🏥 Adventist Health Howard Memorial

Mendocino County · HCAI 106234038

1 MARCELA DRIVE, WILLITS 95490

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: 22.37↑
Productive RN hours: 117,138
RN-only FTEs · productive, calculated: 56.32

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 1.2%↓
Contract RN hours: 2,158

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 25
🛏️ Reported staffed beds: 16—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 25
❤️ Licensed ICU beds: 4
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 9

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 16,211
🛏️ ED admissions: 768
⏱️ Median ED stay · excludes psych / transfers: 108 min↓
⏱️ ED stay before transfer · median: 395 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 7.62 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: 79%↓
Help as soon as wanted · Always · legacy measure: 61%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: 0.000↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.636↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: N/A

History & details →

🦠 Central-line infections · CDPH counts

Reported CLABSIs: 0
Central-line days: 468
Months reported: 12 / 12

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: 22.1%↑
Pneumonia: 17%↓
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: — UNKNOWN
Heart failure: 11.3%↑
Pneumonia: 10.4%↓
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: 11.5%↓

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 15,006 to 16,211.

🚑 ED activity · ↑ 8.0%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2022-01-01–2022-12-31	89,925	26,990	7,021	Audited	Preserved fileAPI record ID 7
2023-01-01–2023-12-31	91,415	3,958	6,100	Audited	Preserved fileAPI record ID 7
2024-01-01–2024-12-31	117,138	2,158	5,237	In Process	Preserved fileHADR 01-01-2024 to 12-31-2024 row 8

Full source records & reporting scope →

🔎 Records & complete history →

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

22.37

2024-01-01–2024-12-31📈 Trend: ↑ Increasing · 2022–2024 · provisional reported series · 2024 filing In Process

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

87.9% of this report’s patient days: acute care

Above the typical reported range

🔎 Comparison source & calculation

Productive RN hours

117,138

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

56.32

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

📈 Reported RN hours per patient day · provisional series

Reported RN hours per patient day · provisional series · RN hours / patient day
Period	RN hours / patient day
2022	12.81
2023	14.99
2024	22.37

2022: Audited · 2023: Audited · 2024: In Process

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 1.2%
Contract RN hours: 2,158

📈 Contract RN share of nursing hours

Contract RN share of nursing hours · % · reported contract RN share
Period	% · reported contract RN share
2018–2019 baseline	6.65
2024	1.16

2024 contract RN share was 5.5 percentage points below 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 →

🏥 Reported licensed beds: 25
🛏️ Reported staffed beds: 16
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 25
❤️ Licensed ICU beds: 4
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 9

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	4	4	4
👶 NICU	0	0	0
🤰 Perinatal	0	0	0

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	9
2023	9
2024	9

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 16,211
🛏️ ED admissions: 768
⏱️ Median ED stay · excludes psych / transfers: 108 min↓
⏱️ ED stay before transfer · median: 395 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 7.62 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	8
Nov 2024	9
Dec 2024	8
Jan 2025	9
Feb 2025	7.32
Mar 2025	7.62

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	15,006
2023	15,151
2024	16,211

↑ 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 051310 · ADVENTIST HEALTH HOWARD MEMORIAL

Patients who answered “Always”

Nurses communicated well: 79%↓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 051310 · ADVENTIST HEALTH HOWARD MEMORIAL

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: 0.000↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.636↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: N/A

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 051310 · ADVENTIST HEALTH HOWARD MEMORIAL

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: 22.1%↑Above national rate 21.3% · numerical comparison
Pneumonia: 17%↓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: 11.3%↑Above national rate 11.1% · numerical comparison
Pneumonia: 10.4%↓Below national rate 15.2% · numerical comparison
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: 11.5%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Central-line infections · CDPH

Open details

Central-line infections reported

CDPH facility 110000008 · ADVENTIST HEALTH HOWARD MEMORIAL

Reported CLABSIs: 0
Months reported: 12 / 12

CLABSI means a central-line-associated bloodstream infection. Counts are shown with central-line days and reporting coverage.

2022–2025 counts & source records

CDPH CLABSI records · facility 110000008
Year	Central-line days	Months reported
2022	779	12 / 12
2023	547	12 / 12
2024	359	12 / 12
2025	468	12 / 12

2022 · preserved CDPH CSV (gzip) · row 201 · Critical Access · Critical Access HospitalSource note: ¥ See Data Dictionary
2023 · preserved CDPH CSV (gzip) · row 201 · Critical Access · Critical Access Hospital
2024 · preserved CDPH CSV (gzip) · row 200 · Critical Access · Critical Access Hospital
2025 · preserved CDPH CSV (gzip) · row 199 · Critical Access · Critical Access Hospital

Identity snapshot: 2026-09-16 · CDPH facility record 2153

Matched records & checksums · Official CDPH dataset

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 219 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106234038 · 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 7

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH HOWARD MEMORIAL

county

Mendocino

rnHours

89925

patientDays

7021

ratio

12.808004557755305

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	89925
PRD_HR_LVN	2333
PRD_HR_AID	48517
CNT_HR_RN	26990

nursingHours

167765

contractShare

0.16087980210413375

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	5814
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	1207
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 7

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH HOWARD MEMORIAL

county

Mendocino

rnHours

91415

patientDays

6100

ratio

14.986065573770492

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	91415
PRD_HR_LVN	3267
PRD_HR_AID	72693
CNT_HR_RN	3958

nursingHours

171333

contractShare

0.02310121225916782

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	5069
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	1031
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 8

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

In Process

type

Comparable

sourceRecord

name

ADVENTIST HEALTH HOWARD MEMORIAL

county

Mendocino

rnHours

117138

patientDays

5237

ratio

22.367385907962575

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	117138
PRD_HR_LVN	4663
PRD_HR_AID	62718
CNT_HR_RN	2158

nursingHours

186677

contractShare

0.011560074353026886

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	4605
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	632
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	117138
contractHours	2158
contractShare	0.01156
rnPerPatientDay	22.36739
baseline	0.06655
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 219

Field

Value

officialName

ADVENTIST HEALTH HOWARD MEMORIAL

county

Mendocino

city

WILLITS

address

1 MARCELA DRIVE

zip

95490

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

2015-11-01

licensedBeds

erServiceLevel

Emergency - Basic

licenseNumber

110000013

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

219

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 HOWARD MEMORIAL

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2184
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	110000008
LICENSE_NUMBER	110000013
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	18198
HCAI_ID	106234038
ASPEN_FACID	A11000000008
CCN	051310
NPI	1356339543
ASPEN_STATUS	ACTIVE
FACNAME	ADVENTIST HEALTH HOWARD MEMORIAL
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	25
staffedBeds	16
availableBeds	25
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 215

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	25
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

sourceRow

215

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 217

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	25
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

sourceRow

217

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 217

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	25
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

sourceRow

217

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106234038 · source row 215

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	215
diversionReported	No
icuLicensed	4
nicuLicensed	0
perinatalLicensed	0
edStations	9
edNonAdmitVisits	14077
edAdmissions	929
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106234038 · source row 217

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	217
diversionReported	No
icuLicensed	4
nicuLicensed	0
perinatalLicensed	0
edStations	9
edNonAdmitVisits	14352
edAdmissions	799
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106234038 · source row 217

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	217
diversionReported	No
icuLicensed	4
nicuLicensed	0
perinatalLicensed	0
edStations	9
edNonAdmitVisits	15443
edAdmissions	768
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 051310 · ADVENTIST HEALTH HOWARD MEMORIAL · 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 16691

Retained record fields
Field	Value
value	108
raw	108
sample	416
footnote
start	2024-10-01
end	2025-09-30
sourceRow	16691
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 16692

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	16692
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 16693

Retained record fields
Field	Value
value	395
raw	395
sample	18
footnote
start	2024-10-01
end	2025-09-30
sourceRow	16693
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 16694

Retained record fields
Field	Value
value	1
raw	1
sample	16212
footnote
start	2024-01-01
end	2024-12-31
sourceRow	16694
measureName	Left before being seen

Ambulance offload · records & history
Adventist Health Howard Memorial · CEMSIS 20132 · 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 8
offloadCount 80
countPage 33
rawTime 0:08:00
sourceId EMSA-APOT-JUNE2025
page 19
row 28
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 9
offloadCount 108
countPage 38
rawTime 0:09:00
sourceId EMSA-APOT-JUNE2025
page 19
row 28
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 8
offloadCount 99
countPage 43
rawTime 0:08:00
sourceId EMSA-APOT-JUNE2025
page 19
row 28
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 9
offloadCount 96
countPage 48
rawTime 0:09:00
sourceId EMSA-APOT-JUNE2025
page 19
row 28
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 7.316666666666666
offloadCount 88
countPage 53
rawTime 0:07:19
sourceId EMSA-APOT-JUNE2025
page 19
row 28
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 7.616666666666667
offloadCount 103
countPage 58
rawTime 0:07:37
sourceId EMSA-APOT-JUNE2025
page 19
row 28

CMS patient experience, infection, readmission & mortality records

CMS 051310 · ADVENTIST HEALTH HOWARD MEMORIAL · 1 MARCELA DR, WILLITS 95490 · 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 051310
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	79	2024-10-01–2025-09-30	hcahps / 39374	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 / 54063	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 20851	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 20850	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.138	2024-10-01–2025-09-30	hai / 20849	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20846	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 / 20847	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.000	2024-10-01–2025-09-30	hai / 20857	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 20856	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	1.545	2024-10-01–2025-09-30	hai / 20855	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20852	8Lower confidence limit unavailable
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.939	2024-10-01–2025-09-30	hai / 20853	None
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 20863	13CMS cannot calculate
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 20862	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	0.283	2024-10-01–2025-09-30	hai / 20861	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20858	13CMS cannot calculate
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20859	13CMS cannot calculate
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 20869	12Not applicable
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 20868	12Not applicable
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 20867	12Not applicable
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20864	12Not applicable
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20865	12Not applicable
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 20875	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 20874	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.148	2024-10-01–2025-09-30	hai / 20873	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20870	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20871	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.636	2024-10-01–2025-09-30	hai / 20881	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	1	2024-10-01–2025-09-30	hai / 20880	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	1.572	2024-10-01–2025-09-30	hai / 20879	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.032	2024-10-01–2025-09-30	hai / 20876	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	3.137	2024-10-01–2025-09-30	hai / 20877	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 / 8116	5No CMS result for this period
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	22.1CMS cohort: 56Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8119	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17CMS cohort: 102Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8121	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 / 8118	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 / 8117	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 / 8120	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 / 11584	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	11.3CMS cohort: 63Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11587	None
MORT_30_PNDeath rate for pneumonia patients	10.4CMS cohort: 115Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11588	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 / 11586	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 / 11585	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	11.5CMS cohort: 51Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 11589	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	506	2024-10-01–2025-09-30	hai / 20848	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	633	2024-10-01–2025-09-30	hai / 20854	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	11	2024-10-01–2025-09-30	hai / 20860	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	Not Available	2024-10-01–2025-09-30	hai / 20866	12Not applicable
HAI_5_DOPCMRSA Bacteremia: Patient Days	7117	2024-10-01–2025-09-30	hai / 20872	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	7117	2024-10-01–2025-09-30	hai / 20878	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 106234038 · HADR 01-01-2024 to 12-31-2024 · row 8 · In Process · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 117,138 ÷ total patient days: 5,237
- Acute care: 4,605 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 632 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
Adventist Health Howard Memorial · Coastal Valleys · CEMSIS 20132 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:08:00 · 90th percentile · 80 qualifying offloads · page 19 · count page 33
- Nov 2024: 0:09:00 · 90th percentile · 108 qualifying offloads · page 19 · count page 38
- Dec 2024: 0:08:00 · 90th percentile · 99 qualifying offloads · page 19 · count page 43
- Jan 2025: 0:09:00 · 90th percentile · 96 qualifying offloads · page 19 · count page 48
- Feb 2025: 0:07:19 · 90th percentile · 88 qualifying offloads · page 19 · count page 53
- Mar 2025: 0:07:37 · 90th percentile · 103 qualifying offloads · page 19 · count page 58
CMS ED measures · reporting unit 051310 · ADVENTIST HEALTH HOWARD MEMORIAL · Preserved file
CMS values, dates & identity match
1 MARCELA DR, WILLITS 95490 · unique normalized address + city + ZIP
- OP_18b: 108 · 2024-10-01–2025-09-30 · sample 416
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_18d: 395 · 2024-10-01–2025-09-30 · sample 18
- OP_22: 1 · 2024-01-01–2024-12-31 · sample 16212
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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Research record, provenance & reporting scope

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Public Record Profile · No state call

Adventist Health Howard Memorial

Mendocino County · HCAI 106234038

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 labor117,138 productive RN hours.

117,138Hospital-wide productive RN hours · 2024

Contract RN share1.2% of reported RN labor.

1.2%Agency, registry, or contract RN share · 2024

Reported RN intensity22.4 RN hours per patient day.

22.4Hospital-wide annual proxy · 2024

Reported capacity16 staffed beds.

25 → 16Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106234038.

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.

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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Field	Value
month	2024-10
minutes	8
offloadCount	80
countPage	33
rawTime	0:08:00
sourceId	EMSA-APOT-JUNE2025
page	19
row	28

Field	Value
month	2024-11
minutes	9
offloadCount	108
countPage	38
rawTime	0:09:00
sourceId	EMSA-APOT-JUNE2025
page	19
row	28

Field	Value
month	2024-12
minutes	8
offloadCount	99
countPage	43
rawTime	0:08:00
sourceId	EMSA-APOT-JUNE2025
page	19
row	28

Field	Value
month	2025-01
minutes	9
offloadCount	96
countPage	48
rawTime	0:09:00
sourceId	EMSA-APOT-JUNE2025
page	19
row	28

Field	Value
month	2025-02
minutes	7.316666666666666
offloadCount	88
countPage	53
rawTime	0:07:19
sourceId	EMSA-APOT-JUNE2025
page	19
row	28

Field	Value
month	2025-03
minutes	7.616666666666667
offloadCount	103
countPage	58
rawTime	0:07:37
sourceId	EMSA-APOT-JUNE2025
page	19
row	28