🏥 Adventist Health Delano

Kern County · HCAI 106150706

1401 GARCES HIGHWAY, DELANO 93215

Open · Hospital facility · roster 2026-10-01

Acute care + LTC 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 reporting unit · RN hours / patient day: 7↑
Productive RN hours: 164,378
RN-only FTEs · productive, calculated: 79.03

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 2.8%↓
Contract RN hours: 11,896

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 156
🛏️ Reported staffed beds: 60—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 156
❤️ Licensed ICU beds: 10
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 16
🚑 ED treatment stations: 10

Licensed care types · 2024 reporting unit

Acute care: 97
Skilled nursing / LTC: 59

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 29,023
🛏️ ED admissions: 1,233
⏱️ Median ED stay · excludes psych / transfers: 150 min↓
⏱️ ED stay before transfer · median: 360 min↑
🚑 Left before being seen: 3%↑
⏱️ Ambulance offload · 90th percentile: 37.98 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation and contract records →

History & details →

💬 Patient experience

Nurses communicated well · Always: 78%↓
Help as soon as wanted · Always · legacy measure: 65%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: — UNKNOWN
Catheter-associated urinary infections · CAUTI · SIR: — UNKNOWN
MRSA bloodstream infections · SIR: — UNKNOWN
C. diff infections · SIR: 0.000↔
Surgical-site infections · colon surgery · SIR: — UNKNOWN
Surgical-site infections · hysterectomy · SIR: — UNKNOWN

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: 21.5%↑
Pneumonia: 17.1%↓
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: — UNKNOWN
Heart failure: 9.8%↓
Pneumonia: 17.3%↑
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: — UNKNOWN

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

Charge-nurse patient assignment — UNKNOWN · charge availability affects every nurse’s backupIs the charge nurse free of a patient assignment on this unit? If not, is it a partial or full assignment, how many patients, and how often? What dedicated RN/LVN support is provided, and who covers charge duties during emergencies?Source →

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation & contract

RN overtime: UNKNOWN — no matched RN-specific hours
Current RN wage scale: UNKNOWN — no matched current scale
Orientation: UNKNOWN — no matched unit policy
Contract provisions: UNKNOWN — no executed local contract reviewed

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

2022–2024: ED encounters decreased from 29,523 to 29,023.

🚑 ED activity · ↓ 1.7%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2022-01-01–2022-12-31	141,711	42,460	23,927	Audited	Preserved fileAPI record ID 4
2023-01-01–2023-12-31	140,995	20,848	23,009	Audited	Preserved fileAPI record ID 4
2024-01-01–2024-12-31	164,378	11,896	23,496	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 5

Full source records & reporting scope →

🔎 Records & complete history →

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

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

California peer comparison

Peer median: 5.14
Typical reported range · middle 50%: 2.56–7.06

RN hours / patient day · 31 audited 2024 reports

Mostly long-term-care patient days

76.8% of this report’s patient days: long-term care

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

164,378

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

79.03

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

📈 RN hours per patient day · annual reports

RN hours per patient day · annual reports · RN hours / patient day
Period	RN hours / patient day
2022	5.92
2023	6.13
2024	7

2022–2024 pattern: RN hours per patient day went from 5.92 to 7.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 2.8%
Contract RN hours: 11,896

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	10.14
2023	5.43
2024	2.85

2022–2024 pattern: contract RN share went from 10.1% to 2.8%.

2018–2019 baseline: 4.2%.

↑ 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: 97
🛏️ Skilled nursing / LTC licensed beds: 59
🏥 Total licensed beds · reporting unit: 156

🔎 2024 annual utilization · source & history

🏥 Reported licensed beds: 156
🛏️ Reported staffed beds: 60
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 156
❤️ Licensed ICU beds: 10
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 16
🚑 ED treatment stations: 10

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	10	10	10
👶 NICU	0	0	0
🤰 Perinatal	16	16	16

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	10
2023	10
2024	10

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 29,023
🛏️ ED admissions: 1,233
⏱️ Median ED stay · excludes psych / transfers: 150 min↓
⏱️ ED stay before transfer · median: 360 min↑
🚑 Left before being seen: 3%↑
⏱️ Ambulance offload · 90th percentile: 37.98 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 Ambulance offload · 90th percentile · Oct 2024–Mar 2025

Ambulance offload · 90th percentile · Oct 2024–Mar 2025 · Minutes
Period	Minutes
Oct 2024	32.68
Nov 2024	32.25
Dec 2024	29.27
Jan 2025	37.35
Feb 2025	35.68
Mar 2025	29.53

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	29,523
2023	29,868
2024	29,023

↑ Back to snapshot

🔄 Services & Changes

Open details

Service review not documented

All documented service changes →↑ Back to snapshot

💬 Patient experience, infections & outcomes

Open details

Patient Experience & Outcomes

CMS reporting unit 050608 · ADVENTIST HEALTH DELANO

Patients who answered “Always”

Nurses communicated well: 78%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 65%↓Below national rate 67% · numerical comparison

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI: — UNKNOWN
Catheter-associated urinary infections · CAUTI: — UNKNOWN
MRSA bloodstream infections: — UNKNOWN
C. diff infections: 0.000↔CMS: no different from national benchmark
Surgical-site infections · colon surgery: — UNKNOWN
Surgical-site infections · hysterectomy: — UNKNOWN

30-day readmissions & mortality · risk-standardized rates

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: 21.5%↑Above national rate 21.3% · numerical comparison
Pneumonia: 17.1%↓Below national rate 17.3% · numerical comparison
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

Heart attack: — UNKNOWN
Heart failure: 9.8%↓Below national rate 11.1% · numerical comparison
Pneumonia: 17.3%↑Above national rate 15.2% · numerical comparison
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: — UNKNOWN

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 71 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106150706 · dates, source locators and original values included

RN labor and workload · records & history

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

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

Download preserved source · Official source · API record ID 4

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH DELANO

county

Kern

rnHours

141711

patientDays

23927

ratio

5.922639695741213

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	141711
PRD_HR_LVN	60325
PRD_HR_AID	174385
CNT_HR_RN	42460

nursingHours

418881

contractShare

0.10136530422721489

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	7580
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	16347
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 4

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH DELANO

county

Kern

rnHours

140995

patientDays

23009

ratio

6.12781954887218

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	140995
PRD_HR_LVN	52170
PRD_HR_AID	169636
CNT_HR_RN	20848

nursingHours

383649

contractShare

0.05434133804597432

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	6094
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	16915
DAY_RESDNT	0

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

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 5

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH DELANO

county

Kern

rnHours

164378

patientDays

23496

ratio

6.995999319033027

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	164378
PRD_HR_LVN	57045
PRD_HR_AID	184408
CNT_HR_RN	11896

nursingHours

417727

contractShare

0.028477929365351054

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	5461
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	18035
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	164378
contractHours	11896
contractShare	0.02848
rnPerPatientDay	6.996
baseline	0.04182
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 71

Field

Value

officialName

ADVENTIST HEALTH DELANO

county

Kern

city

DELANO

address

1401 GARCES HIGHWAY

zip

93215

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1974-01-01

licensedBeds

156

erServiceLevel

Emergency - Basic

licenseNumber

120000180

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

ADVENTIST HEALTH DELANO

Record 2

ADVENTIST HEALTH DELANO D/P SNF

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2408
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	120000336
LICENSE_NUMBER	120000180
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	12765
HCAI_ID	106150706
ASPEN_FACID	CA120000336
CCN	050608
NPI	1073645388
ASPEN_STATUS	ACTIVE
FACNAME	ADVENTIST HEALTH DELANO
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	2424
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	120000399
LICENSE_NUMBER	120000180
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	12765
HCAI_ID	106150706
ASPEN_FACID	CA050000399
CCN	056426
NPI	1033247622
ASPEN_STATUS	ACTIVE
FACNAME	ADVENTIST HEALTH DELANO D/P SNF
FAC_TYPE_DESCRIPTION	SKILLED NURSING FACILITY
FAC_FDR	SKILLED NURSING FACILITY
FAC_FAC_RELATIONSHIP	Distinct Part
ELMS_PARENT_FACID	120000336

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	156
staffedBeds	60
availableBeds	156
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 75

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	105
psychiatric	0
chemical	0
skilledNursing	51
intermediateCare	0
developmentalCare	0

total

156

sourceRow

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 76

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	97
psychiatric	0
chemical	0
skilledNursing	59
intermediateCare	0
developmentalCare	0

total

156

sourceRow

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 77

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	97
psychiatric	0
chemical	0
skilledNursing	59
intermediateCare	0
developmentalCare	0

total

156

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 106150706 · source row 75

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	75
diversionReported	No
icuLicensed	10
nicuLicensed	0
perinatalLicensed	16
edStations	10
edNonAdmitVisits	28373
edAdmissions	1150
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106150706 · source row 76

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	76
diversionReported	No
icuLicensed	10
nicuLicensed	0
perinatalLicensed	16
edStations	10
edNonAdmitVisits	28578
edAdmissions	1290
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106150706 · source row 77

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	77
diversionReported	No
icuLicensed	10
nicuLicensed	0
perinatalLicensed	16
edStations	10
edNonAdmitVisits	27790
edAdmissions	1233
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050608 · ADVENTIST HEALTH DELANO · 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 14478

Retained record fields
Field	Value
value	150
raw	150
sample	412
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14478
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 14479

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	14479
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 14480

Retained record fields
Field	Value
value	360
raw	360
sample	15
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14480
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 14481

Retained record fields
Field	Value
value	3
raw	3
sample	27605
footnote
start	2024-01-01
end	2024-12-31
sourceRow	14481
measureName	Left before being seen

Ambulance offload · records & history

Delano Regional Medical Center · CEMSIS 20096 · explicit retained-identity alias + EMS geography

Download preserved report · Official report

Record 1 · 2024-10

Retained record fields
Field	Value
month	2024-10
minutes	32.68333333333333
offloadCount	229
countPage	31
rawTime	0:32:41
sourceId	EMSA-APOT-JUNE2025
page	20
row	4

Record 2 · 2024-11

Retained record fields
Field	Value
month	2024-11
minutes	32.25
offloadCount	259
countPage	36
rawTime	0:32:15
sourceId	EMSA-APOT-JUNE2025
page	20
row	4

Record 3 · 2024-12

Retained record fields
Field	Value
month	2024-12
minutes	29.266666666666666
offloadCount	218
countPage	41
rawTime	0:29:16
sourceId	EMSA-APOT-JUNE2025
page	20
row	4

Record 4 · 2025-01

Retained record fields
Field	Value
month	2025-01
minutes	37.35
offloadCount	220
countPage	46
rawTime	0:37:21
sourceId	EMSA-APOT-JUNE2025
page	20
row	4

Record 5 · 2025-02

Retained record fields
Field	Value
month	2025-02
minutes	35.68333333333333
offloadCount	266
countPage	51
rawTime	0:35:41
sourceId	EMSA-APOT-JUNE2025
page	20
row	4

Record 6 · 2025-03

Retained record fields
Field	Value
month	2025-03
minutes	29.533333333333335
offloadCount	235
countPage	56
rawTime	0:29:32
sourceId	EMSA-APOT-JUNE2025
page	20
row	4

Latest retained offload record · 2026-01

Retained record fields
Field	Value
month	2026-01
minutes	37.983333333333334
rawTime	0:37:59
offloadCount	223
standardMinutes	30
rawStandard	0:30:00
compliantPercent	81.2
sourceId	EMSA-APOT-FEB2026
page	6
rawLine	Kern County EMS Agency 20096 Delano Regional Medical Center 223 0:37:59 0:30:00 0:07:59 81.2%

CMS patient experience, infection, readmission & mortality records

CMS 050608 · ADVENTIST HEALTH DELANO · 1401 GARCES HIGHWAY, DELANO 93215 · 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 050608
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	78	2024-10-01–2025-09-30	hcahps / 34070	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	65	2024-01-01–2024-12-31	responsiveness / 46902	6Fewer than 100 surveys
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 18043	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 18042	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.271	2024-10-01–2025-09-30	hai / 18041	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18038	13CMS cannot calculate
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18039	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 18049	13CMS cannot calculate
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 18048	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	0.572	2024-10-01–2025-09-30	hai / 18047	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18044	13CMS cannot calculate
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18045	13CMS cannot calculate
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 18055	13CMS cannot calculate
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 18054	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	0.249	2024-10-01–2025-09-30	hai / 18053	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18050	13CMS cannot calculate
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18051	13CMS cannot calculate
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 18061	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 18060	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.173	2024-10-01–2025-09-30	hai / 18059	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18056	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18057	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 18067	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	1	2024-10-01–2025-09-30	hai / 18066	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.336	2024-10-01–2025-09-30	hai / 18065	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18062	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18063	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.000	2024-10-01–2025-09-30	hai / 18073	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	0	2024-10-01–2025-09-30	hai / 18072	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	2.625	2024-10-01–2025-09-30	hai / 18071	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18068	8Lower confidence limit unavailable
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	1.141	2024-10-01–2025-09-30	hai / 18069	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 / 7024	1Too few cases to report
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	21.5CMS cohort: 52Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7027	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17.1CMS cohort: 101Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7029	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7026	1Too few cases to report
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 / 7025	5No CMS result for this period
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 / 7028	1Too few cases to report
MORT_30_AMIDeath rate for heart attack patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10024	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	9.8CMS cohort: 44Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10027	None
MORT_30_PNDeath rate for pneumonia patients	17.3CMS cohort: 105Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10028	None
MORT_30_COPDDeath rate for COPD patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10026	1Too few cases to report
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 / 10025	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 10029	1Too few cases to report

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106150706 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2022-01-01–2022-12-31	141,711	23,927	42,460	418,881
2023	2023-01-01–2023-12-31	140,995	23,009	20,848	383,649
2024	2024-01-01–2024-12-31	164,378	23,496	11,896	417,727

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 4 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 4 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 5 · 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 105 97 97
Skilled nursing / LTC 51 59 59
Reported total 156 156 156
- 2022 preserved utilization workbook · Page 1-6 · row 75 · HCAI 106150706
- 2023 preserved utilization workbook · Page 1-6 · row 76 · HCAI 106150706
- 2024 preserved utilization workbook · Page 1-6 · row 77 · HCAI 106150706
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 106150706 · HADR 01-01-2024 to 12-31-2024 · row 5 · Audited · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 164,378 ÷ total patient days: 23,496
- Acute care: 5,461 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 18,035 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 20 · Preserved report
Offload hospital identity & source times
Delano Regional Medical Center · Kern · CEMSIS 20096 · explicit retained-identity alias + EMS geography
- Oct 2024: 0:32:41 · 90th percentile · 229 qualifying offloads · page 20 · count page 31
- Nov 2024: 0:32:15 · 90th percentile · 259 qualifying offloads · page 20 · count page 36
- Dec 2024: 0:29:16 · 90th percentile · 218 qualifying offloads · page 20 · count page 41
- Jan 2025: 0:37:21 · 90th percentile · 220 qualifying offloads · page 20 · count page 46
- Feb 2025: 0:35:41 · 90th percentile · 266 qualifying offloads · page 20 · count page 51
- Mar 2025: 0:29:32 · 90th percentile · 235 qualifying offloads · page 20 · count page 56
Jan 2026: 0:37:59 · 223 qualifying offloads · local standard 0:30:00 · 81.2% within standard · page 6
Jan 2026 · EMSA hospital offload exceedance table · page 6 · Preserved report
CMS ED measures · reporting unit 050608 · ADVENTIST HEALTH DELANO · Preserved file
CMS values, dates & identity match
1401 GARCES HIGHWAY, DELANO 93215 · unique normalized address + city + ZIP
- OP_18b: 150 · 2024-10-01–2025-09-30 · sample 412
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_18d: 360 · 2024-10-01–2025-09-30 · sample 15
- OP_22: 3 · 2024-01-01–2024-12-31 · sample 27605
Preserved hospital identities · CMS footnote definitions
2022-01-01–2022-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2023-01-01–2023-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024-01-01–2024-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024 contract RN share calculation
Nursing-hour denominator
Contract RN hours ÷ (productive RN + productive LVN + productive aide + contract RN hours). HCAI fields: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record

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Evidence standards & methodology →↑ Back to snapshot

Research record, provenance & reporting scope

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Public Record Profile · No state call

Adventist Health Delano

Kern County · HCAI 106150706

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 labor164,378 productive RN hours.

164,378Hospital-wide productive RN hours · 2024

Contract RN share2.8% of reported RN labor.

2.8%Agency, registry, or contract RN share · 2024

Reported RN intensity7 RN hours per patient day.

7Hospital-wide annual proxy · 2024

Reported capacity60 staffed beds.

156 → 60Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106150706.

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

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Read CNO’s methodology →

Use the gap

What changed in patient demand, staffed capacity, and permanent RN coverage during the same reporting period—and what happened on my unit?

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Care type	2022	2023	2024
Acute care	105	97	97
Skilled nursing / LTC	51	59	59
Reported total	156	156	156