🏥 Modoc Medical Center

Modoc County · HCAI 106254005

1111 N. NAGLE ST, ALTURAS 96101

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: 0.91↓
Productive RN hours: 17,584
RN-only FTEs · productive, calculated: 8.45

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 22.6%↓
Contract RN hours: 32,732

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 96
🛏️ Reported staffed beds: 65—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 96
❤️ Licensed ICU beds: 0
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 5

Licensed care types · 2024 reporting unit

Acute care: 8
Skilled nursing / LTC: 50

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 6,016
🛏️ ED admissions: 222
⏱️ Median ED stay · excludes psych / transfers: 94 min↓
⏱️ Ambulance offload · 90th percentile: 4 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: 72%↓
Help as soon as wanted · Always · legacy measure: 61%↓

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: — UNKNOWN
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: — UNKNOWN
Pneumonia: 17.1%↓
COPD: 19.7%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: 13%↓
COPD: 9.5%↑
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 increased from 5,016 to 6,016.

🚑 ED activity · ↑ 19.9%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2021-07-01–2022-06-30	16,953	36,240	16,711	Audited	Preserved fileAPI record ID 264
2022-07-01–2023-06-30	17,040	30,047	18,028	Audited	Preserved fileAPI record ID 263
2023-07-01–2024-06-30	17,584	32,732	19,246	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 261

Full source records & reporting scope →

🔎 Records & complete history →

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

0.91

2023-07-01–2024-06-30📈 Trend: ↓ Decreasing · 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

91.3% of this report’s patient days: long-term care

Below the typical reported range

🔎 Comparison source & calculation

Productive RN hours

17,584

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

8.45

2023-07-01–2024-06-30 · 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	1.01
2023	0.95
2024	0.91

2022–2024 pattern: RN hours per patient day went from 1.01 to 0.91.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 22.6%
Contract RN hours: 32,732

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	34.41
2023	24.61
2024	22.58

2022–2024 pattern: contract RN share went from 34.4% to 22.6%.

↑ 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: 8
🛏️ Skilled nursing / LTC licensed beds: 50
🏥 Total licensed beds · reporting unit: 58

🔎 2024 annual utilization · source & history

🏥 Reported licensed beds: 96
🛏️ Reported staffed beds: 65
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 96
❤️ Licensed ICU beds: 0
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 5

📈 Licensed specialty-bed history

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

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	4
2023	5
2024	5

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 6,016
🛏️ ED admissions: 222
⏱️ Median ED stay · excludes psych / transfers: 94 min↓
⏱️ Ambulance offload · 90th percentile: 4 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	2
Nov 2024	2
Dec 2024	3
Jan 2025	3
Feb 2025	4
Mar 2025	4

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	5,016
2023	4,449
2024	6,016

↑ 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 051330 · MODOC MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 72%↓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 051330 · MODOC MEDICAL CENTER

Infections · standardized infection ratio (SIR)

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

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 051330 · MODOC MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: 17.1%↓Below national rate 17.3% · numerical comparison
COPD: 19.7%↓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: 13%↓Below national rate 15.2% · numerical comparison
COPD: 9.5%↑Above national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: — UNKNOWN

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 224 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106254005 · dates, source locators and original values included

RN labor and workload · records & history

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

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

Download preserved source · Official source · API record ID 264

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

264

name

MODOC MEDICAL CENTER

county

Modoc

rnHours

16953

patientDays

16711

ratio

1.0144814792651546

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	16953
PRD_HR_LVN	5136
PRD_HR_AID	47003
CNT_HR_RN	36240

nursingHours

105332

contractShare

0.34405498803782325

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	1902
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	14809
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 263

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

263

name

MODOC MEDICAL CENTER

county

Modoc

rnHours

17040

patientDays

18028

ratio

0.9451963612158863

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	17040
PRD_HR_LVN	19075
PRD_HR_AID	55920
CNT_HR_RN	30047

nursingHours

122082

contractShare

0.24612145934699628

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	1586
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	16442
DAY_RESDNT	0

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

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 261

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

261

name

MODOC MEDICAL CENTER

county

Modoc

rnHours

17584

patientDays

19246

ratio

0.913644393640237

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	17584
PRD_HR_LVN	16921
PRD_HR_AID	77722
CNT_HR_RN	32732

nursingHours

144959

contractShare

0.225801778433902

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	1683
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	17563
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	17584
contractHours	32732
contractShare	0.2258
rnPerPatientDay	0.91364
baseline	— UNKNOWN
history	MISSING
filing	Audited

Beds and capacity · records & history

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

Official HCAI roster · Retained source · row 224

Field

Value

officialName

MODOC MEDICAL CENTER

county

Modoc

city

ALTURAS

address

1111 N. NAGLE ST

zip

96101

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

2020-12-18

licensedBeds

erServiceLevel

Emergency - Standby

licenseNumber

230000026

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

224

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

MODOC MEDICAL CENTER

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	3000
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	230000011
LICENSE_NUMBER	230000026
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	18231
HCAI_ID	106254005
ASPEN_FACID	CA230000011
CCN	051330
NPI	1487669032
ASPEN_STATUS	ACTIVE
FACNAME	MODOC MEDICAL CENTER
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	96
staffedBeds	65
availableBeds	96
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 220

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	8
psychiatric	0
chemical	0
skilledNursing	71
intermediateCare	0
developmentalCare	0

total

sourceRow

220

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 222

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	8
psychiatric	0
chemical	0
skilledNursing	71
intermediateCare	0
developmentalCare	0

total

sourceRow

222

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 222

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	8
psychiatric	0
chemical	0
skilledNursing	50
intermediateCare	0
developmentalCare	0

total

sourceRow

222

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106254005 · source row 220

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	220
diversionReported	No
icuLicensed	0
nicuLicensed	0
perinatalLicensed	0
edStations	4
edNonAdmitVisits	4800
edAdmissions	216
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106254005 · source row 222

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	222
diversionReported	No
icuLicensed	0
nicuLicensed	0
perinatalLicensed	0
edStations	5
edNonAdmitVisits	4301
edAdmissions	148
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106254005 · source row 222

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	222
diversionReported	No
icuLicensed	0
nicuLicensed	0
perinatalLicensed	0
edStations	5
edNonAdmitVisits	5794
edAdmissions	222
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 051330 · MODOC MEDICAL CENTER · Download preserved CMS file · Official source

OP_18b · Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better · source row 17231

Retained record fields
Field	Value
value	94
raw	94
sample	167
footnote	3
start	2024-10-01
end	2025-09-30
sourceRow	17231
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 17232

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1, 3
start	2024-10-01
end	2025-09-30
sourceRow	17232
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 17233

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1, 3
start	2024-10-01
end	2025-09-30
sourceRow	17233
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 17234

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-01-01
end	2024-12-31
sourceRow	17234
measureName	Left before being seen

Ambulance offload · records & history
Modoc Medical Center · CEMSIS 20298 · 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 2
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:02:00
sourceId EMSA-APOT-JUNE2025
page 21
row 28
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 2
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:02:00
sourceId EMSA-APOT-JUNE2025
page 21
row 28
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 3
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:03:00
sourceId EMSA-APOT-JUNE2025
page 21
row 28
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 3
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:03:00
sourceId EMSA-APOT-JUNE2025
page 21
row 28
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 4
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:04:00
sourceId EMSA-APOT-JUNE2025
page 21
row 28
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 4
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:04:00
sourceId EMSA-APOT-JUNE2025
page 21
row 28

CMS patient experience, infection, readmission & mortality records

CMS 051330 · MODOC MEDICAL CENTER · 1111 N NAGLE STREET, ALTURAS 96101 · 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 051330
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	72	2024-10-01–2025-09-30	hcahps / 40598	6Fewer than 100 surveys
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 / 55737	6Fewer than 100 surveys
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 21499	5No CMS result for this period
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 21498	5No CMS result for this period
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 21497	5No CMS result for this period
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21494	5No CMS result for this period
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21495	5No CMS result for this period
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 21505	5No CMS result for this period
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 21504	5No CMS result for this period
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 21503	5No CMS result for this period
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21500	5No CMS result for this period
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21501	5No CMS result for this period
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 21511	5No CMS result for this period
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 21510	5No CMS result for this period
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 21509	5No CMS result for this period
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21506	5No CMS result for this period
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21507	5No CMS result for this period
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 21517	5No CMS result for this period
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 21516	5No CMS result for this period
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 21515	5No CMS result for this period
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21512	5No CMS result for this period
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21513	5No CMS result for this period
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 21523	5No CMS result for this period
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 21522	5No CMS result for this period
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 21521	5No CMS result for this period
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21518	5No CMS result for this period
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21519	5No CMS result for this period
HAI_6_SIRClostridium Difficile (C.Diff)	Not Available	2024-10-01–2025-09-30	hai / 21529	5No CMS result for this period
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 21528	5No CMS result for this period
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 21527	5No CMS result for this period
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21524	5No CMS result for this period
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 21525	5No CMS result for this period
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 / 8368	7No qualifying cases
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8371	1Too few cases to report
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17.1CMS cohort: 45Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8373	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.7CMS cohort: 25Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8370	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 / 8369	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 / 8372	5No CMS result for this period
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 / 11944	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 / 11947	1Too few cases to report
MORT_30_PNDeath rate for pneumonia patients	13CMS cohort: 54Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11948	None
MORT_30_COPDDeath rate for COPD patients	9.5CMS cohort: 31Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11946	None
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 / 11945	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 / 11949	1Too few cases to report
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	Not Available	2024-10-01–2025-09-30	hai / 21496	5No CMS result for this period
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	Not Available	2024-10-01–2025-09-30	hai / 21502	5No CMS result for this period
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	Not Available	2024-10-01–2025-09-30	hai / 21508	5No CMS result for this period
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	Not Available	2024-10-01–2025-09-30	hai / 21514	5No CMS result for this period
HAI_5_DOPCMRSA Bacteremia: Patient Days	Not Available	2024-10-01–2025-09-30	hai / 21520	5No CMS result for this period
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	Not Available	2024-10-01–2025-09-30	hai / 21526	5No CMS result for this period

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106254005 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-07-01–2022-06-30	16,953	16,711	36,240	105,332
2023	2022-07-01–2023-06-30	17,040	18,028	30,047	122,082
2024	2023-07-01–2024-06-30	17,584	19,246	32,732	144,959

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 264 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 263 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 261 · 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 8 8 8
Skilled nursing / LTC 71 71 50
Reported total 79 79 58
- 2022 preserved utilization workbook · Page 1-6 · row 220 · HCAI 106254005
- 2023 preserved utilization workbook · Page 1-6 · row 222 · HCAI 106254005
- 2024 preserved utilization workbook · Page 1-6 · row 222 · HCAI 106254005
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 106254005 · HADR 01-01-2024 to 12-31-2024 · row 261 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 17,584 ÷ total patient days: 19,246
- Acute care: 1,683 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 17,563 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 21 · Preserved report
Offload hospital identity & source times
Modoc Medical Center · NorCal · CEMSIS 20298 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:02:00 · 90th percentile · — UNKNOWN qualifying offloads · page 21
- Nov 2024: 0:02:00 · 90th percentile · — UNKNOWN qualifying offloads · page 21
- Dec 2024: 0:03:00 · 90th percentile · — UNKNOWN qualifying offloads · page 21
- Jan 2025: 0:03:00 · 90th percentile · — UNKNOWN qualifying offloads · page 21
- Feb 2025: 0:04:00 · 90th percentile · — UNKNOWN qualifying offloads · page 21
- Mar 2025: 0:04:00 · 90th percentile · — UNKNOWN qualifying offloads · page 21
CMS ED measures · reporting unit 051330 · MODOC MEDICAL CENTER · Preserved file
CMS values, dates & identity match
1111 N NAGLE STREET, ALTURAS 96101 · unique normalized address + city + ZIP
- OP_18b: 94 · 2024-10-01–2025-09-30 · sample 167 · CMS footnote 3
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1, 3
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1, 3
- 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

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

Research record, provenance & reporting scope

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Public Record Profile · No state call

Modoc Medical Center

Modoc County · HCAI 106254005

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 labor17,584 productive RN hours.

17,584Hospital-wide productive RN hours · 2024

Contract RN share22.6% of reported RN labor.

22.6%Agency, registry, or contract RN share · 2024

Reported RN intensity0.9 RN hours per patient day.

0.9Hospital-wide annual proxy · 2024

Reported capacity65 staffed beds.

96 → 65Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106254005.

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	2
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:02:00
sourceId	EMSA-APOT-JUNE2025
page	21
row	28

Field	Value
month	2024-11
minutes	2
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:02:00
sourceId	EMSA-APOT-JUNE2025
page	21
row	28

Field	Value
month	2024-12
minutes	3
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:03:00
sourceId	EMSA-APOT-JUNE2025
page	21
row	28

Field	Value
month	2025-01
minutes	3
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:03:00
sourceId	EMSA-APOT-JUNE2025
page	21
row	28

Field	Value
month	2025-02
minutes	4
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:04:00
sourceId	EMSA-APOT-JUNE2025
page	21
row	28

Field	Value
month	2025-03
minutes	4
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:04:00
sourceId	EMSA-APOT-JUNE2025
page	21
row	28

Care type	2022	2023	2024
Acute care	8	8	8
Skilled nursing / LTC	71	71	50
Reported total	79	79	58