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🏥 Hi-Desert Medical Center

San Bernardino County · HCAI 106362041

6601 WHITE FEATHER ROAD, JOSHUA TREE 92252

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.

🛏️ Beds & capacity

🏥 Reported licensed beds
179
2025 capacity record
🛏️ Reported staffed beds
109—
2025 · reporting unitTrend UNKNOWN · No comparable history matched
⚙️ Operational beds
— UNKNOWN
No matched dated operational-bed count
🛏️ Reported available beds
132
2025 · reporting unit · historical count
❤️ Licensed ICU beds
4
2024 · annual utilization
👶 Licensed NICU beds
0
2024 · annual utilization
🤰 Licensed perinatal beds
0
2024 · annual utilization
🚑 ED treatment stations
14
December 31, 2024

Licensed care types · 2024 reporting unit

Acute care
59
2024→ Stable · 2022–2024
Skilled nursing / LTC
120
2024→ Stable · 2022–2024
History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted
26,243
2024 · annual utilization↑ Increasing · 2022–2024
🛏️ ED admissions
2,346
2024 · annual utilization
⏱️ Median ED stay · excludes psych / transfers
154 min↓
2024-10-01–2025-09-30 · CMS reporting unit 050279Below national rate 162 min · numerical comparison
⏱️ Psychiatric / mental-health ED stay · median
153 min↓
2024-10-01–2025-09-30Below national rate 257 min · numerical comparison
⏱️ ED stay before transfer · median
409 min↑
2024-10-01–2025-09-30Above national rate 287 min · numerical comparison
🚑 Left before being seen
1%↓
2024-01-01–2024-12-31Below national rate 2% · numerical comparison
⏱️ Ambulance offload · 90th percentile
22.07 min
Mar 2025 · Hi-Desert Medical Center↑ Increasing · Oct 2024–Mar 2025
🚨 Ambulance diversion reported
No
2024 · annual utilization
⏱️ Boarding / wait time
— UNKNOWN
Boarding / wait measure not yet added to CNO
History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculateNo value in CNO profile
Catheter-associated urinary infections · CAUTI · SIR
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculateNo value in CNO profile
MRSA bloodstream infections · SIR
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculateNo value in CNO profile
C. diff infections · SIR
0.927↔
2024-10-01–2025-09-30CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculateNo value in CNO profile
Surgical-site infections · hysterectomy · SIR
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculateNo value in CNO profile
History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack
— UNKNOWN
2023-07-01–2025-06-30Too few cases to report
Heart failure
21.1%↓
2023-07-01–2025-06-30Below national rate 21.3% · numerical comparison
Pneumonia
18.8%↑
2023-07-01–2025-06-30Above national rate 17.3% · numerical comparison
COPD
19.1%↓
2023-07-01–2025-06-30Below national rate 20% · numerical comparison
Coronary bypass surgery
— UNKNOWN
2023-07-01–2025-06-30No CMS result for this period
Hip/knee replacement
— UNKNOWN
2023-07-01–2025-06-30Too few cases to report

30-day mortality

Heart attack
— UNKNOWN
2022-07-01–2025-06-30Too few cases to report
Heart failure
11.1%↔
2022-07-01–2025-06-30Equal to national rate 11.1% · numerical comparison
Pneumonia
19%↑
2022-07-01–2025-06-30Above national rate 15.2% · numerical comparison
COPD
9.8%↑
2022-07-01–2025-06-30Above national rate 8.6% · numerical comparison
Coronary bypass surgery
— UNKNOWN
2022-07-01–2025-06-30No CMS result for this period
Stroke
11.2%↓
2023-07-01–2025-06-30Below national rate 11.9% · numerical comparison
History & details →

Explore history & sources

Before you take the job

Open details
  1. 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
No matched RN-specific turnover record
RN vacancies
— UNKNOWN
No dated RN vacancy count
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 25,173 to 26,243.

🚑 ED activity · ↑ 4.3%

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 periodProductive RN hoursContract RN hoursPatient daysFiling statusSource
2022-01-01–2022-12-31111,70459,20740,300AuditedPreserved fileAPI record ID 146
2023-01-01–2023-12-3182,17580,31539,575AuditedPreserved fileAPI record ID 143
2024-01-01–2024-12-31108,70274,14041,521AuditedPreserved fileHADR 01-01-2024 to 12-31-2024 row 144
Full source records & reporting scope →
🔎 Records & complete history →
Acute care + LTC reporting unit · RN hours / patient day
2.62
2024-01-01–2024-12-31📈 Trend: ↓ Decreasing · 2022–2024
California peer comparison
Peer median
5.14
Typical reported range · middle 50%
2.56–7.06
RN hours / patient day · 31 audited 2024 reports

Mostly long-term-care patient days

84.5% of this report’s patient days: long-term care

Within the typical reported range

🔎 Comparison source & calculation
Productive RN hours
108,702
2024-01-01–2024-12-31
RN-only FTEs · productive, calculated
52.26
2024-01-01–2024-12-31 · productive RN hours ÷ 2,080
📈 RN hours per patient day · annual reports
RN hours per patient day · annual reports · RN hours / patient day
PeriodRN hours / patient day
20222.77
20232.08
20242.62

2022–2024 pattern: RN hours per patient day went from 2.77 to 2.62.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details
🔎 Records & complete history →
Contract RN hours / reported nursing hours
25.8%
2024↑ Increasing · 2022–2024
Contract RN hours
74,140
2024
📈 Contract RN share of nursing hours · annual reports
Contract RN share of nursing hours · annual reports · % of nursing hours
Period% of nursing hours
202218.45
202329.78
202425.75

2022–2024 pattern: contract RN share went from 18.4% to 25.8%.

2018–2019 baseline: 5.0%.

↑ 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
59
→ Stable · 2022–2024
🛏️ Skilled nursing / LTC licensed beds
120
→ Stable · 2022–2024
🏥 Total licensed beds · reporting unit
179
→ Stable · 2022–2024
🔎 2024 annual utilization · source & history
🏥 Reported licensed beds
179
2025 capacity record
🛏️ Reported staffed beds
109
2025 · reporting unit
⚙️ Operational beds
— UNKNOWN
No matched dated operational-bed count
🛏️ Reported available beds
132
2025 · reporting unit · historical count
❤️ Licensed ICU beds
4
2024 · annual utilization
👶 Licensed NICU beds
0
2024 · annual utilization
🤰 Licensed perinatal beds
0
2024 · annual utilization
🚑 ED treatment stations
14
December 31, 2024
📈 Licensed specialty-bed history
Licensed beds · annual utilization
Licensed beds202220232024
❤️ ICU444
👶 NICU000
🤰 Perinatal000
📈 ED treatment stations · December 31
ED treatment stations · December 31 · Stations
PeriodStations
202216
202314
202414
↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details
🔎 Records & complete history →
🚑 ED encounters · admitted + non-admitted
26,243
2024 · annual utilization↑ Increasing · 2022–2024
🛏️ ED admissions
2,346
2024 · annual utilization
⏱️ Median ED stay · excludes psych / transfers
154 min↓
2024-10-01–2025-09-30 · CMS reporting unit 050279Below national rate 162 min · numerical comparison
⏱️ Psychiatric / mental-health ED stay · median
153 min↓
2024-10-01–2025-09-30Below national rate 257 min · numerical comparison
⏱️ ED stay before transfer · median
409 min↑
2024-10-01–2025-09-30Above national rate 287 min · numerical comparison
🚑 Left before being seen
1%↓
2024-01-01–2024-12-31Below national rate 2% · numerical comparison
⏱️ Ambulance offload · 90th percentile
22.07 min
Mar 2025 · Hi-Desert Medical Center↑ Increasing · Oct 2024–Mar 2025
🚨 Ambulance diversion reported
No
2024 · annual utilization
⏱️ Boarding / wait time
— UNKNOWN
Boarding / wait measure not yet added to CNO
📈 Ambulance offload · 90th percentile · Oct 2024–Mar 2025
Ambulance offload · 90th percentile · Oct 2024–Mar 2025 · Minutes
PeriodMinutes
Oct 202419.92
Nov 202419.73
Dec 202424.55
Jan 202525.85
Feb 202520.42
Mar 202522.07
📈 ED encounters · admitted + non-admitted
ED encounters · admitted + non-admitted · Encounters
PeriodEncounters
202225,173
202324,721
202426,243
↑ Back to snapshot

🔄 Services & Changes

Open details

Service review not documented

All documented service changes →↑ Back to snapshot

💬 Patient experience, infections & outcomes

Open details

Patient Experience & Outcomes

CMS reporting unit 050279 · HI-DESERT MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well
72%↓Below national rate 80% · numerical comparison
2024-10-01–2025-09-30187 completed surveys · 12% response rate
Received help as soon as wanted
55%↓Below national rate 67% · numerical comparison
Legacy survey measure · 2024-01-01–2024-12-31195 completed surveys · 13% response rate

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculate
Catheter-associated urinary infections · CAUTI
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculate
MRSA bloodstream infections
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculate
C. diff infections
0.927↔CMS: no different from national benchmark
2024-10-01–2025-09-30No Different than National Benchmark
Surgical-site infections · colon surgery
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculate
Surgical-site infections · hysterectomy
— UNKNOWN
2024-10-01–2025-09-30CMS cannot calculate
30-day readmissions & mortality · risk-standardized rates

Unplanned readmissions within 30 days

Heart attack
— UNKNOWN
2023-07-01–2025-06-30Too few cases to report
Heart failure
21.1%↓Below national rate 21.3% · numerical comparison
2023-07-01–2025-06-30CMS cohort: 61 cases
Pneumonia
18.8%↑Above national rate 17.3% · numerical comparison
2023-07-01–2025-06-30CMS cohort: 202 cases
COPD
19.1%↓Below national rate 20% · numerical comparison
2023-07-01–2025-06-30CMS cohort: 58 cases
Coronary bypass surgery
— UNKNOWN
2023-07-01–2025-06-30No CMS result for this period
Hip/knee replacement
— UNKNOWN
2023-07-01–2025-06-30Too few cases to report

Deaths within 30 days

Heart attack
— UNKNOWN
2022-07-01–2025-06-30Too few cases to report
Heart failure
11.1%↔Equal to national rate 11.1% · numerical comparison
2022-07-01–2025-06-30CMS cohort: 32 cases
Pneumonia
19%↑Above national rate 15.2% · numerical comparison
2022-07-01–2025-06-30CMS cohort: 92 cases
COPD
9.8%↑Above national rate 8.6% · numerical comparison
2022-07-01–2025-06-30CMS cohort: 25 cases
Coronary bypass surgery
— UNKNOWN
2022-07-01–2025-06-30No CMS result for this period
Stroke
11.2%↓Below national rate 11.9% · numerical comparison
2023-07-01–2025-06-30CMS cohort: 36 cases
🔎 Measure records & sources →
↑ Back to snapshot

🔎 Sources

Open details
  • HCAI facility roster · 2026-10-01 · source row 347 · Retained roster
  • Download this hospital’s retained records and history (JSON)HCAI 106362041 · dates, source locators and original values included
  • RN labor and workload · records & history

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

    2022 · 2022-01-01–2022-12-31 · Audited

    Download preserved source · Official source · API record ID 146

    Retained record fields
    FieldValue
    year2022
    begin2022-01-01
    end2022-12-31
    reportDays365
    filingAudited
    typeComparable
    sourceRecord146
    nameHI-DESERT MEDICAL CENTER
    countySan Bernardino
    rnHours111704
    patientDays40300
    ratio2.7718114143920594
    components
    Open components
    Retained record fields
    FieldValue
    PRD_HR_RN111704
    PRD_HR_LVN54095
    PRD_HR_AID95915
    CNT_HR_RN59207
    nursingHours320921
    contractShare0.18449088716537715
    careDays
    Open careDays
    Retained record fields
    FieldValue
    DAY_ACUTE5331
    DAY_PSYCH0
    DAY_CHEM0
    DAY_REHAB0
    DAY_LTC34969
    DAY_RESDNT0
    2023 · 2023-01-01–2023-12-31 · Audited

    Download preserved source · Official source · API record ID 143

    Retained record fields
    FieldValue
    year2023
    begin2023-01-01
    end2023-12-31
    reportDays365
    filingAudited
    typeComparable
    sourceRecord143
    nameHI-DESERT MEDICAL CENTER
    countySan Bernardino
    rnHours82175
    patientDays39575
    ratio2.076437144662034
    components
    Open components
    Retained record fields
    FieldValue
    PRD_HR_RN82175
    PRD_HR_LVN37747
    PRD_HR_AID69426
    CNT_HR_RN80315
    nursingHours269663
    contractShare0.2978347047982111
    careDays
    Open careDays
    Retained record fields
    FieldValue
    DAY_ACUTE6544
    DAY_PSYCH0
    DAY_CHEM0
    DAY_REHAB0
    DAY_LTC33031
    DAY_RESDNT0
    2024 · 2024-01-01–2024-12-31 · Audited

    Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 144

    Retained record fields
    FieldValue
    year2024
    begin2024-01-01
    end2024-12-31
    reportDays366
    filingAudited
    typeComparable
    sourceRecord144
    nameHI-DESERT MEDICAL CENTER
    countySan Bernardino
    rnHours108702
    patientDays41521
    ratio2.6180005298523636
    components
    Open components
    Retained record fields
    FieldValue
    PRD_HR_RN108702
    PRD_HR_LVN38619
    PRD_HR_AID66413
    CNT_HR_RN74140
    nursingHours287874
    contractShare0.2575432307189951
    careDays
    Open careDays
    Retained record fields
    FieldValue
    DAY_ACUTE6454
    DAY_PSYCH0
    DAY_CHEM0
    DAY_REHAB0
    DAY_LTC35067
    DAY_RESDNT0
    Current CNO profile record · reported labor fieldsPreserved 2024 financial workbook
    Retained record fields
    FieldValue
    rnHours108702
    contractHours74140
    contractShare0.25754
    rnPerPatientDay2.618
    baseline0.04969
    historyUNIQUE
    filingAudited
  • Beds and capacity · records & history
    Official facility identity, campus scope & licensed beds · 2026-10-01Official HCAI roster · Retained source · row 347
    Retained record fields
    FieldValue
    officialNameHI-DESERT MEDICAL CENTER
    countySan Bernardino
    cityJOSHUA TREE
    address6601 WHITE FEATHER ROAD
    zip92252
    levelParent Facility
    categoryGeneral Acute Care Hospital
    statusOpen
    statusEffective1971-06-11
    licensedBeds179
    erServiceLevelEmergency - Basic
    licenseNumber240000231
    rosterDate2026-10-01
    checkedOn2026-10-12
    sourceRow347
    officialUrlhttps://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing
    sourceFile/downloads/coverage/hcai-current-20261001.json.gz
    aliases
    Open aliases
    Record 1HI-DESERT MEDICAL CENTER
    Record 2HI-DESERT MEDICAL CENTER D/P SNF
    parentId— UNKNOWN
    parentName— UNKNOWN
    cdphFacilityTypeGENERAL ACUTE CARE HOSPITAL
    crosswalkRows
    Open crosswalkRows
    Record 1
    Retained record fields
    FieldValue
    _id3197
    LICENSED_CERTIFIEDLICENSED AND CERTIFIED
    ELMS_FACID240000014
    LICENSE_NUMBER240000231
    LICENSE_STATUS_DESCRIPTIONACTIVE
    PERM_ID14100
    HCAI_ID106362041
    ASPEN_FACIDCA240000014
    CCN050279
    NPI1851787295
    ASPEN_STATUSACTIVE
    FACNAMEHI-DESERT MEDICAL CENTER
    FAC_TYPE_DESCRIPTIONGENERAL ACUTE CARE HOSPITAL
    FAC_FDRGENERAL ACUTE CARE HOSPITAL
    FAC_FAC_RELATIONSHIPParent
    ELMS_PARENT_FACID— UNKNOWN
    Record 2
    Retained record fields
    FieldValue
    _id3313
    LICENSED_CERTIFIEDLICENSED AND CERTIFIED
    ELMS_FACID240000925
    LICENSE_NUMBER240000231
    LICENSE_STATUS_DESCRIPTIONACTIVE
    PERM_ID14100
    HCAI_ID106362041
    ASPEN_FACIDCA240000925
    CCN555443
    NPI1639565088
    ASPEN_STATUSACTIVE
    FACNAMEHI-DESERT MEDICAL CENTER D/P SNF
    FAC_TYPE_DESCRIPTIONSKILLED NURSING FACILITY
    FAC_FDRSKILLED NURSING FACILITY
    FAC_FAC_RELATIONSHIPDistinct Part
    ELMS_PARENT_FACID240000014
    addedByCoverageAuditfalse
    Retained record fields
    FieldValue
    licensedBeds179
    staffedBeds109
    availableBeds132
    reportingYear2025
    scopeWorkforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.
    Licensed beds by care type · 2022 · 2022-01-01–2022-12-31Preserved utilization workbook · Page 1-6 · row 336
    Retained record fields
    FieldValue
    year2022
    begin2022-01-01
    end2022-12-31
    operatedYes
    beds
    Open beds
    Retained record fields
    FieldValue
    acute59
    psychiatric0
    chemical0
    skilledNursing120
    intermediateCare0
    developmentalCare0
    total179
    sourceRow336
    sourceIdAUR-2022
    Licensed beds by care type · 2023 · 2023-01-01–2023-12-31Preserved utilization workbook · Page 1-6 · row 338
    Retained record fields
    FieldValue
    year2023
    begin2023-01-01
    end2023-12-31
    operatedYes
    beds
    Open beds
    Retained record fields
    FieldValue
    acute59
    psychiatric0
    chemical0
    skilledNursing120
    intermediateCare0
    developmentalCare0
    total179
    sourceRow338
    sourceIdAUR-2023
    Licensed beds by care type · 2024 · 2024-01-01–2024-12-31Preserved utilization workbook · Page 1-6 · row 338
    Retained record fields
    FieldValue
    year2024
    begin2024-01-01
    end2024-12-31
    operatedYes
    beds
    Open beds
    Retained record fields
    FieldValue
    acute59
    psychiatric0
    chemical0
    skilledNursing120
    intermediateCare0
    developmentalCare0
    total179
    sourceRow338
    sourceIdAUR-2024
  • ED activity, specialty beds and diversion · records & history
    2022 · 2022-01-01–2022-12-31

    Download preserved workbook · Official source · HCAI 106362041 · source row 336

    Retained record fields
    FieldValue
    year2022
    begin2022-01-01
    end2022-12-31
    operatedYes
    sourceIdAUR-2022
    sourceRow336
    diversionReportedNo
    icuLicensed4
    nicuLicensed0
    perinatalLicensed0
    edStations16
    edNonAdmitVisits23303
    edAdmissions1870
    diversionHours— UNKNOWN
    2023 · 2023-01-01–2023-12-31

    Download preserved workbook · Official source · HCAI 106362041 · source row 338

    Retained record fields
    FieldValue
    year2023
    begin2023-01-01
    end2023-12-31
    operatedYes
    sourceIdAUR-2023
    sourceRow338
    diversionReportedNo
    icuLicensed4
    nicuLicensed0
    perinatalLicensed0
    edStations14
    edNonAdmitVisits22583
    edAdmissions2138
    diversionHours— UNKNOWN
    2024 · 2024-01-01–2024-12-31

    Download preserved workbook · Official source · HCAI 106362041 · source row 338

    Retained record fields
    FieldValue
    year2024
    begin2024-01-01
    end2024-12-31
    operatedYes
    sourceIdAUR-2024
    sourceRow338
    diversionReportedNo
    icuLicensed4
    nicuLicensed0
    perinatalLicensed0
    edStations14
    edNonAdmitVisits23897
    edAdmissions2346
    diversionHours— UNKNOWN
  • CMS ED measures · records & history

    CMS 050279 · HI-DESERT 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 11589
    Retained record fields
    FieldValue
    value154
    raw154
    sample390
    footnote
    start2024-10-01
    end2025-09-30
    sourceRow11589
    measureNameAverage (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 11590
    Retained record fields
    FieldValue
    value153
    raw153
    sample21
    footnote
    start2024-10-01
    end2025-09-30
    sourceRow11590
    measureNameAverage (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 11591
    Retained record fields
    FieldValue
    value409
    raw409
    sample26
    footnote
    start2024-10-01
    end2025-09-30
    sourceRow11591
    measureNameAverage (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 11592
    Retained record fields
    FieldValue
    value1
    raw1
    sample27138
    footnote
    start2024-01-01
    end2024-12-31
    sourceRow11592
    measureNameLeft before being seen
  • Ambulance offload · records & history

    Hi-Desert Medical Center · CEMSIS 20165 · unique normalized hospital / retained CMS name + EMS geography

    Download preserved report · Official report

    Record 1 · 2024-10
    Retained record fields
    FieldValue
    month2024-10
    minutes19.916666666666668
    offloadCount520
    countPage32
    rawTime0:19:55
    sourceIdEMSA-APOT-JUNE2025
    page19
    row54
    Record 2 · 2024-11
    Retained record fields
    FieldValue
    month2024-11
    minutes19.733333333333334
    offloadCount535
    countPage37
    rawTime0:19:44
    sourceIdEMSA-APOT-JUNE2025
    page19
    row54
    Record 3 · 2024-12
    Retained record fields
    FieldValue
    month2024-12
    minutes24.55
    offloadCount598
    countPage42
    rawTime0:24:33
    sourceIdEMSA-APOT-JUNE2025
    page19
    row54
    Record 4 · 2025-01
    Retained record fields
    FieldValue
    month2025-01
    minutes25.85
    offloadCount565
    countPage47
    rawTime0:25:51
    sourceIdEMSA-APOT-JUNE2025
    page19
    row54
    Record 5 · 2025-02
    Retained record fields
    FieldValue
    month2025-02
    minutes20.416666666666668
    offloadCount507
    countPage52
    rawTime0:20:25
    sourceIdEMSA-APOT-JUNE2025
    page19
    row54
    Record 6 · 2025-03
    Retained record fields
    FieldValue
    month2025-03
    minutes22.066666666666666
    offloadCount575
    countPage57
    rawTime0:22:04
    sourceIdEMSA-APOT-JUNE2025
    page19
    row54
  • CMS patient experience, infection, readmission & mortality records

    CMS 050279 · HI-DESERT MEDICAL CENTER · 6601 WHITE FEATHER ROAD, JOSHUA TREE 92252 · unique normalized address + city + ZIP

    Exact CMS records · reporting unit 050279
    MeasureReported valuePeriodSource / rowCMS footnotes
    H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well722024-10-01–2025-09-30hcahps / 27270None
    H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted552024-01-01–2024-12-31responsiveness / 37509None
    HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Not Available2024-10-01–2025-09-30hai / 1444313CMS cannot calculate
    HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases02024-10-01–2025-09-30hai / 14442None
    HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.5162024-10-01–2025-09-30hai / 14441None
    HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot Available2024-10-01–2025-09-30hai / 1443813CMS cannot calculate
    HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot Available2024-10-01–2025-09-30hai / 1443913CMS cannot calculate
    HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Not Available2024-10-01–2025-09-30hai / 1444913CMS cannot calculate
    HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases02024-10-01–2025-09-30hai / 14448None
    HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.8032024-10-01–2025-09-30hai / 14447None
    HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot Available2024-10-01–2025-09-30hai / 1444413CMS cannot calculate
    HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot Available2024-10-01–2025-09-30hai / 1444513CMS cannot calculate
    HAI_3_SIRSSI - Colon SurgeryNot Available2024-10-01–2025-09-30hai / 1445513CMS cannot calculate
    HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases02024-10-01–2025-09-30hai / 14454None
    HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases0.3152024-10-01–2025-09-30hai / 14453None
    HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence LimitNot Available2024-10-01–2025-09-30hai / 1445013CMS cannot calculate
    HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence LimitNot Available2024-10-01–2025-09-30hai / 1445113CMS cannot calculate
    HAI_4_SIRSSI - Abdominal HysterectomyNot Available2024-10-01–2025-09-30hai / 1446113CMS cannot calculate
    HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases02024-10-01–2025-09-30hai / 14460None
    HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases0.1462024-10-01–2025-09-30hai / 14459None
    HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence LimitNot Available2024-10-01–2025-09-30hai / 1445613CMS cannot calculate
    HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence LimitNot Available2024-10-01–2025-09-30hai / 1445713CMS cannot calculate
    HAI_5_SIRMRSA BacteremiaNot Available2024-10-01–2025-09-30hai / 1446713CMS cannot calculate
    HAI_5_NUMERATORMRSA Bacteremia: Observed Cases02024-10-01–2025-09-30hai / 14466None
    HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases0.1862024-10-01–2025-09-30hai / 14465None
    HAI_5_CILOWERMRSA Bacteremia: Lower Confidence LimitNot Available2024-10-01–2025-09-30hai / 1446213CMS cannot calculate
    HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence LimitNot Available2024-10-01–2025-09-30hai / 1446313CMS cannot calculate
    HAI_6_SIRClostridium Difficile (C.Diff)0.9272024-10-01–2025-09-30hai / 14473None
    HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases22024-10-01–2025-09-30hai / 14472None
    HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases2.1572024-10-01–2025-09-30hai / 14471None
    HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit0.1552024-10-01–2025-09-30hai / 14468None
    HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit3.0632024-10-01–2025-09-30hai / 14469None
    READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission RateNot AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available2023-07-01–2025-06-30readmissions / 56241Too few cases to report
    READM_30_HFHeart failure (HF) 30-Day Readmission Rate21.1CMS cohort: 61Lower estimate: Not AvailableHigher estimate: Not Available2023-07-01–2025-06-30readmissions / 5627None
    READM_30_PNPneumonia (PN) 30-Day Readmission Rate18.8CMS cohort: 202Lower estimate: Not AvailableHigher estimate: Not Available2023-07-01–2025-06-30readmissions / 5629None
    READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1CMS cohort: 58Lower estimate: Not AvailableHigher estimate: Not Available2023-07-01–2025-06-30readmissions / 5626None
    READM_30_CABGRate of readmission for CABGNot AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available2023-07-01–2025-06-30readmissions / 56255No CMS result for this period
    READM_30_HIP_KNEERate of readmission after hip/knee replacementNot AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available2023-07-01–2025-06-30readmissions / 56281Too few cases to report
    MORT_30_AMIDeath rate for heart attack patientsNot AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available2022-07-01–2025-06-30mortality / 80241Too few cases to report
    MORT_30_HFDeath rate for heart failure patients11.1CMS cohort: 32Lower estimate: Not AvailableHigher estimate: Not Available2022-07-01–2025-06-30mortality / 8027None
    MORT_30_PNDeath rate for pneumonia patients19CMS cohort: 92Lower estimate: Not AvailableHigher estimate: Not Available2022-07-01–2025-06-30mortality / 8028None
    MORT_30_COPDDeath rate for COPD patients9.8CMS cohort: 25Lower estimate: Not AvailableHigher estimate: Not Available2022-07-01–2025-06-30mortality / 8026None
    MORT_30_CABGDeath rate for CABG surgery patientsNot AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available2022-07-01–2025-06-30mortality / 80255No CMS result for this period
    MORT_30_STKDeath rate for stroke patients11.2CMS cohort: 36Lower estimate: Not AvailableHigher estimate: Not Available2023-07-01–2025-06-30mortality / 8029None
    CMS footnote definitions · HCAHPS survey versions
  • 2022–2024 annual nursing history · source records & calculations
    HCAI 106362041 · annual financial reporting unit
    ReportReporting periodProductive RN hoursPatient daysContract RN hoursNursing hours
    20222022-01-01–2022-12-31111,70440,30059,207320,921
    20232023-01-01–2023-12-3182,17539,57580,315269,663
    20242024-01-01–2024-12-31108,70241,52174,140287,874

    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).

  • Licensed care categories · 2022–2024 history & source rows
    Licensed beds · annual utilization reporting unit
    Care type202220232024
    Acute care595959
    Skilled nursing / LTC120120120
    Reported total179179179
  • 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 106362041 · HADR 01-01-2024 to 12-31-2024 · row 144 · Audited · 2024-01-01–2024-12-31

    Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.

    Productive RN hours: 108,702 ÷ total patient days: 41,521

    • Acute care: 6,454 patient days
    • Psychiatric: 0 patient days
    • Chemical dependency: 0 patient days
    • Rehabilitation: 0 patient days
    • Long-term care: 35,067 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

    Hi-Desert Medical Center · ICEMA · CEMSIS 20165 · unique normalized hospital / retained CMS name + EMS geography

    • Oct 2024: 0:19:55 · 90th percentile · 520 qualifying offloads · page 19 · count page 32
    • Nov 2024: 0:19:44 · 90th percentile · 535 qualifying offloads · page 19 · count page 37
    • Dec 2024: 0:24:33 · 90th percentile · 598 qualifying offloads · page 19 · count page 42
    • Jan 2025: 0:25:51 · 90th percentile · 565 qualifying offloads · page 19 · count page 47
    • Feb 2025: 0:20:25 · 90th percentile · 507 qualifying offloads · page 19 · count page 52
    • Mar 2025: 0:22:04 · 90th percentile · 575 qualifying offloads · page 19 · count page 57
  • CMS ED measures · reporting unit 050279 · HI-DESERT MEDICAL CENTER · Preserved file
    CMS values, dates & identity match

    6601 WHITE FEATHER ROAD, JOSHUA TREE 92252 · unique normalized address + city + ZIP

    • OP_18b: 154 · 2024-10-01–2025-09-30 · sample 390
    • OP_18c: 153 · 2024-10-01–2025-09-30 · sample 21
    • OP_18d: 409 · 2024-10-01–2025-09-30 · sample 26
    • OP_22: 1 · 2024-01-01–2024-12-31 · sample 27138
    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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Evidence standards & methodology →↑ Back to snapshot
Research record, provenance & reporting scope
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Hi-Desert Medical Center

San Bernardino County · HCAI 106362041

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 is reported?

This facility is listed, but its records have not received the additional hospital-specific review shown on reviewed profiles.

Reported RN labor108,702 productive RN hours.
108,702Hospital-wide productive RN hours · 2024
Contract RN share25.8% of reported RN labor.
25.8%Agency, registry, or contract RN share · 2024
Reported RN intensity2.6 RN hours per patient day.
2.6Hospital-wide annual proxy · 2024
Reported capacity109 staffed beds.
132 → 109Available → staffed beds · 2025

Where the numbers came from.

Capacity source

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

Open California health data ↗
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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