🏥 Mountains Community Hospital

San Bernardino County · HCAI 106361266

29101 HOSPITAL ROAD, LAKE ARROWHEAD 92352

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: 7.04↑
Productive RN hours: 57,091
RN-only FTEs · productive, calculated: 27.45

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 3.0%↑
Contract RN hours: 4,047

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 37
🛏️ Reported staffed beds: 28—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 37
❤️ Licensed ICU beds: 0
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 6

Licensed care types · 2024 reporting unit

Acute care: 17
Skilled nursing / LTC: 20

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: — UNKNOWN
🛏️ ED admissions: — UNKNOWN
⏱️ Median ED stay · excludes psych / transfers: 133 min↓
⏱️ ED stay before transfer · median: 340 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 14.03 min
🚨 Reported diversion hours: 2 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: — UNKNOWN
Help as soon as wanted · Always · legacy measure: — UNKNOWN

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: N/A
Catheter-associated urinary infections · CAUTI · SIR: N/A
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: Not calculable
Surgical-site infections · colon surgery · SIR: N/A
Surgical-site infections · hysterectomy · SIR: — UNKNOWN

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: — UNKNOWN
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

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

— UNKNOWN Matched multi-year workload records not yet added to CNO

↑ 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	36,202	0	8,251	Audited	Preserved fileAPI record ID 269
2022-07-01–2023-06-30	40,561	7,199	7,819	Audited	Preserved fileAPI record ID 268
2023-07-01–2024-06-30	57,091	4,047	8,106	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 266

Full source records & reporting scope →

🔎 Records & complete history →

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

7.04

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

87.9% of this report’s patient days: long-term care

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

57,091

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

27.45

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	4.39
2023	5.19
2024	7.04

2022–2024 pattern: RN hours per patient day went from 4.39 to 7.04.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 3.0%
Contract RN hours: 4,047

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	0
2023	6.17
2024	2.96

2022–2024 pattern: contract RN share went from 0.0% to 3.0%.

↑ 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: 17
🛏️ Skilled nursing / LTC licensed beds: 20
🏥 Total licensed beds · reporting unit: 37

🔎 2024 annual utilization · source & history

🏥 Reported licensed beds: 37
🛏️ Reported staffed beds: 28
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 37
❤️ Licensed ICU beds: 0
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 6

📈 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	6
2023	6
2024	6

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: — UNKNOWN
🛏️ ED admissions: — UNKNOWN
⏱️ Median ED stay · excludes psych / transfers: 133 min↓
⏱️ ED stay before transfer · median: 340 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 14.03 min
🚨 Reported diversion hours: 2 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	15.42
Nov 2024	12.77
Dec 2024	15.75
Jan 2025	16.4
Feb 2025	15.28
Mar 2025	14.03

↑ 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 051312 · MOUNTAINS COMMUNITY HOSPITAL

Patients who answered “Always”

Nurses communicated well: — UNKNOWN
Received help as soon as wanted: — UNKNOWN

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 051312 · MOUNTAINS COMMUNITY HOSPITAL

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: N/A
Catheter-associated urinary infections · CAUTI · SIR: N/A
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: Not calculable
Surgical-site infections · colon surgery · SIR: N/A
Surgical-site infections · hysterectomy · SIR: — UNKNOWN

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 051312 · MOUNTAINS COMMUNITY HOSPITAL

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: — UNKNOWN
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

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

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 337 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106361266 · 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 269

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

269

name

MOUNTAINS COMMUNITY HOSPITAL

county

San Bernardino

rnHours

36202

patientDays

8251

ratio

4.3875893831050785

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	36202
PRD_HR_LVN	16658
PRD_HR_AID	44223
CNT_HR_RN	0

nursingHours

97083

contractShare

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	1120
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	7131
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 268

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

268

name

MOUNTAINS COMMUNITY HOSPITAL

county

San Bernardino

rnHours

40561

patientDays

7819

ratio

5.187492006650467

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	40561
PRD_HR_LVN	16824
PRD_HR_AID	52159
CNT_HR_RN	7199

nursingHours

116743

contractShare

0.06166536751668194

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	1029
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	6790
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 266

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

266

name

MOUNTAINS COMMUNITY HOSPITAL

county

San Bernardino

rnHours

57091

patientDays

8106

ratio

7.043054527510486

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	57091
PRD_HR_LVN	22573
PRD_HR_AID	53234
CNT_HR_RN	4047

nursingHours

136945

contractShare

0.029552009930994196

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	982
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	7124
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	57091
contractHours	4047
contractShare	0.02955
rnPerPatientDay	7.04305
baseline	— UNKNOWN
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 337

Field

Value

officialName

MOUNTAINS COMMUNITY HOSPITAL

county

San Bernardino

city

LAKE ARROWHEAD

address

29101 HOSPITAL ROAD

zip

92352

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1951-10-10

licensedBeds

erServiceLevel

Emergency - Standby

licenseNumber

240000176

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

337

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

MOUNTAINS COMMUNITY HOSPITAL

Record 2

MOUNTAINS COMMUNITY HOSPITAL D/P SNF

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	3213
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	240000052
LICENSE_NUMBER	240000176
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10681
HCAI_ID	106361266
ASPEN_FACID	CA240000052
CCN	051312
NPI	1073663662
ASPEN_STATUS	ACTIVE
FACNAME	MOUNTAINS COMMUNITY HOSPITAL
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	3316
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	240000991
LICENSE_NUMBER	240000176
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10681
HCAI_ID	106361266
ASPEN_FACID	CA240000991
CCN	555467
NPI	1174674246
ASPEN_STATUS	ACTIVE
FACNAME	MOUNTAINS COMMUNITY HOSPITAL D/P SNF
FAC_TYPE_DESCRIPTION	SKILLED NURSING FACILITY
FAC_FDR	SKILLED NURSING FACILITY
FAC_FAC_RELATIONSHIP	Distinct Part
ELMS_PARENT_FACID	240000052

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	37
staffedBeds	28
availableBeds	37
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 326

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	17
psychiatric	0
chemical	0
skilledNursing	20
intermediateCare	0
developmentalCare	0

total

sourceRow

326

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 328

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	17
psychiatric	0
chemical	0
skilledNursing	20
intermediateCare	0
developmentalCare	0

total

sourceRow

328

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 328

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	17
psychiatric	0
chemical	0
skilledNursing	20
intermediateCare	0
developmentalCare	0

total

sourceRow

328

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106361266 · source row 326

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	326
diversionReported	No
icuLicensed	0
nicuLicensed	0
perinatalLicensed	0
edStations	6
edNonAdmitVisits	8235
edAdmissions	— UNKNOWN
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106361266 · source row 328

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	328
diversionReported	No
icuLicensed	0
nicuLicensed	0
perinatalLicensed	0
edStations	6
edNonAdmitVisits	8091
edAdmissions	— UNKNOWN
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106361266 · source row 328

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	328
diversionReported	Yes
icuLicensed	0
nicuLicensed	0
perinatalLicensed	0
edStations	6
edNonAdmitVisits	9421
edAdmissions	— UNKNOWN
diversionHours	2

CMS ED measures · records & history

CMS 051312 · MOUNTAINS COMMUNITY HOSPITAL · Download preserved CMS file · Official source

OP_18b · Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better · source row 16751

Retained record fields
Field	Value
value	133
raw	133
sample	339
footnote
start	2024-10-01
end	2025-09-30
sourceRow	16751
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 16752

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	16752
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 16753

Retained record fields
Field	Value
value	340
raw	340
sample	27
footnote
start	2024-10-01
end	2025-09-30
sourceRow	16753
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 16754

Retained record fields
Field	Value
value	1
raw	1
sample	9327
footnote
start	2024-01-01
end	2024-12-31
sourceRow	16754
measureName	Left before being seen

Ambulance offload · records & history
Mountains Community Hospital · CEMSIS 20303 · 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 15.416666666666666
offloadCount 73
countPage 32
rawTime 0:15:25
sourceId EMSA-APOT-JUNE2025
page 19
row 59
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 12.766666666666667
offloadCount 63
countPage 37
rawTime 0:12:46
sourceId EMSA-APOT-JUNE2025
page 19
row 59
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 15.75
offloadCount 69
countPage 42
rawTime 0:15:45
sourceId EMSA-APOT-JUNE2025
page 19
row 59
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 16.4
offloadCount 89
countPage 47
rawTime 0:16:24
sourceId EMSA-APOT-JUNE2025
page 19
row 59
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 15.283333333333333
offloadCount — UNKNOWN
countPage — UNKNOWN
rawTime 0:15:17
sourceId EMSA-APOT-JUNE2025
page 19
row 59
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 14.033333333333333
offloadCount 71
countPage 57
rawTime 0:14:02
sourceId EMSA-APOT-JUNE2025
page 19
row 59

CMS patient experience, infection, readmission & mortality records

CMS 051312 · MOUNTAINS COMMUNITY HOSPITAL · 29101 HOSPITAL ROAD, LAKE ARROWHEAD 92352 · 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 051312
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	Not Available	2024-10-01–2025-09-30	hcahps / 39510	1Too few cases to report
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	Not Available	2024-01-01–2024-12-31	responsiveness / 54249	1Too few cases to report
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 20923	12Not applicable
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 20922	12Not applicable
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 20921	12Not applicable
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20918	12Not applicable
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20919	12Not applicable
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 20929	12Not applicable
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 20928	12Not applicable
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 20927	12Not applicable
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20924	12Not applicable
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20925	12Not applicable
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 20935	12Not applicable
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 20934	12Not applicable
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 20933	12Not applicable
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20930	12Not applicable
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20931	12Not applicable
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 20941	5No CMS result for this period
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	Not Available	2024-10-01–2025-09-30	hai / 20940	5No CMS result for this period
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	Not Available	2024-10-01–2025-09-30	hai / 20939	5No CMS result for this period
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20936	5No CMS result for this period
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20937	5No CMS result for this period
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 20947	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 20946	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.014	2024-10-01–2025-09-30	hai / 20945	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20942	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20943	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	Not Available	2024-10-01–2025-09-30	hai / 20953	13CMS cannot calculate
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	0	2024-10-01–2025-09-30	hai / 20952	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	0.143	2024-10-01–2025-09-30	hai / 20951	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20948	13CMS cannot calculate
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20949	13CMS cannot calculate
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 / 8144	5No CMS result for this period
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 / 8147	1Too few cases to report
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8149	1Too few cases to report
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8146	1Too few cases to report
READM_30_CABGRate of readmission for CABG	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 8145	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 / 8148	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 / 11624	5No CMS result for this period
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 / 11627	1Too few cases to report
MORT_30_PNDeath rate for pneumonia patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11628	1Too few cases to report
MORT_30_COPDDeath rate for COPD patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11626	1Too few cases to report
MORT_30_CABGDeath rate for CABG surgery patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11625	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 / 11629	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 / 20920	12Not applicable
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	Not Available	2024-10-01–2025-09-30	hai / 20926	12Not applicable
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	Not Available	2024-10-01–2025-09-30	hai / 20932	12Not applicable
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	Not Available	2024-10-01–2025-09-30	hai / 20938	5No CMS result for this period
HAI_5_DOPCMRSA Bacteremia: Patient Days	651	2024-10-01–2025-09-30	hai / 20944	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	651	2024-10-01–2025-09-30	hai / 20950	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106361266 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-07-01–2022-06-30	36,202	8,251	0	97,083
2023	2022-07-01–2023-06-30	40,561	7,819	7,199	116,743
2024	2023-07-01–2024-06-30	57,091	8,106	4,047	136,945

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 269 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 268 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 266 · 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 17 17 17
Skilled nursing / LTC 20 20 20
Reported total 37 37 37
- 2022 preserved utilization workbook · Page 1-6 · row 326 · HCAI 106361266
- 2023 preserved utilization workbook · Page 1-6 · row 328 · HCAI 106361266
- 2024 preserved utilization workbook · Page 1-6 · row 328 · HCAI 106361266
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 106361266 · HADR 01-01-2024 to 12-31-2024 · row 266 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 57,091 ÷ total patient days: 8,106
- Acute care: 982 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 7,124 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 19 · Preserved report
Offload hospital identity & source times
Mountains Community Hospital · ICEMA · CEMSIS 20303 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:15:25 · 90th percentile · 73 qualifying offloads · page 19 · count page 32
- Nov 2024: 0:12:46 · 90th percentile · 63 qualifying offloads · page 19 · count page 37
- Dec 2024: 0:15:45 · 90th percentile · 69 qualifying offloads · page 19 · count page 42
- Jan 2025: 0:16:24 · 90th percentile · 89 qualifying offloads · page 19 · count page 47
- Feb 2025: 0:15:17 · 90th percentile · — UNKNOWN qualifying offloads · page 19
- Mar 2025: 0:14:02 · 90th percentile · 71 qualifying offloads · page 19 · count page 57
CMS ED measures · reporting unit 051312 · MOUNTAINS COMMUNITY HOSPITAL · Preserved file
CMS values, dates & identity match
29101 HOSPITAL ROAD, LAKE ARROWHEAD 92352 · unique normalized address + city + ZIP
- OP_18b: 133 · 2024-10-01–2025-09-30 · sample 339
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_18d: 340 · 2024-10-01–2025-09-30 · sample 27
- OP_22: 1 · 2024-01-01–2024-12-31 · sample 9327
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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Public Record Profile · No state call

Mountains Community Hospital

San Bernardino County · HCAI 106361266

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 labor57,091 productive RN hours.

57,091Hospital-wide productive RN hours · 2024

Contract RN share3.0% of reported RN labor.

3.0%Agency, registry, or contract RN share · 2024

Reported RN intensity7 RN hours per patient day.

7Hospital-wide annual proxy · 2024

Reported capacity28 staffed beds.

37 → 28Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106361266.

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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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Field	Value
month	2024-10
minutes	15.416666666666666
offloadCount	73
countPage	32
rawTime	0:15:25
sourceId	EMSA-APOT-JUNE2025
page	19
row	59

Field	Value
month	2024-11
minutes	12.766666666666667
offloadCount	63
countPage	37
rawTime	0:12:46
sourceId	EMSA-APOT-JUNE2025
page	19
row	59

Field	Value
month	2024-12
minutes	15.75
offloadCount	69
countPage	42
rawTime	0:15:45
sourceId	EMSA-APOT-JUNE2025
page	19
row	59

Field	Value
month	2025-01
minutes	16.4
offloadCount	89
countPage	47
rawTime	0:16:24
sourceId	EMSA-APOT-JUNE2025
page	19
row	59

Field	Value
month	2025-02
minutes	15.283333333333333
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:15:17
sourceId	EMSA-APOT-JUNE2025
page	19
row	59

Field	Value
month	2025-03
minutes	14.033333333333333
offloadCount	71
countPage	57
rawTime	0:14:02
sourceId	EMSA-APOT-JUNE2025
page	19
row	59

Care type	2022	2023	2024
Acute care	17	17	17
Skilled nursing / LTC	20	20	20
Reported total	37	37	37