 232 min↑
⏱️ Psychiatric / mental-health ED stay · median: 357 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 35.2 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	44.2
Nov 2024	46.22
Dec 2024	45.5
Jan 2025	46.32
Feb 2025	42.43
Mar 2025	41.68

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	115,124
2023	113,698
2024	118,412

↑ 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 050060 · COMMUNITY REGIONAL MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 74%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 57%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050060 · COMMUNITY REGIONAL MEDICAL CENTER

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 1.031↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.817↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.837↔CMS: no different from national benchmark
C. diff infections · SIR: 0.705↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 0.853↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: 0.810↔CMS: no different from national benchmark

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050060 · COMMUNITY REGIONAL MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: 15.8%↑Above national rate 14.4% · numerical comparison
Heart failure: 22%↑Above national rate 21.3% · numerical comparison
Pneumonia: 19.3%↑Above national rate 17.3% · numerical comparison
COPD: 21.6%↑Above national rate 20% · numerical comparison
Coronary bypass surgery: 12.4%↑Above national rate 11% · numerical comparison
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

Heart attack: 11.7%↓Below national rate 11.9% · numerical comparison
Heart failure: 10.6%↓Below national rate 11.1% · numerical comparison
Pneumonia: 15.2%↔Equal to national rate 15.2% · numerical comparison
COPD: 8.6%↔Equal to national rate 8.6% · numerical comparison
Coronary bypass surgery: 3.2%↑Above national rate 2.4% · numerical comparison
Stroke: 10.1%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 47 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106100717 · dates, source locators and original values included

RN labor and workload · records & history

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

2022 · 2021-09-01–2022-08-31 · Audited

Download preserved source · Official source · API record ID 88

Field

Value

year

2022

begin

2021-09-01

end

2022-08-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

COMMUNITY REGIONAL MEDICAL CENTER - FRESNO

county

Fresno

rnHours

2533456

patientDays

305680

ratio

8.287935095524732

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	2533456
PRD_HR_LVN	192012
PRD_HR_AID	1152407
CNT_HR_RN	5370

nursingHours

3883245

contractShare

0.0013828640737321492

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	245517
DAY_PSYCH	19256
DAY_CHEM	0
DAY_REHAB	10012
DAY_LTC	30895
DAY_RESDNT	0

2023 · 2022-09-01–2023-08-31 · Audited

Download preserved source · Official source · API record ID 87

Field

Value

year

2023

begin

2022-09-01

end

2023-08-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

COMMUNITY REGIONAL MEDICAL CENTER - FRESNO

county

Fresno

rnHours

2545175

patientDays

294301

ratio

8.648203709807307

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	2545175
PRD_HR_LVN	215281
PRD_HR_AID	1277887
CNT_HR_RN	33883

nursingHours

4072226

contractShare

0.008320510698571247

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	231555
DAY_PSYCH	18256
DAY_CHEM	0
DAY_REHAB	9795
DAY_LTC	34695
DAY_RESDNT	0

2024 · 2023-09-01–2024-08-31 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 88

Field

Value

year

2024

begin

2023-09-01

end

2024-08-31

reportDays

366

filing

Audited

type

Comparable

sourceRecord

name

COMMUNITY REGIONAL MEDICAL CENTER - FRESNO

county

Fresno

rnHours

2681287

patientDays

300301

ratio

8.928664906210768

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	2681287
PRD_HR_LVN	299322
PRD_HR_AID	1351040
CNT_HR_RN	58936

nursingHours

4390585

contractShare

0.013423268197745858

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	236249
DAY_PSYCH	19653
DAY_CHEM	0
DAY_REHAB	10166
DAY_LTC	34233
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	2681287
contractHours	58936
contractShare	0.01342
rnPerPatientDay	8.92866
baseline	0.00202
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 47

Field

Value

officialName

COMMUNITY REGIONAL MEDICAL CENTER-FRESNO

county

Fresno

city

FRESNO

address

2823 FRESNO STREET

zip

93721

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1946-01-01

licensedBeds

685

erServiceLevel

Emergency - Comprehensive

licenseNumber

040000096

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

COMMUNITY DIALYSIS CENTER - FRESNO

Record 2

COMMUNITY REGIONAL MEDICAL CENTER

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	434
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	040000101
LICENSE_NUMBER	040000096
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10127
HCAI_ID	106100717
ASPEN_FACID	CA040000101
CCN	050060
NPI	1104906569
ASPEN_STATUS	ACTIVE
FACNAME	COMMUNITY REGIONAL MEDICAL CENTER
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

Record 2

Retained record fields
Field	Value
_id	580
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	040001359
LICENSE_NUMBER	040000096
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10127
HCAI_ID	106100717
ASPEN_FACID	040001359
CCN	053525
NPI	1821179656
ASPEN_STATUS	ACTIVE
FACNAME	COMMUNITY DIALYSIS CENTER - FRESNO
FAC_TYPE_DESCRIPTION	END STAGE RENAL DISEASE
FAC_FDR	CHRONIC DIALYSIS CLINIC
FAC_FAC_RELATIONSHIP	Other Certifiable Part
ELMS_PARENT_FACID	040000101

addedByCoverageAudit

false

Official campus record

Retained record fields
Field	Value
licensedBeds	1075
staffedBeds	845
availableBeds	1075
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 52

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	685
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

685

sourceRow

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 53

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	685
psychiatric	0
chemical	0
skilledNursing	106
intermediateCare	0
developmentalCare	0

total

791

sourceRow

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 54

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	685
psychiatric	0
chemical	0
skilledNursing	106
intermediateCare	0
developmentalCare	0

total

791

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 106100717 · source row 52

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	52
diversionReported	No
icuLicensed	78
nicuLicensed	84
perinatalLicensed	49
edStations	73
edNonAdmitVisits	88449
edAdmissions	26675
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106100717 · source row 53

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	53
diversionReported	No
icuLicensed	78
nicuLicensed	84
perinatalLicensed	49
edStations	73
edNonAdmitVisits	88479
edAdmissions	25219
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106100717 · source row 54

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	54
diversionReported	No
icuLicensed	78
nicuLicensed	84
perinatalLicensed	49
edStations	73
edNonAdmitVisits	92222
edAdmissions	26190
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050060 · COMMUNITY 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 8820

Retained record fields
Field	Value
value	232
raw	232
sample	1030
footnote
start	2024-10-01
end	2025-09-30
sourceRow	8820
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 8821

Retained record fields
Field	Value
value	357
raw	357
sample	84
footnote
start	2024-10-01
end	2025-09-30
sourceRow	8821
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 8822

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	8822
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 8823

Retained record fields
Field	Value
value	2
raw	2
sample	123166
footnote
start	2024-01-01
end	2024-12-31
sourceRow	8823
measureName	Left before being seen

Ambulance offload · records & history

Community Regional Medical Center, Fresno · CEMSIS 20085 · 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	44.2
offloadCount	4074
countPage	29
rawTime	0:44:12
sourceId	EMSA-APOT-JUNE2025
page	19
row	19

Record 2 · 2024-11

Retained record fields
Field	Value
month	2024-11
minutes	46.21666666666667
offloadCount	3818
countPage	34
rawTime	0:46:13
sourceId	EMSA-APOT-JUNE2025
page	19
row	19

Record 3 · 2024-12

Retained record fields
Field	Value
month	2024-12
minutes	45.5
offloadCount	3996
countPage	40
rawTime	0:45:30
sourceId	EMSA-APOT-JUNE2025
page	19
row	19

Record 4 · 2025-01

Retained record fields
Field	Value
month	2025-01
minutes	46.31666666666667
offloadCount	4241
countPage	45
rawTime	0:46:19
sourceId	EMSA-APOT-JUNE2025
page	19
row	19

Record 5 · 2025-02

Retained record fields
Field	Value
month	2025-02
minutes	42.43333333333333
offloadCount	3781
countPage	50
rawTime	0:42:26
sourceId	EMSA-APOT-JUNE2025
page	19
row	19

Record 6 · 2025-03

Retained record fields
Field	Value
month	2025-03
minutes	41.68333333333333
offloadCount	4102
countPage	55
rawTime	0:41:41
sourceId	EMSA-APOT-JUNE2025
page	19
row	19

Latest retained offload record · 2026-01

Retained record fields
Field	Value
month	2026-01
minutes	35.2
rawTime	0:35:12
offloadCount	4638
standardMinutes	30
rawStandard	0:30:00
compliantPercent	82.3
sourceId	EMSA-APOT-FEB2026
page	6
rawLine	Central California EMS Agency 20085 Community Regional Medical Center, Fresno 4638 0:35:12 0:30:00 0:05:12 82.3%

CMS patient experience, infection, readmission & mortality records

CMS 050060 · COMMUNITY REGIONAL MEDICAL CENTER · 2823 FRESNO STREET, FRESNO 93721 · 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 050060
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	74	2024-10-01–2025-09-30	hcahps / 20878	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	57	2024-01-01–2024-12-31	responsiveness / 28674	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	1.031	2024-10-01–2025-09-30	hai / 11059	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	31	2024-10-01–2025-09-30	hai / 11058	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	30.079	2024-10-01–2025-09-30	hai / 11057	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.713	2024-10-01–2025-09-30	hai / 11054	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	1.445	2024-10-01–2025-09-30	hai / 11055	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.817	2024-10-01–2025-09-30	hai / 11065	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	30	2024-10-01–2025-09-30	hai / 11064	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	36.712	2024-10-01–2025-09-30	hai / 11063	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.561	2024-10-01–2025-09-30	hai / 11060	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.152	2024-10-01–2025-09-30	hai / 11061	None
HAI_3_SIRSSI - Colon Surgery	0.853	2024-10-01–2025-09-30	hai / 11071	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	10	2024-10-01–2025-09-30	hai / 11070	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	11.720	2024-10-01–2025-09-30	hai / 11069	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.433	2024-10-01–2025-09-30	hai / 11066	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	1.521	2024-10-01–2025-09-30	hai / 11067	None
HAI_4_SIRSSI - Abdominal Hysterectomy	0.810	2024-10-01–2025-09-30	hai / 11077	None
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	2	2024-10-01–2025-09-30	hai / 11076	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	2.469	2024-10-01–2025-09-30	hai / 11075	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	0.136	2024-10-01–2025-09-30	hai / 11072	None
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	2.676	2024-10-01–2025-09-30	hai / 11073	None
HAI_5_SIRMRSA Bacteremia	0.837	2024-10-01–2025-09-30	hai / 11083	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	13	2024-10-01–2025-09-30	hai / 11082	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	15.540	2024-10-01–2025-09-30	hai / 11081	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.465	2024-10-01–2025-09-30	hai / 11078	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	1.395	2024-10-01–2025-09-30	hai / 11079	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.705	2024-10-01–2025-09-30	hai / 11089	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	63	2024-10-01–2025-09-30	hai / 11088	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	89.392	2024-10-01–2025-09-30	hai / 11087	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.546	2024-10-01–2025-09-30	hai / 11084	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.896	2024-10-01–2025-09-30	hai / 11085	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	15.8CMS cohort: 258Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4308	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	22CMS cohort: 689Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4311	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	19.3CMS cohort: 552Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4313	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	21.6CMS cohort: 248Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4310	None
READM_30_CABGRate of readmission for CABG	12.4CMS cohort: 189Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4309	None
READM_30_HIP_KNEERate of readmission after hip/knee replacement	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4312	1Too few cases to report
MORT_30_AMIDeath rate for heart attack patients	11.7CMS cohort: 187Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6144	None
MORT_30_HFDeath rate for heart failure patients	10.6CMS cohort: 445Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6147	None
MORT_30_PNDeath rate for pneumonia patients	15.2CMS cohort: 399Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6148	None
MORT_30_COPDDeath rate for COPD patients	8.6CMS cohort: 116Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6146	None
MORT_30_CABGDeath rate for CABG surgery patients	3.2CMS cohort: 187Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6145	None
MORT_30_STKDeath rate for stroke patients	10.1CMS cohort: 582Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 6149	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	26532	2024-10-01–2025-09-30	hai / 11056	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	21456	2024-10-01–2025-09-30	hai / 11062	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	388	2024-10-01–2025-09-30	hai / 11068	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	235	2024-10-01–2025-09-30	hai / 11074	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	210298	2024-10-01–2025-09-30	hai / 11080	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	182796	2024-10-01–2025-09-30	hai / 11086	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106100717 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-09-01–2022-08-31	2,533,456	305,680	5,370	3,883,245
2023	2022-09-01–2023-08-31	2,545,175	294,301	33,883	4,072,226
2024	2023-09-01–2024-08-31	2,681,287	300,301	58,936	4,390,585

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 88 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 87 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 88 · Audited · ComparableSHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26

Licensed care categories · 2022–2024 history & source rows
Licensed beds · annual utilization reporting unit
Care type 2022 2023 2024
Acute care 685 685 685
Skilled nursing / LTC 0 106 106
Reported total 685 791 791
- 2022 preserved utilization workbook · Page 1-6 · row 52 · HCAI 106100717
- 2023 preserved utilization workbook · Page 1-6 · row 53 · HCAI 106100717
- 2024 preserved utilization workbook · Page 1-6 · row 54 · HCAI 106100717
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 106100717 · HADR 01-01-2024 to 12-31-2024 · row 88 · Audited · 2023-09-01–2024-08-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 2,681,287 ÷ total patient days: 300,301
- Acute care: 236,249 patient days
- Psychiatric: 19,653 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 10,166 patient days
- Long-term care: 34,233 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
Community Regional Medical Center, Fresno · Central California · CEMSIS 20085 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:44:12 · 90th percentile · 4,074 qualifying offloads · page 19 · count page 29
- Nov 2024: 0:46:13 · 90th percentile · 3,818 qualifying offloads · page 19 · count page 34
- Dec 2024: 0:45:30 · 90th percentile · 3,996 qualifying offloads · page 19 · count page 40
- Jan 2025: 0:46:19 · 90th percentile · 4,241 qualifying offloads · page 19 · count page 45
- Feb 2025: 0:42:26 · 90th percentile · 3,781 qualifying offloads · page 19 · count page 50
- Mar 2025: 0:41:41 · 90th percentile · 4,102 qualifying offloads · page 19 · count page 55
Jan 2026: 0:35:12 · 4,638 qualifying offloads · local standard 0:30:00 · 82.3% within standard · page 6
Jan 2026 · EMSA hospital offload exceedance table · page 6 · Preserved report
CMS ED measures · reporting unit 050060 · COMMUNITY REGIONAL MEDICAL CENTER · Preserved file
CMS values, dates & identity match
2823 FRESNO STREET, FRESNO 93721 · unique normalized address + city + ZIP
- OP_18b: 232 · 2024-10-01–2025-09-30 · sample 1030
- OP_18c: 357 · 2024-10-01–2025-09-30 · sample 84
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_22: 2 · 2024-01-01–2024-12-31 · sample 123166
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
Official hospital facility / campus beds

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

Research record, provenance & reporting scope

← 30 reviewed hospitals

Hospital Change Profile · Reviewed pilot

Community Regional Medical Center - Fresno

Fresno County · HCAI 106100717

Evidence statusAudited filingWorkforce: 2024Capacity: 2025

What the available records supportA reviewed 2024 nursing snapshot and 2025 capacity record are available. A defensible recent demand trend is not.

The nurse’s questions

What changed?

These are reported hospital-wide measures. The year and comparison period sit beside each number.

Are we busier?Insufficient comparable quarterly data for a meaningful recent demand answer.

UnknownNo reviewed recent same-quarter demand comparison

Did available capacity change?845 of 1,075 reported licensed beds were staffed in the 2025 capacity record.

78.6%Reported staffed share of licensed beds · 2025

What did the nursing record show?8.9 RN hours per patient day.

8.9Hospital-wide RN intensity · 2024

What contract labor did the source report?Reported contract-RN share: 1.3%.

0.2% → 1.3%2018–2019 baseline → 2024 reported share

Reported contract reliance was 1.1 percentage points above the hospital’s pre-pandemic baseline.

The reported share uses a source-defined denominator that is not reconstructed from the displayed contract and productive-RN hour fields.

Show me the receipts

Where the numbers came from.

Facility record

The official HCAI facility profile lists 685 licensed beds at the Community Regional Fresno campus, while California license 040000096 independently lists 1,075 total licensed beds across the broader license. Audited workforce filing, capacity record, and uniquely matched historical baseline are available.

Open official facility source ↗

Reporting scope

The 1,075-bed reporting denominator is license-wide, not the 685-bed Fresno campus alone. The additional 390 beds belong to the broader license scope; their campus-by-campus allocation has not been independently reconciled.

Open supporting facility record ↗

Workforce source

2024 productive RN hours, contract labor, and RN intensity come from the hospital financial/workforce reporting layer.

Open HCAI hospital financials ↗

Capacity source

The 2025 capacity layer supplies licensed, available, and staffed bed counts but not unit-level operations.

Open California health data ↗

Use the gap

“What changed in this hospital’s patient demand, staffed capacity, and permanent RN coverage during the same period—and what happened on my unit?”

Explore another reviewed hospital →Compare two hospitals →

Compare hospitals →Request an anonymous review →

Care type	2022	2023	2024
Acute care	685	685	685
Skilled nursing / LTC	0	106	106
Reported total	685	791	791