🏥 Kaiser Foundation Hospital - San Rafael

Marin County · HCAI 106210992

99 MONTECILLO ROAD, SAN RAFAEL 94903

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: 13.14—
Productive RN hours: 261,409
RN-only FTEs · productive, calculated: 125.68

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 9.8%↑
Contract RN hours: 36,439

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 107
🛏️ Reported staffed beds: 50—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 107
❤️ Licensed ICU beds: 12
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 21

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 33,232
🛏️ ED admissions: 4,023
⏱️ Median ED stay · excludes psych / transfers: — UNKNOWN
⏱️ Ambulance offload · 90th percentile: — UNKNOWN
🚨 Reported diversion hours: 12 hours
⏱️ 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: 76%↓
Help as soon as wanted · Always · legacy measure: 61%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.000↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.856↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.664↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 0.826↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 15.5%↑
Heart failure: 19.8%↓
Pneumonia: 17.3%↔
COPD: 19.1%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: — UNKNOWN
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: 11%↓

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 30,932 to 33,232.

🚑 ED activity · ↑ 7.4%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2022-01-01–2022-12-31	241,581	43,106	15,854	Audited	Preserved fileAPI record ID 181
2023-01-01–2023-12-31	263,997	49,162	18,817	Audited	Preserved fileAPI record ID 179
2024-01-01–2024-12-31	261,409	36,439	19,887	In Process	Preserved fileHADR 01-01-2024 to 12-31-2024 row 180

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day: 13.14
Productive RN hours: 261,409
RN-only FTEs · productive, calculated: 125.68

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 9.8%
Contract RN hours: 36,439

📈 Contract RN share of nursing hours

Contract RN share of nursing hours · % · reported contract RN share
Period	% · reported contract RN share
2018–2019 baseline	4.5
2024	9.76

2024 contract RN share was 5.3 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.

Quarterly beds and workload · 5 retained reporting periods

HCAI 106210992 · dated quarterly reporting unit
Reporting period	Licensed beds	Available beds	Staffed beds	Patient days	Outpatient visits	Source
2025-Q12025-01-01–2025-03-31	107	107	62	5,500	23,684	Preserved fileAPI record 182
2025-Q22025-04-01–2025-06-30	116	116	55	4,922	24,691	Preserved fileAPI record 180
2025-Q32025-07-01–2025-09-30	116	116	47	4,258	25,195	Preserved fileAPI record 179
2025-Q42025-10-01–2025-12-31	107	107	50	4,547	24,222	Preserved fileAPI record 178
2026-Q12026-01-01–2026-03-31	107	107	54	4,803	26,025	Preserved fileAPI record 178

99 MONTECILLO ROAD, SAN RAFAEL 94903 · reported facility address · 2026-Q1

Full records & official source links →

🔎 Records & complete history →

🏥 Reported licensed beds: 107
🛏️ Reported staffed beds: 50
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 107
❤️ Licensed ICU beds: 12
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 21

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	12	12	12
👶 NICU	0	0	0
🤰 Perinatal	0	0	0

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	21
2023	21
2024	21

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 33,232
🛏️ ED admissions: 4,023
⏱️ Median ED stay · excludes psych / transfers: — UNKNOWN
⏱️ Ambulance offload · 90th percentile: — UNKNOWN
🚨 Reported diversion hours: 12 hours
⏱️ Boarding / wait time: — UNKNOWN

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	30,932
2023	32,821
2024	33,232

📈 Reported diversion hours

Reported diversion hours · Hours
Period	Hours
2022	13
2023	10
2024	12

↑ 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 050510 · KAISER FOUNDATION HOSPITAL

Patients who answered “Always”

Nurses communicated well: 76%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 61%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050510 · KAISER FOUNDATION HOSPITAL

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.000↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.856↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.664↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 0.826↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050510 · KAISER FOUNDATION HOSPITAL

Unplanned readmissions within 30 days

Heart attack: 15.5%↑Above national rate 14.4% · numerical comparison
Heart failure: 19.8%↓Below national rate 21.3% · numerical comparison
Pneumonia: 17.3%↔Equal to national rate 17.3% · numerical comparison
COPD: 19.1%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: — UNKNOWN
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: 11%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 212 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106210992 · 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 · 2022-01-01–2022-12-31 · Audited

Download preserved source · Official source · API record ID 181

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Kaiser

sourceRecord

181

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

county

Marin

rnHours

241581

patientDays

15854

ratio

15.237857953828687

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	241581
PRD_HR_LVN	0
PRD_HR_AID	67090
CNT_HR_RN	43106

nursingHours

351777

contractShare

0.12253785779058893

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	15854
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 179

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Kaiser

sourceRecord

179

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

county

Marin

rnHours

263997

patientDays

18817

ratio

14.029707179677951

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	263997
PRD_HR_LVN	0
PRD_HR_AID	71045
CNT_HR_RN	49162

nursingHours

384204

contractShare

0.1279580639451958

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	18817
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2024 · 2024-01-01–2024-12-31 · In Process

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 180

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

In Process

type

Kaiser

sourceRecord

180

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

county

Marin

rnHours

261409

patientDays

19887

ratio

13.144717654749334

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	261409
PRD_HR_LVN	0
PRD_HR_AID	75573
CNT_HR_RN	36439

nursingHours

373421

contractShare

0.0975815500467301

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	19887
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	261409
contractHours	36439
contractShare	0.09758
rnPerPatientDay	13.14472
baseline	0.04497
history	UNIQUE
filing	In Process

Beds and capacity · records & history

Official facility identity, campus scope & licensed beds · 2026-10-01

Official HCAI roster · Retained source · row 212

Field

Value

officialName

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

county

Marin

city

SAN RAFAEL

address

99 MONTECILLO ROAD

zip

94903

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1966-12-09

licensedBeds

116

erServiceLevel

Emergency - Basic

licenseNumber

110000357

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

212

officialUrl

https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing

sourceFile

/downloads/coverage/hcai-current-20261001.json.gz

aliases

Open aliases

Record 1

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2298
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	110000944
LICENSE_NUMBER	110000357
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10268
HCAI_ID	106210992
ASPEN_FACID	CA110000944
CCN	050510
NPI	1194895227
ASPEN_STATUS	ACTIVE
FACNAME	KAISER FOUNDATION HOSPITAL - SAN RAFAEL
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

2025-Q1 · 2025-01-01–2025-03-31 · quarterly record 182

Download preserved source · Official source

Field

Value

period

2025-q1

begin

2025-01-01

end

2025-03-31

sourceRecord

182

sourceFile

/downloads/deep-review/qfu-2025-q1.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=6e956cf6-5ced-4f4d-9cfd-0eb709b02cc3&limit=10000

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

address

99 MONTECILLO ROAD

city

SAN RAFAEL

zip

94903

operationStatus

Open

licensedBeds

107

availableBeds

107

staffedBeds

patientDays

5500

outpatientVisits

23684

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106210992
YEAR_QTR	20251
BEG_DATE	01/01/2025
END_DATE	03/31/2025
LIC_BEDS	107
AVL_BEDS	107
STF_BEDS	62
DAY_TOT	5500
VIS_TOT	23684

2025-Q2 · 2025-04-01–2025-06-30 · quarterly record 180

Download preserved source · Official source

Field

Value

period

2025-q2

begin

2025-04-01

end

2025-06-30

sourceRecord

180

sourceFile

/downloads/deep-review/qfu-2025-q2.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=f902f922-6806-49c4-bfed-b1dadaab3cc1&limit=10000

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

address

99 MONTECILLO ROAD

city

SAN RAFAEL

zip

94903

operationStatus

Open

licensedBeds

116

availableBeds

116

staffedBeds

patientDays

4922

outpatientVisits

24691

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106210992
YEAR_QTR	20252
BEG_DATE	04/01/2025
END_DATE	06/30/2025
LIC_BEDS	116
AVL_BEDS	116
STF_BEDS	55
DAY_TOT	4922
VIS_TOT	24691

2025-Q3 · 2025-07-01–2025-09-30 · quarterly record 179

Download preserved source · Official source

Field

Value

period

2025-q3

begin

2025-07-01

end

2025-09-30

sourceRecord

179

sourceFile

/downloads/deep-review/qfu-2025-q3.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=15939e50-5c82-46af-9653-d40a5458dc26&limit=10000

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

address

99 MONTECILLO ROAD

city

SAN RAFAEL

zip

94903

operationStatus

Open

licensedBeds

116

availableBeds

116

staffedBeds

patientDays

4258

outpatientVisits

25195

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106210992
YEAR_QTR	20253
BEG_DATE	07/01/2025
END_DATE	09/30/2025
LIC_BEDS	116
AVL_BEDS	116
STF_BEDS	47
DAY_TOT	4258
VIS_TOT	25195

2025-Q4 · 2025-10-01–2025-12-31 · quarterly record 178

Download preserved source · Official source

Field

Value

period

2025-q4

begin

2025-10-01

end

2025-12-31

sourceRecord

178

sourceFile

/downloads/deep-review/qfu-2025-q4.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=8a512ca9-560e-4fcc-9c57-c928c874231b&limit=10000

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

address

99 MONTECILLO ROAD

city

SAN RAFAEL

zip

94903

operationStatus

Open

licensedBeds

107

availableBeds

107

staffedBeds

patientDays

4547

outpatientVisits

24222

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106210992
YEAR_QTR	20254
BEG_DATE	10/01/2025
END_DATE	12/31/2025
LIC_BEDS	107
AVL_BEDS	107
STF_BEDS	50
DAY_TOT	4547
VIS_TOT	24222

2026-Q1 · 2026-01-01–2026-03-31 · quarterly record 178

Download preserved source · Official source

Field

Value

period

2026-q1

begin

2026-01-01

end

2026-03-31

sourceRecord

178

sourceFile

/downloads/deep-review/qfu-2026-q1.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=46f2a36e-e0ca-4509-a89a-2083e356169d&limit=10000

name

KAISER FOUNDATION HOSPITAL - SAN RAFAEL

address

99 MONTECILLO ROAD

city

SAN RAFAEL

zip

94903

operationStatus

Open

licensedBeds

107

availableBeds

107

staffedBeds

patientDays

4803

outpatientVisits

26025

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106210992
YEAR_QTR	20261
BEG_DATE	01/01/2026
END_DATE	03/31/2026
LIC_BEDS	107
AVL_BEDS	107
STF_BEDS	54
DAY_TOT	4803
VIS_TOT	26025

Retained record fields
Field	Value
licensedBeds	107
staffedBeds	50
availableBeds	107
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 208

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	116
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

116

sourceRow

208

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 210

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	116
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

116

sourceRow

210

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 210

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	116
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

116

sourceRow

210

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106210992 · source row 208

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	208
diversionReported	Yes
icuLicensed	12
nicuLicensed	0
perinatalLicensed	0
edStations	21
edNonAdmitVisits	27984
edAdmissions	2948
diversionHours	13

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106210992 · source row 210

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	210
diversionReported	Yes
icuLicensed	12
nicuLicensed	0
perinatalLicensed	0
edStations	21
edNonAdmitVisits	29175
edAdmissions	3646
diversionHours	10

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106210992 · source row 210

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	210
diversionReported	Yes
icuLicensed	12
nicuLicensed	0
perinatalLicensed	0
edStations	21
edNonAdmitVisits	29209
edAdmissions	4023
diversionHours	12

CMS ED measures · records & history

CMS 050510 · KAISER FOUNDATION HOSPITAL · 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 13615

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-10-01
end	2025-09-30
sourceRow	13615
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 13616

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-10-01
end	2025-09-30
sourceRow	13616
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 13617

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-10-01
end	2025-09-30
sourceRow	13617
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 13618

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-01-01
end	2024-12-31
sourceRow	13618
measureName	Left before being seen

CMS patient experience, infection, readmission & mortality records

CMS 050510 · KAISER FOUNDATION HOSPITAL · 99 MONTECILLO RD, SAN RAFAEL 94903 · 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 050510
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	76	2024-10-01–2025-09-30	hcahps / 32098	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	61	2024-01-01–2024-12-31	responsiveness / 44112	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.000	2024-10-01–2025-09-30	hai / 16999	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 16998	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	2.794	2024-10-01–2025-09-30	hai / 16997	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 16994	8Lower confidence limit unavailable
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	1.072	2024-10-01–2025-09-30	hai / 16995	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.856	2024-10-01–2025-09-30	hai / 17005	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	2	2024-10-01–2025-09-30	hai / 17004	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	2.337	2024-10-01–2025-09-30	hai / 17003	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.143	2024-10-01–2025-09-30	hai / 17000	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	2.827	2024-10-01–2025-09-30	hai / 17001	None
HAI_3_SIRSSI - Colon Surgery	0.826	2024-10-01–2025-09-30	hai / 17011	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	2	2024-10-01–2025-09-30	hai / 17010	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	2.422	2024-10-01–2025-09-30	hai / 17009	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.138	2024-10-01–2025-09-30	hai / 17006	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	2.728	2024-10-01–2025-09-30	hai / 17007	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 17017	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 17016	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.005	2024-10-01–2025-09-30	hai / 17015	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17012	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17013	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 17023	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	1	2024-10-01–2025-09-30	hai / 17022	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.774	2024-10-01–2025-09-30	hai / 17021	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17018	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17019	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.664	2024-10-01–2025-09-30	hai / 17029	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	9	2024-10-01–2025-09-30	hai / 17028	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	13.550	2024-10-01–2025-09-30	hai / 17027	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.324	2024-10-01–2025-09-30	hai / 17024	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	1.219	2024-10-01–2025-09-30	hai / 17025	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	15.5CMS cohort: 135Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6618	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	19.8CMS cohort: 320Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6621	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17.3CMS cohort: 404Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6623	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.1CMS cohort: 66Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6620	None
READM_30_CABGRate of readmission for CABG	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6619	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 / 6622	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 / 9444	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9447	1Too few cases to report
MORT_30_PNDeath rate for pneumonia patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9448	1Too few cases to report
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 / 9446	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 / 9445	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	11CMS cohort: 165Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 9449	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	4101	2024-10-01–2025-09-30	hai / 16996	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	3441	2024-10-01–2025-09-30	hai / 17002	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	112	2024-10-01–2025-09-30	hai / 17008	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	1	2024-10-01–2025-09-30	hai / 17014	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	24124	2024-10-01–2025-09-30	hai / 17020	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	24124	2024-10-01–2025-09-30	hai / 17026	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 106210992 · HADR 01-01-2024 to 12-31-2024 · row 180 · In Process · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 261,409 ÷ total patient days: 19,887
- Acute care: 19,887 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
CMS ED measures · reporting unit 050510 · KAISER FOUNDATION HOSPITAL · Preserved file
CMS values, dates & identity match
99 MONTECILLO RD, SAN RAFAEL 94903 · unique normalized address + city + ZIP
- OP_18b: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 5
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 5
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 5
- OP_22: Not Available · 2024-01-01–2024-12-31 · sample Not Available · CMS footnote 5
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

Kaiser Foundation Hospital - San Rafael

Marin County · HCAI 106210992

Profile statusLISTED — NOT YET REVIEWEDDescriptive profile · two source layers2024 financial filing in process2024 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 labor261,409 productive RN hours.

261,409Hospital-wide productive RN hours · 2024

Contract RN share9.8% of reported RN labor.

9.8%Agency, registry, or contract RN share · 2024

Reported RN intensity13.1 RN hours per patient day.

13.1Hospital-wide annual proxy · 2024

Reported capacity50 staffed beds.

107 → 50Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106210992.

Open official facility source ↗

Workforce source

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

Open HCAI hospital financials ↗

Capacity source

2025 licensed, available, and staffed-bed records are a separate capacity layer with its own reporting scope.

Open California health data ↗

Next evidence step

Acquire third independent audited domain before any state call.

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Use the gap

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

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