🏥 Natividad Medical Center

Monterey County · HCAI 106274043

1441 CONSTITUTION BOULEVARD, SALINAS 93906

Open · Hospital facility · roster 2026-10-01

Mixed-care 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

Mixed-care reporting unit · RN hours / patient day: 15.79↑
Productive RN hours: 753,859
RN-only FTEs · productive, calculated: 362.43

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 5.3%↓
Contract RN hours: 60,447

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 172
🛏️ Reported staffed beds: 168—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 168
❤️ Licensed ICU beds: 10
👶 Licensed NICU beds: 15
🤰 Licensed perinatal beds: 27
🚑 ED treatment stations: 19

Licensed care types · 2024 reporting unit

Acute care: 150
Psychiatric: 22

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 65,041
🛏️ ED admissions: 4,970
⏱️ Median ED stay · excludes psych / transfers: 158 min↓
⏱️ Psychiatric / mental-health ED stay · median: 350 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 19.77 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: 74%↓
Help as soon as wanted · Always · legacy measure: 60%↓

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: 0.462↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.000↔CMS: no different from national benchmark
C. diff infections · SIR: 0.316↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: 20.9%↓
Pneumonia: 18.1%↑
COPD: 19.3%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: — UNKNOWN
Heart failure: 9.5%↓
Pneumonia: 18.4%↑
COPD: 9.9%↑
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 60,419 to 65,041.

🚑 ED activity · ↑ 7.6%

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	564,041	84,052	46,181	Audited	Preserved fileAPI record ID 271
2022-07-01–2023-06-30	715,235	59,757	46,278	Audited	Preserved fileAPI record ID 270
2023-07-01–2024-06-30	753,859	60,447	47,752	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 268

Full source records & reporting scope →

🔎 Records & complete history →

Mixed-care reporting unit · RN hours / patient day

15.79

2023-07-01–2024-06-30📈 Trend: ↑ Increasing · 2022–2024

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

68.8% of this report’s patient days: acute care

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

753,859

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

362.43

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	12.21
2023	15.46
2024	15.79

2022–2024 pattern: RN hours per patient day went from 12.21 to 15.79.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 5.3%
Contract RN hours: 60,447

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	10.54
2023	5.43
2024	5.32

2022–2024 pattern: contract RN share went from 10.5% to 5.3%.

2018–2019 baseline: 2.7%.

↑ 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: 150
🛏️ Psychiatric licensed beds: 22
🏥 Total licensed beds · reporting unit: 172

🔎 2024 annual utilization · source & history

🏥 Reported licensed beds: 172
🛏️ Reported staffed beds: 168
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 168
❤️ Licensed ICU beds: 10
👶 Licensed NICU beds: 15
🤰 Licensed perinatal beds: 27
🚑 ED treatment stations: 19

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	10	10	10
👶 NICU	15	15	15
🤰 Perinatal	27	27	27

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	19
2023	19
2024	19

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 65,041
🛏️ ED admissions: 4,970
⏱️ Median ED stay · excludes psych / transfers: 158 min↓
⏱️ Psychiatric / mental-health ED stay · median: 350 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 19.77 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	23.5
Nov 2024	21.52
Dec 2024	20.22
Jan 2025	20.95
Feb 2025	19.97
Mar 2025	19.77

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	60,419
2023	63,422
2024	65,041

↑ 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 050248 · NATIVIDAD MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 74%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 60%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050248 · NATIVIDAD MEDICAL CENTER

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: 0.462↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.000↔CMS: no different from national benchmark
C. diff infections · SIR: 0.316↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: Not calculable

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050248 · NATIVIDAD MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: 20.9%↓Below national rate 21.3% · numerical comparison
Pneumonia: 18.1%↑Above national rate 17.3% · numerical comparison
COPD: 19.3%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

Heart attack: — UNKNOWN
Heart failure: 9.5%↓Below national rate 11.1% · numerical comparison
Pneumonia: 18.4%↑Above national rate 15.2% · numerical comparison
COPD: 9.9%↑Above national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 11.5%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 230 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106274043 · 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 271

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

271

name

NATIVIDAD MEDICAL CENTER

county

Monterey

rnHours

564041

patientDays

46181

ratio

12.213702604967411

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	564041
PRD_HR_LVN	17545
PRD_HR_AID	131494
CNT_HR_RN	84052

nursingHours

797132

contractShare

0.10544301320233035

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	31921
DAY_PSYCH	4973
DAY_CHEM	0
DAY_REHAB	9287
DAY_LTC	0
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 270

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

270

name

NATIVIDAD MEDICAL CENTER

county

Monterey

rnHours

715235

patientDays

46278

ratio

15.455183888672803

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	715235
PRD_HR_LVN	16414
PRD_HR_AID	308154
CNT_HR_RN	59757

nursingHours

1099560

contractShare

0.05434628396813271

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	33112
DAY_PSYCH	3759
DAY_CHEM	0
DAY_REHAB	9407
DAY_LTC	0
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 268

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

268

name

NATIVIDAD MEDICAL CENTER

county

Monterey

rnHours

753859

patientDays

47752

ratio

15.78696180264701

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	753859
PRD_HR_LVN	12904
PRD_HR_AID	309417
CNT_HR_RN	60447

nursingHours

1136627

contractShare

0.05318103476338324

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	32861
DAY_PSYCH	5547
DAY_CHEM	0
DAY_REHAB	9344
DAY_LTC	0
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	753859
contractHours	60447
contractShare	0.05318
rnPerPatientDay	15.78696
baseline	0.027
history	UNIQUE
filing	Audited

Beds and capacity · records & history

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

Official HCAI roster · Retained source · row 230

Field

Value

officialName

NATIVIDAD MEDICAL CENTER

county

Monterey

city

SALINAS

address

1441 CONSTITUTION BOULEVARD

zip

93906

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1999-06-15

licensedBeds

172

erServiceLevel

Emergency - Basic

licenseNumber

070000070

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

230

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

NATIVIDAD MEDICAL CENTER

Record 2

NATIVIDAD MEDICAL CENTER D/P APH

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	1357
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	070000145
LICENSE_NUMBER	070000070
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	17353
HCAI_ID	106274043
ASPEN_FACID	CA070000145
CCN	050248
NPI	1699979245
ASPEN_STATUS	ACTIVE
FACNAME	NATIVIDAD MEDICAL CENTER
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

Record 2

Retained record fields
Field	Value
_id	1390
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	070000306
LICENSE_NUMBER	070000070
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	17353
HCAI_ID	106274043
ASPEN_FACID	CA070000145
CCN	050248
NPI	1699979245
ASPEN_STATUS	ACTIVE
FACNAME	NATIVIDAD MEDICAL CENTER D/P APH
FAC_TYPE_DESCRIPTION	ACUTE PSYCHIATRIC HOSPITAL
FAC_FDR	ACUTE PSYCHIATRIC HOSPITAL
FAC_FAC_RELATIONSHIP	Distinct Part
ELMS_PARENT_FACID	070000145

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	172
staffedBeds	168
availableBeds	168
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 225

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	150
psychiatric	22
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

172

sourceRow

225

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 227

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	150
psychiatric	22
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

172

sourceRow

227

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 227

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	150
psychiatric	22
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

172

sourceRow

227

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106274043 · source row 225

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	225
diversionReported	No
icuLicensed	10
nicuLicensed	15
perinatalLicensed	27
edStations	19
edNonAdmitVisits	53710
edAdmissions	6709
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106274043 · source row 227

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	227
diversionReported	No
icuLicensed	10
nicuLicensed	15
perinatalLicensed	27
edStations	19
edNonAdmitVisits	58507
edAdmissions	4915
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106274043 · source row 227

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	227
diversionReported	No
icuLicensed	10
nicuLicensed	15
perinatalLicensed	27
edStations	19
edNonAdmitVisits	60071
edAdmissions	4970
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050248 · NATIVIDAD 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 11349

Retained record fields
Field	Value
value	158
raw	158
sample	723
footnote
start	2024-10-01
end	2025-09-30
sourceRow	11349
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 11350

Retained record fields
Field	Value
value	350
raw	350
sample	54
footnote
start	2024-10-01
end	2025-09-30
sourceRow	11350
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 11351

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	11351
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 11352

Retained record fields
Field	Value
value	1
raw	1
sample	60696
footnote
start	2024-01-01
end	2024-12-31
sourceRow	11352
measureName	Left before being seen

Ambulance offload · records & history
Natividad Medical Center · CEMSIS 20306 · 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 23.5
offloadCount 777
countPage 32
rawTime 0:23:30
sourceId EMSA-APOT-JUNE2025
page 21
row 20
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 21.516666666666666
offloadCount 616
countPage 37
rawTime 0:21:31
sourceId EMSA-APOT-JUNE2025
page 21
row 20
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 20.216666666666665
offloadCount 683
countPage 42
rawTime 0:20:13
sourceId EMSA-APOT-JUNE2025
page 21
row 20
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 20.95
offloadCount 662
countPage 47
rawTime 0:20:57
sourceId EMSA-APOT-JUNE2025
page 21
row 20
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 19.966666666666665
offloadCount 638
countPage 52
rawTime 0:19:58
sourceId EMSA-APOT-JUNE2025
page 21
row 20
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 19.766666666666666
offloadCount 680
countPage 57
rawTime 0:19:46
sourceId EMSA-APOT-JUNE2025
page 21
row 20

CMS patient experience, infection, readmission & mortality records

CMS 050248 · NATIVIDAD MEDICAL CENTER · 1441 CONSTITUTION BOULEVARD, SALINAS 93906 · 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 050248
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	74	2024-10-01–2025-09-30	hcahps / 26658	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	60	2024-01-01–2024-12-31	responsiveness / 36672	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.000	2024-10-01–2025-09-30	hai / 14119	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 14118	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	2.253	2024-10-01–2025-09-30	hai / 14117	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14114	8Lower confidence limit unavailable
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	1.330	2024-10-01–2025-09-30	hai / 14115	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.462	2024-10-01–2025-09-30	hai / 14125	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	2	2024-10-01–2025-09-30	hai / 14124	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	4.326	2024-10-01–2025-09-30	hai / 14123	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.078	2024-10-01–2025-09-30	hai / 14120	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.527	2024-10-01–2025-09-30	hai / 14121	None
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 14131	13CMS cannot calculate
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 14130	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	0.968	2024-10-01–2025-09-30	hai / 14129	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14126	13CMS cannot calculate
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14127	13CMS cannot calculate
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 14137	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 14136	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.410	2024-10-01–2025-09-30	hai / 14135	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14132	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14133	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	0.000	2024-10-01–2025-09-30	hai / 14143	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 14142	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	1.961	2024-10-01–2025-09-30	hai / 14141	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14138	8Lower confidence limit unavailable
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	1.528	2024-10-01–2025-09-30	hai / 14139	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.316	2024-10-01–2025-09-30	hai / 14149	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	6	2024-10-01–2025-09-30	hai / 14148	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	18.959	2024-10-01–2025-09-30	hai / 14147	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.128	2024-10-01–2025-09-30	hai / 14144	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.658	2024-10-01–2025-09-30	hai / 14145	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 / 5498	1Too few cases to report
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	20.9CMS cohort: 62Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5501	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	18.1CMS cohort: 100Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5503	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.3CMS cohort: 32Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5500	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 / 5499	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 / 5502	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 / 7844	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	9.5CMS cohort: 80Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7847	None
MORT_30_PNDeath rate for pneumonia patients	18.4CMS cohort: 110Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7848	None
MORT_30_COPDDeath rate for COPD patients	9.9CMS cohort: 47Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7846	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 / 7845	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	11.5CMS cohort: 34Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 7849	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	2433	2024-10-01–2025-09-30	hai / 14116	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	4369	2024-10-01–2025-09-30	hai / 14122	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	30	2024-10-01–2025-09-30	hai / 14128	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	36	2024-10-01–2025-09-30	hai / 14134	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	37192	2024-10-01–2025-09-30	hai / 14140	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	34568	2024-10-01–2025-09-30	hai / 14146	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106274043 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-07-01–2022-06-30	564,041	46,181	84,052	797,132
2023	2022-07-01–2023-06-30	715,235	46,278	59,757	1,099,560
2024	2023-07-01–2024-06-30	753,859	47,752	60,447	1,136,627

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 271 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 270 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 268 · 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 150 150 150
Psychiatric 22 22 22
Reported total 172 172 172
- 2022 preserved utilization workbook · Page 1-6 · row 225 · HCAI 106274043
- 2023 preserved utilization workbook · Page 1-6 · row 227 · HCAI 106274043
- 2024 preserved utilization workbook · Page 1-6 · row 227 · HCAI 106274043
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 106274043 · HADR 01-01-2024 to 12-31-2024 · row 268 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 753,859 ÷ total patient days: 47,752
- Acute care: 32,861 patient days
- Psychiatric: 5,547 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 9,344 patient days
- Long-term care: 0 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 21 · Preserved report
Offload hospital identity & source times
Natividad Medical Center · Monterey · CEMSIS 20306 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:23:30 · 90th percentile · 777 qualifying offloads · page 21 · count page 32
- Nov 2024: 0:21:31 · 90th percentile · 616 qualifying offloads · page 21 · count page 37
- Dec 2024: 0:20:13 · 90th percentile · 683 qualifying offloads · page 21 · count page 42
- Jan 2025: 0:20:57 · 90th percentile · 662 qualifying offloads · page 21 · count page 47
- Feb 2025: 0:19:58 · 90th percentile · 638 qualifying offloads · page 21 · count page 52
- Mar 2025: 0:19:46 · 90th percentile · 680 qualifying offloads · page 21 · count page 57
CMS ED measures · reporting unit 050248 · NATIVIDAD MEDICAL CENTER · Preserved file
CMS values, dates & identity match
1441 CONSTITUTION BOULEVARD, SALINAS 93906 · unique normalized address + city + ZIP
- OP_18b: 158 · 2024-10-01–2025-09-30 · sample 723
- OP_18c: 350 · 2024-10-01–2025-09-30 · sample 54
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_22: 1 · 2024-01-01–2024-12-31 · sample 60696
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

Natividad Medical Center

Monterey County · HCAI 106274043

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 labor753,859 productive RN hours.

753,859Hospital-wide productive RN hours · 2024

Contract RN share5.3% of reported RN labor.

5.3%Agency, registry, or contract RN share · 2024

Reported RN intensity15.8 RN hours per patient day.

15.8Hospital-wide annual proxy · 2024

Reported capacity168 staffed beds.

168 → 168Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106274043.

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Workforce source

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

Open HCAI hospital financials ↗

Capacity source

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

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Next evidence step

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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	23.5
offloadCount	777
countPage	32
rawTime	0:23:30
sourceId	EMSA-APOT-JUNE2025
page	21
row	20

Field	Value
month	2024-11
minutes	21.516666666666666
offloadCount	616
countPage	37
rawTime	0:21:31
sourceId	EMSA-APOT-JUNE2025
page	21
row	20

Field	Value
month	2024-12
minutes	20.216666666666665
offloadCount	683
countPage	42
rawTime	0:20:13
sourceId	EMSA-APOT-JUNE2025
page	21
row	20

Field	Value
month	2025-01
minutes	20.95
offloadCount	662
countPage	47
rawTime	0:20:57
sourceId	EMSA-APOT-JUNE2025
page	21
row	20

Field	Value
month	2025-02
minutes	19.966666666666665
offloadCount	638
countPage	52
rawTime	0:19:58
sourceId	EMSA-APOT-JUNE2025
page	21
row	20

Field	Value
month	2025-03
minutes	19.766666666666666
offloadCount	680
countPage	57
rawTime	0:19:46
sourceId	EMSA-APOT-JUNE2025
page	21
row	20