🏥 Memorialcare Saddleback Medical Center

Orange County · HCAI 106301317

24451 HEALTH CENTER DRIVE, LAGUNA HILLS 92653

Open · Hospital facility · roster 2026-10-01

Hospital Snapshot

The available data, together. Tap a section to open its history and sources.

↑ Increasing · ↓ Decreasing · → Stable · Provisional = filing still in process

Read the arrows

Trends: ↑ increasing, ↓ decreasing, → stable over the dates shown. Provisional means a filing is still in process.

CMS / CDPH comparisons: ↑ above, ↓ below, ↔ equal to the national number or the source reports no difference. The label identifies which comparison is shown.

—: no matched comparison.

👩‍⚕️ RN staffing

Reporting-unit RN hours / patient day: 19.6↑
Productive RN hours: 887,436
RN-only FTEs · productive, calculated: 426.65

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 4.3%↓
Contract RN hours: 49,638

History & details →

🛏️ Beds & capacity

🏥 Campus licensed beds: 248
🛏️ Reported staffed beds: 134—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 248
❤️ Licensed ICU beds: 22
👶 Licensed NICU beds: 19
🤰 Licensed perinatal beds: 39
🚑 ED treatment stations: 31

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 42,073
🛏️ ED admissions: 8,412
⏱️ Median ED stay · excludes psych / transfers: 206 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 19.72 min
🚨 Reported diversion hours: 877 hours
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

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

Pay, overtime, orientation and contract records →

History & details →

💬 Patient experience

Nurses communicated well · Always: 77%↓
Help as soon as wanted · Always · legacy measure: 59%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.676↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 1.488↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.490↔CMS: no different from national benchmark
C. diff infections · SIR: 0.833↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 0.344↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🦠 Central-line infections · CDPH counts

Reported CLABSIs: 4
Central-line days: 7,209
Months reported: 12 / 12

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 13.8%↓
Heart failure: 20.2%↓
Pneumonia: 19.6%↑
COPD: 19.8%↓
Coronary bypass surgery: 10%↓
Hip/knee replacement: 5.2%↓

30-day mortality

Heart attack: 11.2%↓
Heart failure: 11.3%↑
Pneumonia: 15.7%↑
COPD: 9.2%↑
Coronary bypass surgery: 2%↓
Stroke: 12.1%↑

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 →
RN hours / patient day: 19.6 · 2024Who covers call-outs and breaks on this unit?Source →
Contract RN share of nursing hours: 4.3% · 2024How many agency RNs are here now? How long is orientation?Source →
Current unit turnover / vacancies — UNKNOWNWhat is this unit’s RN turnover over the last year? How many RN vacancies?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 36,705 to 42,073.

🚑 ED activity · ↑ 14.6%

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	819,308	123,176	44,544	Audited	Preserved fileAPI record ID 249
2022-07-01–2023-06-30	817,350	124,035	45,357	Audited	Preserved fileAPI record ID 249
2023-07-01–2024-06-30	887,436	49,638	45,274	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 247

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

19.6

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

100.0% of this report’s patient days: acute care

Above the typical reported range

🔎 Comparison source & calculation

Productive RN hours

887,436

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

426.65

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	18.39
2023	18.02
2024	19.6

2022–2024 pattern: RN hours per patient day went from 18.39 to 19.6.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 4.3%
Contract RN hours: 49,638

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	10.56
2023	10.55
2024	4.26

2022–2024 pattern: contract RN share went from 10.6% to 4.3%.

2018–2019 baseline: 3.2%.

↑ Back to snapshot

🛏️ Beds & Capacity

Open details

Which kind of bed capacity is reported?

What do these bed counts mean?

🏥 Licensed: Authorized bed capacity under the facility license.
🛏️ Staffed: Beds the hospital reports having personnel to operate during the reporting period.
⚙️ Operational: Beds open and equipped for patient care at a stated time.
📋 Reported available: The source’s available-bed count for its dated reporting period. Live availability means an empty, staffed bed ready to accept a patient now.

🔎 Records & complete history →

🏥 Campus licensed beds: 248
🛏️ Reported staffed beds: 134
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 248
❤️ Licensed ICU beds: 22
👶 Licensed NICU beds: 19
🤰 Licensed perinatal beds: 39
🚑 ED treatment stations: 31

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	22	22	22
👶 NICU	19	19	19
🤰 Perinatal	39	39	39

📈 ED treatment stations · December 31

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

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 42,073
🛏️ ED admissions: 8,412
⏱️ Median ED stay · excludes psych / transfers: 206 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 19.72 min
🚨 Reported diversion hours: 877 hours
⏱️ 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	19.87
Nov 2024	21.78
Dec 2024	22.48
Jan 2025	23.83
Feb 2025	20.45
Mar 2025	19.72

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	36,705
2023	37,825
2024	42,073

📈 Reported diversion hours

Reported diversion hours · Hours
Period	Hours
2022	745
2023	966
2024	877

↑ 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 050603 · MEMORIALCARE SADDLEBACK MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 77%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 59%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050603 · MEMORIALCARE SADDLEBACK MEDICAL CENTER

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.676↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 1.488↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.490↔CMS: no different from national benchmark
C. diff infections · SIR: 0.833↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 0.344↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050603 · MEMORIALCARE SADDLEBACK MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: 13.8%↓Below national rate 14.4% · numerical comparison
Heart failure: 20.2%↓Below national rate 21.3% · numerical comparison
Pneumonia: 19.6%↑Above national rate 17.3% · numerical comparison
COPD: 19.8%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: 10%↓Below national rate 11% · numerical comparison
Hip/knee replacement: 5.2%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 11.2%↓Below national rate 11.9% · numerical comparison
Heart failure: 11.3%↑Above national rate 11.1% · numerical comparison
Pneumonia: 15.7%↑Above national rate 15.2% · numerical comparison
COPD: 9.2%↑Above national rate 8.6% · numerical comparison
Coronary bypass surgery: 2%↓Below national rate 2.4% · numerical comparison
Stroke: 12.1%↑Above national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Central-line infections · CDPH

Open details

Central-line infections reported

CDPH facility 060000063 · MEMORIALCARE SADDLEBACK MEDICAL CENTER

Reported CLABSIs: 4
Months reported: 12 / 12

Risk-adjusted infection record · 2025

Standardized infection ratio (SIR): 0.87↔
Predicted infections: 4.6

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 060000063
Year	Reported infections	Central-line days	Months reported
2022	3	6,405	12 / 12
2023	3	6,663	12 / 12
2024	2	7,419	12 / 12
2025	4	7,209	12 / 12

2022 · preserved CDPH CSV (gzip) · row 245 · Community, 125-250 Beds · Acute Care Hospital
2023 · preserved CDPH CSV (gzip) · row 245 · Community, 125-250 Beds · Acute Care Hospital
2024 · preserved CDPH CSV (gzip) · row 242 · Community, 125-250 Beds · Acute Care Hospital
2025 · preserved CDPH CSV (gzip) · row 239 · Community, 125-250 Beds · Acute Care Hospital

Identity snapshot: 2026-09-16 · CDPH facility record 850

Matched records & checksums · Official CDPH dataset

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 258 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106301317 · 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 249

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

249

name

MEMORIALCARE SADDLEBACK MEDICAL CENTER

county

Orange

rnHours

819308

patientDays

44544

ratio

18.393229166666668

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	819308
PRD_HR_LVN	18266
PRD_HR_AID	206043
CNT_HR_RN	123176

nursingHours

1166793

contractShare

0.10556799706546062

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	44544
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 249

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

249

name

MEMORIALCARE SADDLEBACK MEDICAL CENTER

county

Orange

rnHours

817350

patientDays

45357

ratio

18.020371717706198

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	817350
PRD_HR_LVN	17849
PRD_HR_AID	216482
CNT_HR_RN	124035

nursingHours

1175716

contractShare

0.10549741604264976

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	45357
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
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 247

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

247

name

MEMORIALCARE SADDLEBACK MEDICAL CENTER

county

Orange

rnHours

887436

patientDays

45274

ratio

19.601448955250255

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	887436
PRD_HR_LVN	17661
PRD_HR_AID	210457
CNT_HR_RN	49638

nursingHours

1165192

contractShare

0.042600704433260785

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	45274
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	887436
contractHours	49638
contractShare	0.0426
rnPerPatientDay	19.60145
baseline	0.03211
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 258

Field

Value

officialName

MEMORIALCARE SADDLEBACK MEDICAL CENTER

county

Orange

city

LAGUNA HILLS

address

24451 HEALTH CENTER DRIVE

zip

92653

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1974-01-27

licensedBeds

248

erServiceLevel

Emergency - Basic

licenseNumber

060000166

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

258

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

MEMORIALCARE SADDLEBACK MEDICAL CENTER

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	868
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	060000063
LICENSE_NUMBER	060000166
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	12755
HCAI_ID	106301317
ASPEN_FACID	CA060000063
CCN	050603
NPI	1275576381
ASPEN_STATUS	ACTIVE
FACNAME	MEMORIALCARE SADDLEBACK 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

Official campus record

Retained record fields
Field	Value
licensedBeds	248
staffedBeds	134
availableBeds	248
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 251

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	248
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

248

sourceRow

251

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 253

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	248
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

248

sourceRow

253

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 252

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	248
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

248

sourceRow

252

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106301317 · source row 251

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	251
diversionReported	Yes
icuLicensed	22
nicuLicensed	19
perinatalLicensed	39
edStations	31
edNonAdmitVisits	29707
edAdmissions	6998
diversionHours	745

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106301317 · source row 253

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	253
diversionReported	Yes
icuLicensed	22
nicuLicensed	19
perinatalLicensed	39
edStations	31
edNonAdmitVisits	30241
edAdmissions	7584
diversionHours	966

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106301317 · source row 252

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	252
diversionReported	Yes
icuLicensed	22
nicuLicensed	19
perinatalLicensed	39
edStations	31
edNonAdmitVisits	33661
edAdmissions	8412
diversionHours	877

CMS ED measures · records & history

CMS 050603 · MEMORIALCARE SADDLEBACK 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 14418

Retained record fields
Field	Value
value	206
raw	206
sample	368
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14418
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 14419

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	14419
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 14420

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	14420
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 14421

Retained record fields
Field	Value
value	1
raw	1
sample	43799
footnote
start	2024-01-01
end	2024-12-31
sourceRow	14421
measureName	Left before being seen

Ambulance offload · records & history
MemorialCare Saddleback Medical Center · CEMSIS 20379 · 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 19.866666666666667
offloadCount 1147
countPage 32
rawTime 0:19:52
sourceId EMSA-APOT-JUNE2025
page 21
row 56
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 21.783333333333335
offloadCount 1123
countPage 37
rawTime 0:21:47
sourceId EMSA-APOT-JUNE2025
page 21
row 56
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 22.483333333333334
offloadCount 1178
countPage 42
rawTime 0:22:29
sourceId EMSA-APOT-JUNE2025
page 21
row 56
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 23.833333333333332
offloadCount 1150
countPage 47
rawTime 0:23:50
sourceId EMSA-APOT-JUNE2025
page 21
row 56
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 20.45
offloadCount 1019
countPage 52
rawTime 0:20:27
sourceId EMSA-APOT-JUNE2025
page 21
row 56
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 19.716666666666665
offloadCount 998
countPage 57
rawTime 0:19:43
sourceId EMSA-APOT-JUNE2025
page 21
row 56

CMS patient experience, infection, readmission & mortality records

CMS 050603 · MEMORIALCARE SADDLEBACK MEDICAL CENTER · 24451 HEALTH CENTER DRIVE, LAGUNA HILLS 92653 · 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
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HCAHPS · legacy responsiveness · released 2025-11-26 · Preserved CSV (gzip) · Release metadata
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Healthcare-associated infections · released 2026-08-13 · Preserved CSV (gzip) · Release metadata
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CMS unplanned readmissions · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
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CMS 30-day mortality · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
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CSV SHA-256: 2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a
Gzip SHA-256: 04b606e8f24603cc6711bd630abc02fee2ee707d81a529360c72433806b180ce

Exact CMS records · reporting unit 050603
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	77	2024-10-01–2025-09-30	hcahps / 33934	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	59	2024-01-01–2024-12-31	responsiveness / 46716	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.676	2024-10-01–2025-09-30	hai / 17971	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	3	2024-10-01–2025-09-30	hai / 17970	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	4.441	2024-10-01–2025-09-30	hai / 17969	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.172	2024-10-01–2025-09-30	hai / 17966	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	1.838	2024-10-01–2025-09-30	hai / 17967	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	1.488	2024-10-01–2025-09-30	hai / 17977	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	6	2024-10-01–2025-09-30	hai / 17976	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	4.033	2024-10-01–2025-09-30	hai / 17975	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.603	2024-10-01–2025-09-30	hai / 17972	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	3.094	2024-10-01–2025-09-30	hai / 17973	None
HAI_3_SIRSSI - Colon Surgery	0.344	2024-10-01–2025-09-30	hai / 17983	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	1	2024-10-01–2025-09-30	hai / 17982	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	2.911	2024-10-01–2025-09-30	hai / 17981	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.017	2024-10-01–2025-09-30	hai / 17978	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	1.694	2024-10-01–2025-09-30	hai / 17979	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 17989	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 17988	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.642	2024-10-01–2025-09-30	hai / 17987	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17984	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17985	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	0.490	2024-10-01–2025-09-30	hai / 17995	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	1	2024-10-01–2025-09-30	hai / 17994	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	2.039	2024-10-01–2025-09-30	hai / 17993	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.025	2024-10-01–2025-09-30	hai / 17990	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	2.419	2024-10-01–2025-09-30	hai / 17991	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.833	2024-10-01–2025-09-30	hai / 18001	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	22	2024-10-01–2025-09-30	hai / 18000	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	26.400	2024-10-01–2025-09-30	hai / 17999	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.536	2024-10-01–2025-09-30	hai / 17996	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	1.241	2024-10-01–2025-09-30	hai / 17997	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	13.8CMS cohort: 222Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6996	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	20.2CMS cohort: 693Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6999	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	19.6CMS cohort: 517Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7001	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.8CMS cohort: 228Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6998	None
READM_30_CABGRate of readmission for CABG	10CMS cohort: 66Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6997	None
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5.2CMS cohort: 30Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7000	None
MORT_30_AMIDeath rate for heart attack patients	11.2CMS cohort: 112Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9984	None
MORT_30_HFDeath rate for heart failure patients	11.3CMS cohort: 330Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9987	None
MORT_30_PNDeath rate for pneumonia patients	15.7CMS cohort: 288Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9988	None
MORT_30_COPDDeath rate for COPD patients	9.2CMS cohort: 92Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9986	None
MORT_30_CABGDeath rate for CABG surgery patients	2CMS cohort: 26Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9985	None
MORT_30_STKDeath rate for stroke patients	12.1CMS cohort: 322Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 9989	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	6249	2024-10-01–2025-09-30	hai / 17968	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	5835	2024-10-01–2025-09-30	hai / 17974	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	130	2024-10-01–2025-09-30	hai / 17980	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	84	2024-10-01–2025-09-30	hai / 17986	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	45659	2024-10-01–2025-09-30	hai / 17992	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	44137	2024-10-01–2025-09-30	hai / 17998	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106301317 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-07-01–2022-06-30	819,308	44,544	123,176	1,166,793
2023	2022-07-01–2023-06-30	817,350	45,357	124,035	1,175,716
2024	2023-07-01–2024-06-30	887,436	45,274	49,638	1,165,192

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 249 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 249 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 247 · Audited · ComparableSHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26

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 106301317 · HADR 01-01-2024 to 12-31-2024 · row 247 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 887,436 ÷ total patient days: 45,274
- Acute care: 45,274 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 0 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 21 · Preserved report
Offload hospital identity & source times
MemorialCare Saddleback Medical Center · Orange · CEMSIS 20379 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:19:52 · 90th percentile · 1,147 qualifying offloads · page 21 · count page 32
- Nov 2024: 0:21:47 · 90th percentile · 1,123 qualifying offloads · page 21 · count page 37
- Dec 2024: 0:22:29 · 90th percentile · 1,178 qualifying offloads · page 21 · count page 42
- Jan 2025: 0:23:50 · 90th percentile · 1,150 qualifying offloads · page 21 · count page 47
- Feb 2025: 0:20:27 · 90th percentile · 1,019 qualifying offloads · page 21 · count page 52
- Mar 2025: 0:19:43 · 90th percentile · 998 qualifying offloads · page 21 · count page 57
CMS ED measures · reporting unit 050603 · MEMORIALCARE SADDLEBACK MEDICAL CENTER · Preserved file
CMS values, dates & identity match
24451 HEALTH CENTER DRIVE, LAGUNA HILLS 92653 · unique normalized address + city + ZIP
- OP_18b: 206 · 2024-10-01–2025-09-30 · sample 368
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- 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 43799
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
Official hospital facility / campus beds

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

Research record, provenance & reporting scope

← 30 reviewed hospitals

Hospital Change Profile · Reviewed pilot

Memorialcare Saddleback Medical Center

Orange County · HCAI 106301317

Evidence statusAudited filingWorkforce: 2024Capacity: 2025

What the available records supportA reviewed 2024 nursing snapshot and 2025 capacity record are available. A defensible recent demand trend is not.

The nurse’s questions

What changed?

These are reported hospital-wide measures. The year and comparison period sit beside each number.

Are we busier?Insufficient comparable quarterly data for a meaningful recent demand answer.

UnknownNo reviewed recent same-quarter demand comparison

Did available capacity change?134 of 248 reported licensed beds were staffed in the 2025 capacity record.

54.0%Reported staffed share of licensed beds · 2025

What did the nursing record show?19.6 RN hours per patient day.

19.6Hospital-wide RN intensity · 2024

What contract labor did the source report?Reported contract-RN share: 4.3%.

3.2% → 4.3%2018–2019 baseline → 2024 reported share

Reported contract reliance was 1.0 percentage points above the hospital’s pre-pandemic baseline.

The reported share uses a source-defined denominator that is not reconstructed from the displayed contract and productive-RN hour fields.

Show me the receipts

Where the numbers came from.

Facility record

Official HCAI facility identity and 248 licensed beds match the reporting-period record. Audited workforce filing, capacity record, and uniquely matched historical contract baseline are available.

Open official facility source ↗

Reporting scope

MemorialCare Saddleback Medical Center has its own facility identifier and reporting scope; system affiliation does not make its workforce observations interchangeable with Orange Coast.

Workforce source

2024 productive RN hours, contract labor, and RN intensity come from the hospital financial/workforce reporting layer.

Open HCAI hospital financials ↗

Capacity source

The 2025 capacity layer supplies licensed, available, and staffed bed counts but not unit-level operations.

Open California health data ↗

Use the gap

“What changed in this hospital’s patient demand, staffed capacity, and permanent RN coverage during the same period—and what happened on my unit?”

Explore another reviewed hospital →Compare two hospitals →

Compare hospitals →Request an anonymous review →

Field	Value
month	2024-10
minutes	19.866666666666667
offloadCount	1147
countPage	32
rawTime	0:19:52
sourceId	EMSA-APOT-JUNE2025
page	21
row	56

Field	Value
month	2024-11
minutes	21.783333333333335
offloadCount	1123
countPage	37
rawTime	0:21:47
sourceId	EMSA-APOT-JUNE2025
page	21
row	56

Field	Value
month	2024-12
minutes	22.483333333333334
offloadCount	1178
countPage	42
rawTime	0:22:29
sourceId	EMSA-APOT-JUNE2025
page	21
row	56

Field	Value
month	2025-01
minutes	23.833333333333332
offloadCount	1150
countPage	47
rawTime	0:23:50
sourceId	EMSA-APOT-JUNE2025
page	21
row	56

Field	Value
month	2025-02
minutes	20.45
offloadCount	1019
countPage	52
rawTime	0:20:27
sourceId	EMSA-APOT-JUNE2025
page	21
row	56

Field	Value
month	2025-03
minutes	19.716666666666665
offloadCount	998
countPage	57
rawTime	0:19:43
sourceId	EMSA-APOT-JUNE2025
page	21
row	56