🏥 St. Agnes Medical Center

Fresno County · HCAI 106100899

1303 EAST HERNDON AVENUE, FRESNO 93720

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: 12.12—
Productive RN hours: 1,396,434
RN-only FTEs · productive, calculated: 671.36

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 6.2%↑
Contract RN hours: 137,315

History & details →

🛏️ Beds & capacity

🏥 Campus licensed beds: 436
🛏️ Reported staffed beds: 382—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 436
❤️ Licensed ICU beds: 35
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 32
🚑 ED treatment stations: 48

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 84,451
🛏️ ED admissions: 17,742
⏱️ Median ED stay · excludes psych / transfers: 240 min↑
⏱️ Psychiatric / mental-health ED stay · median: 477 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 33.63 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: 73%↓
Help as soon as wanted · Always · legacy measure: 53%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.312↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.274↓CMS: lower than national benchmark · better
MRSA bloodstream infections · SIR: 0.835↔CMS: no different from national benchmark
C. diff infections · SIR: 0.141↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 1.004↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: 1.182↔CMS: no different from national benchmark

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 15.8%↑
Heart failure: 22.6%↑
Pneumonia: 18.1%↑
COPD: 20.3%↑
Coronary bypass surgery: 13.4%↑
Hip/knee replacement: 5%↓

30-day mortality

Heart attack: 11.9%↔
Heart failure: 10.8%↓
Pneumonia: 15.8%↑
COPD: 7.3%↓
Coronary bypass surgery: 3.9%↑
Stroke: 11.2%↓

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 71,381 to 84,451.

🚑 ED activity · ↑ 18.3%

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
2021-07-01–2022-06-30	1,143,106	244,715	113,339	Audited	Preserved fileAPI record ID 374
2022-07-01–2023-06-30	1,243,149	158,931	114,754	Audited	Preserved fileAPI record ID 377
2023-07-01–2024-06-30	1,396,434	137,315	115,217	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 372

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

12.12

2023-07-01–2024-06-30📈 Trend: — UNKNOWN

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

1,396,434

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

671.36

2023-07-01–2024-06-30 · productive RN hours ÷ 2,080

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 6.2%
Contract RN hours: 137,315

📈 Contract RN share of nursing hours

Contract RN share of nursing hours · % · reported contract RN share
Period	% · reported contract RN share
2018–2019 baseline	5.73
2024	6.18

2024 contract RN share was 0.4 percentage points above the 2018–2019 baseline.

↑ Back to snapshot

🛏️ Beds & Capacity

Open details

Which kind of bed capacity is reported?

What do these bed counts mean?

🏥 Licensed: Authorized bed capacity under the facility license.
🛏️ Staffed: Beds the hospital reports having personnel to operate during the reporting period.
⚙️ Operational: Beds open and equipped for patient care at a stated time.
📋 Reported available: The source’s available-bed count for its dated reporting period. Live availability means an empty, staffed bed ready to accept a patient now.

🔎 Records & complete history →

🏥 Campus licensed beds: 436
🛏️ Reported staffed beds: 382
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 436
❤️ Licensed ICU beds: 35
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 32
🚑 ED treatment stations: 48

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	35	35	35
👶 NICU	0	0	0
🤰 Perinatal	32	32	32

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	48
2023	48
2024	48

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 84,451
🛏️ ED admissions: 17,742
⏱️ Median ED stay · excludes psych / transfers: 240 min↑
⏱️ Psychiatric / mental-health ED stay · median: 477 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 33.63 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	42.72
Nov 2024	42.5
Dec 2024	46.9
Jan 2025	43.8
Feb 2025	46.18
Mar 2025	39.45

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	71,381
2023	77,964
2024	84,451

↑ 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 050093 · SAINT AGNES MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 73%↓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 050093 · SAINT AGNES MEDICAL CENTER

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.312↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.274↓CMS: lower than national benchmark · better
MRSA bloodstream infections · SIR: 0.835↔CMS: no different from national benchmark
C. diff infections · SIR: 0.141↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 1.004↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: 1.182↔CMS: no different from national benchmark

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050093 · SAINT AGNES MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: 15.8%↑Above national rate 14.4% · numerical comparison
Heart failure: 22.6%↑Above national rate 21.3% · numerical comparison
Pneumonia: 18.1%↑Above national rate 17.3% · numerical comparison
COPD: 20.3%↑Above national rate 20% · numerical comparison
Coronary bypass surgery: 13.4%↑Above national rate 11% · numerical comparison
Hip/knee replacement: 5%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 11.9%↔Equal to national rate 11.9% · numerical comparison
Heart failure: 10.8%↓Below national rate 11.1% · numerical comparison
Pneumonia: 15.8%↑Above national rate 15.2% · numerical comparison
COPD: 7.3%↓Below national rate 8.6% · numerical comparison
Coronary bypass surgery: 3.9%↑Above national rate 2.4% · numerical comparison
Stroke: 11.2%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 50 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106100899 · dates, source locators and original values included

RN labor and workload · records & history

RN trend comparison: not included. Contract-share trend comparison: not included.

2022 · 2021-07-01–2022-06-30 · Audited

Download preserved source · Official source · API record ID 374

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

374

name

ST. AGNES MEDICAL CENTER

county

Fresno

rnHours

1143106

patientDays

113339

ratio

10.08572512550843

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1143106
PRD_HR_LVN	36600
PRD_HR_AID	220506
CNT_HR_RN	244715

nursingHours

1644927

contractShare

0.1487695198631915

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	113339
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2023 · 2022-07-01–2023-06-30 · Audited

Download preserved source · Official source · API record ID 377

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

377

name

ST. AGNES MEDICAL CENTER

county

Fresno

rnHours

1243149

patientDays

114754

ratio

10.833164856998449

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1243149
PRD_HR_LVN	172300
PRD_HR_AID	292357
CNT_HR_RN	158931

nursingHours

1866737

contractShare

0.0851383992495997

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	113424
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	1330
DAY_RESDNT	0

2024 · 2023-07-01–2024-06-30 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 372

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

372

name

ST. AGNES MEDICAL CENTER

county

Fresno

rnHours

1396434

patientDays

115217

ratio

12.12003436992805

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1396434
PRD_HR_LVN	202348
PRD_HR_AID	486306
CNT_HR_RN	137315

nursingHours

2222403

contractShare

0.06178672365003107

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	115217
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	1396434
contractHours	137315
contractShare	0.06179
rnPerPatientDay	12.12003
baseline	0.05731
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 50

Field

Value

officialName

ST. AGNES MEDICAL CENTER

county

Fresno

city

FRESNO

address

1303 EAST HERNDON AVENUE

zip

93720

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1975-03-22

licensedBeds

436

erServiceLevel

Emergency - Basic

licenseNumber

040000173

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

SAINT AGNES MEDICAL CENTER

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	440
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	040000126
LICENSE_NUMBER	040000173
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10155
HCAI_ID	106100899
ASPEN_FACID	CA040000126
CCN	050093
NPI	1205845567
ASPEN_STATUS	ACTIVE
FACNAME	SAINT AGNES 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

Official campus record

Retained record fields
Field	Value
licensedBeds	436
staffedBeds	382
availableBeds	436
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 55

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	436
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

436

sourceRow

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 56

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	436
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

436

sourceRow

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 57

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	436
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

436

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 106100899 · source row 55

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	55
diversionReported	No
icuLicensed	35
nicuLicensed	0
perinatalLicensed	32
edStations	48
edNonAdmitVisits	54817
edAdmissions	16564
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106100899 · source row 56

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	56
diversionReported	No
icuLicensed	35
nicuLicensed	0
perinatalLicensed	32
edStations	48
edNonAdmitVisits	60819
edAdmissions	17145
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106100899 · source row 57

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	57
diversionReported	No
icuLicensed	35
nicuLicensed	0
perinatalLicensed	32
edStations	48
edNonAdmitVisits	66709
edAdmissions	17742
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050093 · SAINT AGNES 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 9330

Retained record fields
Field	Value
value	240
raw	240
sample	391
footnote
start	2024-10-01
end	2025-09-30
sourceRow	9330
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 9331

Retained record fields
Field	Value
value	477
raw	477
sample	34
footnote
start	2024-10-01
end	2025-09-30
sourceRow	9331
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 9332

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	9332
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 9333

Retained record fields
Field	Value
value	2
raw	2
sample	87402
footnote
start	2024-01-01
end	2024-12-31
sourceRow	9333
measureName	Left before being seen

Ambulance offload · records & history

Saint Agnes Medical Center · CEMSIS 20443 · 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	42.71666666666667
offloadCount	2784
countPage	30
rawTime	0:42:43
sourceId	EMSA-APOT-JUNE2025
page	19
row	26

Record 2 · 2024-11

Retained record fields
Field	Value
month	2024-11
minutes	42.5
offloadCount	2585
countPage	35
rawTime	0:42:30
sourceId	EMSA-APOT-JUNE2025
page	19
row	26

Record 3 · 2024-12

Retained record fields
Field	Value
month	2024-12
minutes	46.9
offloadCount	2821
countPage	40
rawTime	0:46:54
sourceId	EMSA-APOT-JUNE2025
page	19
row	26

Record 4 · 2025-01

Retained record fields
Field	Value
month	2025-01
minutes	43.8
offloadCount	2856
countPage	45
rawTime	0:43:48
sourceId	EMSA-APOT-JUNE2025
page	19
row	26

Record 5 · 2025-02

Retained record fields
Field	Value
month	2025-02
minutes	46.18333333333333
offloadCount	2633
countPage	50
rawTime	0:46:11
sourceId	EMSA-APOT-JUNE2025
page	19
row	26

Record 6 · 2025-03

Retained record fields
Field	Value
month	2025-03
minutes	39.45
offloadCount	2685
countPage	55
rawTime	0:39:27
sourceId	EMSA-APOT-JUNE2025
page	19
row	26

Latest retained offload record · 2026-01

Retained record fields
Field	Value
month	2026-01
minutes	33.63333333333333
rawTime	0:33:38
offloadCount	2580
standardMinutes	30
rawStandard	0:30:00
compliantPercent	85.7
sourceId	EMSA-APOT-FEB2026
page	7
rawLine	Central California EMS Agency 20443 Saint Agnes Medical Center 2580 0:33:38 0:30:00 0:03:38 85.7%

CMS patient experience, infection, readmission & mortality records

CMS 050093 · SAINT AGNES MEDICAL CENTER · 1303 E HERNDON AVE, FRESNO 93720 · unique normalized address + city + ZIP

Unplanned Hospital Visits - National · Preserved national benchmarks · SHA-256 42db9aba1b194c9c65cbba3db83a990ffa653795d38a037bc660f12f58fecf98
Complications and Deaths - National · Preserved national benchmarks · SHA-256 b5e488f242f3e577db0e5cc8223bf2964cf914b424464fba95976e2931d15dc6
Patient survey (HCAHPS) - National · Preserved national benchmarks · SHA-256 1168d562ee10f94eaef2d29e4e8571a9be912c6e27b8dc37b215ad4300d0d6ed
Timely and Effective Care - National · Preserved national benchmarks · SHA-256 9a9201b989acb29177312caf5c9340cf5c07bc7469f58a15b80fbc7eab3636de
HCAHPS National · November 26, 2025 archive · Preserved national benchmarks · SHA-256 4b9d43013c67022783fd5cb4fc12fb8076afb084cc774644586093d1843f04af
HCAHPS · nurse communication · released 2026-08-13 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: b70e598f29552df302e30ed649d178abd1b3d3c868ae97cf8e55453dd33898fc
Gzip SHA-256: 95684a71416b383524c79ad0c7ad112622e632df97f33dbc1d701827eeff04a9
HCAHPS · legacy responsiveness · released 2025-11-26 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: c11338a55a9ee674566493fe8abde8748d2809163e86de100bc45aaa382d8751
Gzip SHA-256: 7c48b1aefcba65ebbe26a1dba592c0319261b847cdd9bb7c58306d55466cd4f8
Healthcare-associated infections · released 2026-08-13 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 95283bf20e66c5f9271e6b0b98969d8655487b4d5fa074dcee6e204ee4574f3d
Gzip SHA-256: f6f0f580606726171c93adad77cd1c92a4ec00a8b37563114414ff19116c39af
CMS unplanned readmissions · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 98cc64f5fc330ffa7e4bef97f8e86a772a1d3dfe2f7dd08976cb1ee43fad1b2d
Gzip SHA-256: 1110a7b338b17e815ee9a2e3f6e40f7c53d9fde1df7663ff452b2f82ed7bb575
CMS 30-day mortality · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a
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Exact CMS records · reporting unit 050093
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	73	2024-10-01–2025-09-30	hcahps / 22034	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 / 30255	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.312	2024-10-01–2025-09-30	hai / 11671	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	3	2024-10-01–2025-09-30	hai / 11670	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	9.621	2024-10-01–2025-09-30	hai / 11669	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.079	2024-10-01–2025-09-30	hai / 11666	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	0.849	2024-10-01–2025-09-30	hai / 11667	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.274	2024-10-01–2025-09-30	hai / 11677	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	3	2024-10-01–2025-09-30	hai / 11676	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	10.965	2024-10-01–2025-09-30	hai / 11675	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.070	2024-10-01–2025-09-30	hai / 11672	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	0.745	2024-10-01–2025-09-30	hai / 11673	None
HAI_3_SIRSSI - Colon Surgery	1.004	2024-10-01–2025-09-30	hai / 11683	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	5	2024-10-01–2025-09-30	hai / 11682	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	4.979	2024-10-01–2025-09-30	hai / 11681	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.368	2024-10-01–2025-09-30	hai / 11678	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	2.226	2024-10-01–2025-09-30	hai / 11679	None
HAI_4_SIRSSI - Abdominal Hysterectomy	1.182	2024-10-01–2025-09-30	hai / 11689	None
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	2	2024-10-01–2025-09-30	hai / 11688	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	1.692	2024-10-01–2025-09-30	hai / 11687	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	0.198	2024-10-01–2025-09-30	hai / 11684	None
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	3.905	2024-10-01–2025-09-30	hai / 11685	None
HAI_5_SIRMRSA Bacteremia	0.835	2024-10-01–2025-09-30	hai / 11695	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	5	2024-10-01–2025-09-30	hai / 11694	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	5.987	2024-10-01–2025-09-30	hai / 11693	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.306	2024-10-01–2025-09-30	hai / 11690	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	1.851	2024-10-01–2025-09-30	hai / 11691	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.141	2024-10-01–2025-09-30	hai / 11701	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	8	2024-10-01–2025-09-30	hai / 11700	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	56.628	2024-10-01–2025-09-30	hai / 11699	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.066	2024-10-01–2025-09-30	hai / 11696	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.268	2024-10-01–2025-09-30	hai / 11697	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	15.8CMS cohort: 412Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4546	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	22.6CMS cohort: 1002Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4549	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	18.1CMS cohort: 1061Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4551	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	20.3CMS cohort: 412Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4548	None
READM_30_CABGRate of readmission for CABG	13.4CMS cohort: 150Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4547	None
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5CMS cohort: 56Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4550	None
MORT_30_AMIDeath rate for heart attack patients	11.9CMS cohort: 295Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6484	None
MORT_30_HFDeath rate for heart failure patients	10.8CMS cohort: 768Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6487	None
MORT_30_PNDeath rate for pneumonia patients	15.8CMS cohort: 969Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6488	None
MORT_30_COPDDeath rate for COPD patients	7.3CMS cohort: 300Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6486	None
MORT_30_CABGDeath rate for CABG surgery patients	3.9CMS cohort: 105Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6485	None
MORT_30_STKDeath rate for stroke patients	11.2CMS cohort: 304Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 6489	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	10309	2024-10-01–2025-09-30	hai / 11668	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	10903	2024-10-01–2025-09-30	hai / 11674	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	188	2024-10-01–2025-09-30	hai / 11680	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	197	2024-10-01–2025-09-30	hai / 11686	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	109688	2024-10-01–2025-09-30	hai / 11692	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	103402	2024-10-01–2025-09-30	hai / 11698	None

CMS footnote definitions · HCAHPS survey versions

2024 HCAI selected annual financial reports · RN hours and patient-day care mix · Preserved workbook
RN comparison calculation & reporting scope
Unweighted median of hospital report ratios PRD_HR_RN / DAY_TOT. Middle 50%: inclusive linear-interpolated 25th and 75th percentiles. Same 2024 selected-report file; audited Comparable reports, 365 or 366 days, majority (>50%) patient-day care group, exact unique HCAI IDs, reconciled care-day totals and existing CNO ratio. Includes reported zero RN hours; excludes missing values. No reference for mixed care-day groups or cohorts smaller than eight.
HCAI 106100899 · HADR 01-01-2024 to 12-31-2024 · row 372 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 1,396,434 ÷ total patient days: 115,217
- Acute care: 115,217 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
Saint Agnes Medical Center · Central California · CEMSIS 20443 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:42:43 · 90th percentile · 2,784 qualifying offloads · page 19 · count page 30
- Nov 2024: 0:42:30 · 90th percentile · 2,585 qualifying offloads · page 19 · count page 35
- Dec 2024: 0:46:54 · 90th percentile · 2,821 qualifying offloads · page 19 · count page 40
- Jan 2025: 0:43:48 · 90th percentile · 2,856 qualifying offloads · page 19 · count page 45
- Feb 2025: 0:46:11 · 90th percentile · 2,633 qualifying offloads · page 19 · count page 50
- Mar 2025: 0:39:27 · 90th percentile · 2,685 qualifying offloads · page 19 · count page 55
Jan 2026: 0:33:38 · 2,580 qualifying offloads · local standard 0:30:00 · 85.7% within standard · page 7
Jan 2026 · EMSA hospital offload exceedance table · page 7 · Preserved report
CMS ED measures · reporting unit 050093 · SAINT AGNES MEDICAL CENTER · Preserved file
CMS values, dates & identity match
1303 E HERNDON AVE, FRESNO 93720 · unique normalized address + city + ZIP
- OP_18b: 240 · 2024-10-01–2025-09-30 · sample 391
- OP_18c: 477 · 2024-10-01–2025-09-30 · sample 34
- 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 87402
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

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Public Record Profile · No state call

St. Agnes Medical Center

Fresno County · HCAI 106100899

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 labor1,396,434 productive RN hours.

1,396,434Hospital-wide productive RN hours · 2024

Contract RN share6.2% of reported RN labor.

6.2%Agency, registry, or contract RN share · 2024

Reported RN intensity12.1 RN hours per patient day.

12.1Hospital-wide annual proxy · 2024

Reported capacity382 staffed beds.

436 → 382Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106100899.

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Workforce source

2024 productive RN hours and contract-RN measures come from the HCAI hospital financial/workforce reporting layer.

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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

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