🏥 Kaiser Foundation Hospital - San Marcos

San Diego County · HCAI 106370028

360 RUSH DRIVE, SAN MARCOS 92078

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: 25.04—
Productive RN hours: 612,606
RN-only FTEs · productive, calculated: 294.52

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 4.1%—
Contract RN hours: 28,900

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 168
🛏️ Reported staffed beds: 61—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 168
❤️ Licensed ICU beds: 10
👶 Licensed NICU beds: 6
🤰 Licensed perinatal beds: 32
🚑 ED treatment stations: 39

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 48,038
🛏️ ED admissions: 4,437
⏱️ Median ED stay · excludes psych / transfers: — UNKNOWN
⏱️ Ambulance offload · 90th percentile: 27.25 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

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

Pay, overtime, orientation and contract records →

History & details →

💬 Patient experience

Nurses communicated well · Always: 84%↑
Help as soon as wanted · Always · legacy measure: — UNKNOWN

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 1.160↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.378↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 1.381↔CMS: no different from national benchmark
C. diff infections · SIR: 0.732↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 1.011↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 14.2%↓
Heart failure: 22.6%↑
Pneumonia: 16.8%↓
COPD: 19.4%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.6%↓

30-day mortality

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: — UNKNOWN
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: 11.9%↔

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

2023–2024: ED encounters increased from 16,525 to 48,038.

🚑 ED activity · ↑ 190.7%

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
2023-08-09–2023-12-31	301,612	10,662	8,584	Audited	Preserved fileAPI record ID 178
2024-01-01–2024-12-31	612,606	28,900	24,462	In Process	Preserved fileHADR 01-01-2024 to 12-31-2024 row 179

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day: 25.04
Productive RN hours: 612,606
RN-only FTEs · productive, calculated: 294.52

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 4.1%
Contract RN hours: 28,900

📈 Historical trend: — UNKNOWN

↑ 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 →

🏥 Reported licensed beds: 168
🛏️ Reported staffed beds: 61
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 168
❤️ Licensed ICU beds: 10
👶 Licensed NICU beds: 6
🤰 Licensed perinatal beds: 32
🚑 ED treatment stations: 39

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2023	2024
❤️ ICU	10	10
👶 NICU	6	6
🤰 Perinatal	32	32

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2023	39
2024	39

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 48,038
🛏️ ED admissions: 4,437
⏱️ Median ED stay · excludes psych / transfers: — UNKNOWN
⏱️ Ambulance offload · 90th percentile: 27.25 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 Ambulance offload · 90th percentile · Oct 2024–Mar 2025

Ambulance offload · 90th percentile · Oct 2024–Mar 2025 · Minutes
Period	Minutes
Oct 2024	31.72
Nov 2024	29.67
Dec 2024	32.92
Jan 2025	38.35
Feb 2025	32.38
Mar 2025	27.25

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2023	16,525
2024	48,038

↑ 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 050855 · KAISER FOUNDATION HOSPITAL - SAN MARCOS

Patients who answered “Always”

Nurses communicated well: 84%↑Above national rate 80% · numerical comparison
Received help as soon as wanted: — UNKNOWN

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050855 · KAISER FOUNDATION HOSPITAL - SAN MARCOS

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 1.160↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 0.378↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 1.381↔CMS: no different from national benchmark
C. diff infections · SIR: 0.732↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 1.011↔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 050855 · KAISER FOUNDATION HOSPITAL - SAN MARCOS

Unplanned readmissions within 30 days

Heart attack: 14.2%↓Below national rate 14.4% · numerical comparison
Heart failure: 22.6%↑Above national rate 21.3% · numerical comparison
Pneumonia: 16.8%↓Below national rate 17.3% · numerical comparison
COPD: 19.4%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.6%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: — UNKNOWN
Heart failure: — UNKNOWN
Pneumonia: — UNKNOWN
COPD: — UNKNOWN
Coronary bypass surgery: — UNKNOWN
Stroke: 11.9%↔Equal to national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 360 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106370028 · dates, source locators and original values included

RN labor and workload · records & history

RN trend comparison: not included. Contract-share trend comparison: not included.

2023 · 2023-08-09–2023-12-31 · Audited

Download preserved source · Official source · API record ID 178

Field

Value

year

2023

begin

2023-08-09

end

2023-12-31

reportDays

145

filing

Audited

type

Kaiser

sourceRecord

178

name

KAISER FOUNDATION HOSPITAL - SAN MARCOS

county

San Diego

rnHours

301612

patientDays

8584

ratio

35.136533084808946

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	301612
PRD_HR_LVN	0
PRD_HR_AID	28849
CNT_HR_RN	10662

nursingHours

341123

contractShare

0.031255588160282365

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	8584
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2024 · 2024-01-01–2024-12-31 · In Process

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 179

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

In Process

type

Kaiser

sourceRecord

179

name

KAISER FOUNDATION HOSPITAL - SAN MARCOS

county

San Diego

rnHours

612606

patientDays

24462

ratio

25.04316899681138

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	612606
PRD_HR_LVN	0
PRD_HR_AID	62949
CNT_HR_RN	28900

nursingHours

704455

contractShare

0.04102462187080793

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	24462
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	612606
contractHours	28900
contractShare	0.04102
rnPerPatientDay	25.04317
baseline	— UNKNOWN
history	MISSING
filing	In Process

Beds and capacity · records & history

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

Official HCAI roster · Retained source · row 360

Field

Value

officialName

KAISER FOUNDATION HOSPITAL - SAN MARCOS

county

San Diego

city

SAN MARCOS

address

360 RUSH DRIVE

zip

92078

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

2023-07-14

licensedBeds

168

erServiceLevel

Emergency - Basic

licenseNumber

550008664

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

360

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

KAISER FOUNDATION HOSPITAL - SAN MARCOS

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	13712
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	630027120
LICENSE_NUMBER	550008664
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10028
HCAI_ID	106370028
ASPEN_FACID	CA630027120
CCN	050855
NPI	— UNKNOWN
ASPEN_STATUS	ACTIVE
FACNAME	KAISER FOUNDATION HOSPITAL - SAN MARCOS
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	168
staffedBeds	61
availableBeds	168
reportingYear	2025
scope	Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.

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

Preserved utilization workbook · Page 1-6 · row 350

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	168
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

168

sourceRow

350

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 350

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	168
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

168

sourceRow

350

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106370028 · source row 350

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	350
diversionReported	No
icuLicensed	10
nicuLicensed	6
perinatalLicensed	32
edStations	39
edNonAdmitVisits	15028
edAdmissions	1497
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106370028 · source row 350

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	350
diversionReported	No
icuLicensed	10
nicuLicensed	6
perinatalLicensed	32
edStations	39
edNonAdmitVisits	43601
edAdmissions	4437
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050855 · KAISER FOUNDATION HOSPITAL - SAN MARCOS · 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 16338

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-10-01
end	2025-09-30
sourceRow	16338
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 16339

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-10-01
end	2025-09-30
sourceRow	16339
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 16340

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-10-01
end	2025-09-30
sourceRow	16340
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 16341

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	5
start	2024-01-01
end	2024-12-31
sourceRow	16341
measureName	Left before being seen

Ambulance offload · records & history
Kaiser Foundation Hospital, San Marcos · CEMSIS 62989 · 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 31.716666666666665
offloadCount 192
countPage 31
rawTime 0:31:43
sourceId EMSA-APOT-JUNE2025
page 22
row 36
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 29.666666666666668
offloadCount 242
countPage 36
rawTime 0:29:40
sourceId EMSA-APOT-JUNE2025
page 22
row 36
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 32.916666666666664
offloadCount 251
countPage 41
rawTime 0:32:55
sourceId EMSA-APOT-JUNE2025
page 22
row 36
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 38.35
offloadCount 260
countPage 46
rawTime 0:38:21
sourceId EMSA-APOT-JUNE2025
page 22
row 36
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 32.38333333333333
offloadCount 250
countPage 51
rawTime 0:32:23
sourceId EMSA-APOT-JUNE2025
page 22
row 36
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 27.25
offloadCount 277
countPage 56
rawTime 0:27:15
sourceId EMSA-APOT-JUNE2025
page 22
row 36

CMS patient experience, infection, readmission & mortality records

CMS 050855 · KAISER FOUNDATION HOSPITAL - SAN MARCOS · 360 RUSH DR, SAN MARCOS 92078 · 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 050855
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	84	2024-10-01–2025-09-30	hcahps / 38286	None
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 / 52668	5No CMS result for this period
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	1.160	2024-10-01–2025-09-30	hai / 20275	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	2	2024-10-01–2025-09-30	hai / 20274	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	1.724	2024-10-01–2025-09-30	hai / 20273	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.194	2024-10-01–2025-09-30	hai / 20270	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	3.833	2024-10-01–2025-09-30	hai / 20271	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.378	2024-10-01–2025-09-30	hai / 20281	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 20280	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	2.643	2024-10-01–2025-09-30	hai / 20279	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.019	2024-10-01–2025-09-30	hai / 20276	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.866	2024-10-01–2025-09-30	hai / 20277	None
HAI_3_SIRSSI - Colon Surgery	1.011	2024-10-01–2025-09-30	hai / 20287	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	3	2024-10-01–2025-09-30	hai / 20286	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	2.966	2024-10-01–2025-09-30	hai / 20285	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.257	2024-10-01–2025-09-30	hai / 20282	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	2.753	2024-10-01–2025-09-30	hai / 20283	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 20293	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	1	2024-10-01–2025-09-30	hai / 20292	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.063	2024-10-01–2025-09-30	hai / 20291	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20288	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20289	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	1.381	2024-10-01–2025-09-30	hai / 20299	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	2	2024-10-01–2025-09-30	hai / 20298	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	1.448	2024-10-01–2025-09-30	hai / 20297	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.232	2024-10-01–2025-09-30	hai / 20294	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	4.563	2024-10-01–2025-09-30	hai / 20295	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.732	2024-10-01–2025-09-30	hai / 20305	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	14	2024-10-01–2025-09-30	hai / 20304	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	19.119	2024-10-01–2025-09-30	hai / 20303	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.417	2024-10-01–2025-09-30	hai / 20300	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	1.199	2024-10-01–2025-09-30	hai / 20301	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	14.2CMS cohort: 39Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7892	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	22.6CMS cohort: 333Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7895	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	16.8CMS cohort: 350Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7897	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.4CMS cohort: 90Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7894	None
READM_30_CABGRate of readmission for CABG	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7893	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5.6CMS cohort: 28Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7896	None
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 / 11264	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11267	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 / 11268	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 / 11266	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 / 11265	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	11.9CMS cohort: 85Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 11269	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	1893	2024-10-01–2025-09-30	hai / 20272	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	2667	2024-10-01–2025-09-30	hai / 20278	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	126	2024-10-01–2025-09-30	hai / 20284	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	8	2024-10-01–2025-09-30	hai / 20290	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	33321	2024-10-01–2025-09-30	hai / 20296	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	32588	2024-10-01–2025-09-30	hai / 20302	None

CMS footnote definitions · HCAHPS survey versions

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 106370028 · HADR 01-01-2024 to 12-31-2024 · row 179 · In Process · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 612,606 ÷ total patient days: 24,462
- Acute care: 24,462 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 22 · Preserved report
Offload hospital identity & source times
Kaiser Foundation Hospital, San Marcos · San Diego · CEMSIS 62989 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:31:43 · 90th percentile · 192 qualifying offloads · page 22 · count page 31
- Nov 2024: 0:29:40 · 90th percentile · 242 qualifying offloads · page 22 · count page 36
- Dec 2024: 0:32:55 · 90th percentile · 251 qualifying offloads · page 22 · count page 41
- Jan 2025: 0:38:21 · 90th percentile · 260 qualifying offloads · page 22 · count page 46
- Feb 2025: 0:32:23 · 90th percentile · 250 qualifying offloads · page 22 · count page 51
- Mar 2025: 0:27:15 · 90th percentile · 277 qualifying offloads · page 22 · count page 56
CMS ED measures · reporting unit 050855 · KAISER FOUNDATION HOSPITAL - SAN MARCOS · Preserved file
CMS values, dates & identity match
360 RUSH DR, SAN MARCOS 92078 · unique normalized address + city + ZIP
- OP_18b: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 5
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 5
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 5
- OP_22: Not Available · 2024-01-01–2024-12-31 · sample Not Available · CMS footnote 5
Preserved hospital identities · CMS footnote definitions
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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Public Record Profile · No state call

Kaiser Foundation Hospital - San Marcos

San Diego County · HCAI 106370028

Profile statusLISTED — NOT YET REVIEWEDDescriptive profile · two source layers2024 financial filing in process2024 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 labor612,606 productive RN hours.

612,606Hospital-wide productive RN hours · 2024

Contract RN share4.1% of reported RN labor.

4.1%Agency, registry, or contract RN share · 2024

Reported RN intensity25 RN hours per patient day.

25Hospital-wide annual proxy · 2024

Reported capacity61 staffed beds.

168 → 61Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106370028.

Open official facility source ↗

Workforce source

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

Open HCAI hospital financials ↗

Capacity source

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

Open California health data ↗

Next evidence step

Acquire third independent audited domain before any state call.

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Use the gap

What changed in patient demand, staffed capacity, and permanent RN coverage during the same reporting period—and what happened on my unit?

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Field	Value
month	2024-10
minutes	31.716666666666665
offloadCount	192
countPage	31
rawTime	0:31:43
sourceId	EMSA-APOT-JUNE2025
page	22
row	36

Field	Value
month	2024-11
minutes	29.666666666666668
offloadCount	242
countPage	36
rawTime	0:29:40
sourceId	EMSA-APOT-JUNE2025
page	22
row	36

Field	Value
month	2024-12
minutes	32.916666666666664
offloadCount	251
countPage	41
rawTime	0:32:55
sourceId	EMSA-APOT-JUNE2025
page	22
row	36

Field	Value
month	2025-01
minutes	38.35
offloadCount	260
countPage	46
rawTime	0:38:21
sourceId	EMSA-APOT-JUNE2025
page	22
row	36

Field	Value
month	2025-02
minutes	32.38333333333333
offloadCount	250
countPage	51
rawTime	0:32:23
sourceId	EMSA-APOT-JUNE2025
page	22
row	36

Field	Value
month	2025-03
minutes	27.25
offloadCount	277
countPage	56
rawTime	0:27:15
sourceId	EMSA-APOT-JUNE2025
page	22
row	36