🏥 Tri-City Medical Center

San Diego County · HCAI 106370780

4002 VISTA WAY, OCEANSIDE 92056

Open · Hospital facility · roster 2026-10-01

Acute care + rehabilitation 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 + rehabilitation reporting unit · RN hours / patient day: 13.12↑
Productive RN hours: 547,339
RN-only FTEs · productive, calculated: 263.14

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 12.2%↓
Contract RN hours: 105,102

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 386
🛏️ Reported staffed beds: 151—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 386
❤️ Licensed ICU beds: 14
👶 Licensed NICU beds: 20
🤰 Licensed perinatal beds: 38
🚑 ED treatment stations: 40

Licensed care types · 2024 reporting unit

Acute care: 368
Psychiatric: 18

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 45,853
🛏️ ED admissions: 7,094
⏱️ Median ED stay · excludes psych / transfers: 248 min↑
⏱️ Psychiatric / mental-health ED stay · median: 324 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 43 min
🚨 Reported diversion hours: 8 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: 71%↓
Help as soon as wanted · Always · legacy measure: 56%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.974↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 1.052↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 1.103↔CMS: no different from national benchmark
C. diff infections · SIR: 0.390↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 1.522↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 15.1%↑
Heart failure: 21.7%↑
Pneumonia: 18%↑
COPD: 20%↔
Coronary bypass surgery: 11.9%↑
Hip/knee replacement: 6.8%↑

30-day mortality

Heart attack: 13%↑
Heart failure: 10.8%↓
Pneumonia: 17.1%↑
COPD: 10.1%↑
Coronary bypass surgery: — UNKNOWN
Stroke: 15.6%↑

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

Charge-nurse patient assignment — UNKNOWN · charge availability affects every nurse’s backupIs the charge nurse free of a patient assignment on this unit? If not, is it a partial or full assignment, how many patients, and how often? What dedicated RN/LVN support is provided, and who covers charge duties during emergencies?Source →

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

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

Pay, overtime, orientation & contract

RN overtime: UNKNOWN — no matched RN-specific hours
Current RN wage scale: UNKNOWN — no matched current scale
Orientation: UNKNOWN — no matched unit policy
Contract provisions: UNKNOWN — no executed local contract reviewed

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

2022–2024: ED encounters decreased from 52,389 to 45,853.

🚑 ED activity · ↓ 12.5%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2021-07-01–2022-06-30	701,075	192,617	57,526	Audited	Preserved fileAPI record ID 420
2022-07-01–2023-06-30	610,495	198,644	43,129	Audited	Preserved fileAPI record ID 424
2023-07-01–2024-06-30	547,339	105,102	41,709	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 418

Full source records & reporting scope →

🔎 Records & complete history →

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

13.12

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

California peer comparison

Peer median: 14.85
Typical reported range · middle 50%: 11.14–19.49

RN hours / patient day · 191 audited 2024 reports

Mostly acute-care patient days

95.3% of this report’s patient days: acute care

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

547,339

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

263.14

2023-07-01–2024-06-30 · productive RN hours ÷ 2,080

📈 RN hours per patient day · annual reports

RN hours per patient day · annual reports · RN hours / patient day
Period	RN hours / patient day
2022	12.19
2023	14.16
2024	13.12

2022–2024 pattern: RN hours per patient day went from 12.19 to 13.12.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 12.2%
Contract RN hours: 105,102

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	16.91
2023	19.1
2024	12.23

2022–2024 pattern: contract RN share went from 16.9% to 12.2%.

2018–2019 baseline: 10.8%.

↑ 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: 368
🛏️ Psychiatric licensed beds: 18
🏥 Total licensed beds · reporting unit: 386

🔎 2024 annual utilization · source & history

🏥 Reported licensed beds: 386
🛏️ Reported staffed beds: 151
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 386
❤️ Licensed ICU beds: 14
👶 Licensed NICU beds: 20
🤰 Licensed perinatal beds: 38
🚑 ED treatment stations: 40

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	14	14	14
👶 NICU	20	20	20
🤰 Perinatal	38	38	38

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	40
2023	40
2024	40

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 45,853
🛏️ ED admissions: 7,094
⏱️ Median ED stay · excludes psych / transfers: 248 min↑
⏱️ Psychiatric / mental-health ED stay · median: 324 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 43 min
🚨 Reported diversion hours: 8 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	47.57
Nov 2024	48.8
Dec 2024	89.52
Jan 2025	84.93
Feb 2025	67.07
Mar 2025	46.97

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	52,389
2023	47,808
2024	45,853

📈 Reported diversion hours

Reported diversion hours · Hours
Period	Hours
2022	134
2023	213
2024	8

↑ 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 050128 · TRI-CITY MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 71%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 56%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050128 · TRI-CITY MEDICAL CENTER

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.974↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI · SIR: 1.052↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 1.103↔CMS: no different from national benchmark
C. diff infections · SIR: 0.390↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 1.522↔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 050128 · TRI-CITY MEDICAL CENTER

Unplanned readmissions within 30 days

Heart attack: 15.1%↑Above national rate 14.4% · numerical comparison
Heart failure: 21.7%↑Above national rate 21.3% · numerical comparison
Pneumonia: 18%↑Above national rate 17.3% · numerical comparison
COPD: 20%↔Equal to national rate 20% · numerical comparison
Coronary bypass surgery: 11.9%↑Above national rate 11% · numerical comparison
Hip/knee replacement: 6.8%↑Above national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 13%↑Above national rate 11.9% · numerical comparison
Heart failure: 10.8%↓Below national rate 11.1% · numerical comparison
Pneumonia: 17.1%↑Above national rate 15.2% · numerical comparison
COPD: 10.1%↑Above national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 15.6%↑Above national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 377 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106370780 · 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 420

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

420

name

TRI-CITY MEDICAL CENTER

county

San Diego

rnHours

701075

patientDays

57526

ratio

12.187098007857317

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	701075
PRD_HR_LVN	13631
PRD_HR_AID	231930
CNT_HR_RN	192617

nursingHours

1139253

contractShare

0.16907306805424255

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	55155
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	2371
DAY_LTC	0
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 424

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

424

name

TRI-CITY MEDICAL CENTER

county

San Diego

rnHours

610495

patientDays

43129

ratio

14.155092860952028

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	610495
PRD_HR_LVN	21228
PRD_HR_AID	209605
CNT_HR_RN	198644

nursingHours

1039972

contractShare

0.19100898870354202

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	41275
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	1854
DAY_LTC	0
DAY_RESDNT	0

2024 · 2023-07-01–2024-06-30 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 418

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

418

name

TRI-CITY MEDICAL CENTER

county

San Diego

rnHours

547339

patientDays

41709

ratio

13.122803231916373

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	547339
PRD_HR_LVN	25614
PRD_HR_AID	181295
CNT_HR_RN	105102

nursingHours

859350

contractShare

0.12230406702740443

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	39730
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	1979
DAY_LTC	0
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	547339
contractHours	105102
contractShare	0.1223
rnPerPatientDay	13.1228
baseline	0.10804
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 377

Field

Value

officialName

TRI-CITY MEDICAL CENTER

county

San Diego

city

OCEANSIDE

address

4002 VISTA WAY

zip

92056

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1961-07-11

licensedBeds

368

erServiceLevel

Emergency - Basic

licenseNumber

080000099

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

377

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

TRI-CITY MEDICAL CENTER

Record 2

TRI-CITY MEDICAL CENTER D/P APH

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	1615
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	080000152
LICENSE_NUMBER	080000099
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	12372
HCAI_ID	106370780
ASPEN_FACID	CA080000152
CCN	050128
NPI	1801861190
ASPEN_STATUS	ACTIVE
FACNAME	TRI-CITY MEDICAL CENTER
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

Record 2

Retained record fields
Field	Value
_id	1639
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	080000387
LICENSE_NUMBER	080000099
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	12372
HCAI_ID	106370780
ASPEN_FACID	CA080000152
CCN	050128
NPI	1801861190
ASPEN_STATUS	ACTIVE
FACNAME	TRI-CITY MEDICAL CENTER D/P APH
FAC_TYPE_DESCRIPTION	ACUTE PSYCHIATRIC HOSPITAL
FAC_FDR	ACUTE PSYCHIATRIC HOSPITAL
FAC_FAC_RELATIONSHIP	Distinct Part
ELMS_PARENT_FACID	080000152

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	386
staffedBeds	151
availableBeds	386
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 362

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	368
psychiatric	18
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

386

sourceRow

362

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 365

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	368
psychiatric	18
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

386

sourceRow

365

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 365

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	368
psychiatric	18
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

386

sourceRow

365

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106370780 · source row 362

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	362
diversionReported	Yes
icuLicensed	14
nicuLicensed	20
perinatalLicensed	38
edStations	40
edNonAdmitVisits	44246
edAdmissions	8143
diversionHours	134

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106370780 · source row 365

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	365
diversionReported	Yes
icuLicensed	14
nicuLicensed	20
perinatalLicensed	38
edStations	40
edNonAdmitVisits	41550
edAdmissions	6258
diversionHours	213

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106370780 · source row 365

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	365
diversionReported	Yes
icuLicensed	14
nicuLicensed	20
perinatalLicensed	38
edStations	40
edNonAdmitVisits	38759
edAdmissions	7094
diversionHours	8

CMS ED measures · records & history

CMS 050128 · TRI-CITY 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 9930

Retained record fields
Field	Value
value	248
raw	248
sample	405
footnote
start	2024-10-01
end	2025-09-30
sourceRow	9930
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 9931

Retained record fields
Field	Value
value	324
raw	324
sample	25
footnote
start	2024-10-01
end	2025-09-30
sourceRow	9931
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 9932

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	9932
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 9933

Retained record fields
Field	Value
value	2
raw	2
sample	46789
footnote
start	2024-01-01
end	2024-12-31
sourceRow	9933
measureName	Left before being seen

Ambulance offload · records & history

Tri-City Medical Center · CEMSIS 20497 · 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	47.56666666666667
offloadCount	— UNKNOWN
countPage	— UNKNOWN
rawTime	0:47:34
sourceId	EMSA-APOT-JUNE2025
page	22
row	32

Record 2 · 2024-11

Retained record fields
Field	Value
month	2024-11
minutes	48.8
offloadCount	92
countPage	34
rawTime	0:48:48
sourceId	EMSA-APOT-JUNE2025
page	22
row	32

Record 3 · 2024-12

Retained record fields
Field	Value
month	2024-12
minutes	89.51666666666667
offloadCount	93
countPage	39
rawTime	1:29:31
sourceId	EMSA-APOT-JUNE2025
page	22
row	32

Record 4 · 2025-01

Retained record fields
Field	Value
month	2025-01
minutes	84.93333333333334
offloadCount	77
countPage	44
rawTime	1:24:56
sourceId	EMSA-APOT-JUNE2025
page	22
row	32

Record 5 · 2025-02

Retained record fields
Field	Value
month	2025-02
minutes	67.06666666666666
offloadCount	74
countPage	49
rawTime	1:07:04
sourceId	EMSA-APOT-JUNE2025
page	22
row	32

Record 6 · 2025-03

Retained record fields
Field	Value
month	2025-03
minutes	46.96666666666667
offloadCount	78
countPage	54
rawTime	0:46:58
sourceId	EMSA-APOT-JUNE2025
page	22
row	32

Latest retained offload record · 2026-01

Retained record fields
Field	Value
month	2026-01
minutes	43
rawTime	0:43:00
offloadCount	1010
standardMinutes	30
rawStandard	0:30:00
compliantPercent	78.2
sourceId	EMSA-APOT-FEB2026
page	6
rawLine	San Diego County EMS Agency 20497 Tri-City Medical Center 1010 0:43:00 0:30:00 0:13:00 78.2%

CMS patient experience, infection, readmission & mortality records

CMS 050128 · TRI-CITY MEDICAL CENTER · 4002 VISTA WAY, OCEANSIDE 92056 · 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
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CSV SHA-256: 95283bf20e66c5f9271e6b0b98969d8655487b4d5fa074dcee6e204ee4574f3d
Gzip SHA-256: f6f0f580606726171c93adad77cd1c92a4ec00a8b37563114414ff19116c39af
CMS unplanned readmissions · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
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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 050128
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	71	2024-10-01–2025-09-30	hcahps / 23394	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	56	2024-01-01–2024-12-31	responsiveness / 32208	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.974	2024-10-01–2025-09-30	hai / 12391	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	2	2024-10-01–2025-09-30	hai / 12390	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	2.054	2024-10-01–2025-09-30	hai / 12389	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.163	2024-10-01–2025-09-30	hai / 12386	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	3.217	2024-10-01–2025-09-30	hai / 12387	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	1.052	2024-10-01–2025-09-30	hai / 12397	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	3	2024-10-01–2025-09-30	hai / 12396	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	2.853	2024-10-01–2025-09-30	hai / 12395	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.267	2024-10-01–2025-09-30	hai / 12392	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	2.862	2024-10-01–2025-09-30	hai / 12393	None
HAI_3_SIRSSI - Colon Surgery	1.522	2024-10-01–2025-09-30	hai / 12403	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	2	2024-10-01–2025-09-30	hai / 12402	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	1.314	2024-10-01–2025-09-30	hai / 12401	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.255	2024-10-01–2025-09-30	hai / 12398	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	5.029	2024-10-01–2025-09-30	hai / 12399	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 12409	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 12408	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.328	2024-10-01–2025-09-30	hai / 12407	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12404	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12405	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	1.103	2024-10-01–2025-09-30	hai / 12415	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	3	2024-10-01–2025-09-30	hai / 12414	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	2.721	2024-10-01–2025-09-30	hai / 12413	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.280	2024-10-01–2025-09-30	hai / 12410	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	3.001	2024-10-01–2025-09-30	hai / 12411	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.390	2024-10-01–2025-09-30	hai / 12421	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	15	2024-10-01–2025-09-30	hai / 12420	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	38.479	2024-10-01–2025-09-30	hai / 12419	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.227	2024-10-01–2025-09-30	hai / 12416	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.629	2024-10-01–2025-09-30	hai / 12417	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	15.1CMS cohort: 215Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4826	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	21.7CMS cohort: 298Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4829	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	18CMS cohort: 447Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4831	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	20CMS cohort: 172Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4828	None
READM_30_CABGRate of readmission for CABG	11.9CMS cohort: 31Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4827	None
READM_30_HIP_KNEERate of readmission after hip/knee replacement	6.8CMS cohort: 62Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 4830	None
MORT_30_AMIDeath rate for heart attack patients	13CMS cohort: 109Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6884	None
MORT_30_HFDeath rate for heart failure patients	10.8CMS cohort: 156Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6887	None
MORT_30_PNDeath rate for pneumonia patients	17.1CMS cohort: 255Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6888	None
MORT_30_COPDDeath rate for COPD patients	10.1CMS cohort: 84Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6886	None
MORT_30_CABGDeath rate for CABG surgery patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 6885	1Too few cases to report
MORT_30_STKDeath rate for stroke patients	15.6CMS cohort: 251Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 6889	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	2532	2024-10-01–2025-09-30	hai / 12388	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	3333	2024-10-01–2025-09-30	hai / 12394	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	49	2024-10-01–2025-09-30	hai / 12400	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	44	2024-10-01–2025-09-30	hai / 12406	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	45838	2024-10-01–2025-09-30	hai / 12412	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	45838	2024-10-01–2025-09-30	hai / 12418	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106370780 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-07-01–2022-06-30	701,075	57,526	192,617	1,139,253
2023	2022-07-01–2023-06-30	610,495	43,129	198,644	1,039,972
2024	2023-07-01–2024-06-30	547,339	41,709	105,102	859,350

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 420 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 424 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 418 · 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 368 368 368
Psychiatric 18 18 18
Reported total 386 386 386
- 2022 preserved utilization workbook · Page 1-6 · row 362 · HCAI 106370780
- 2023 preserved utilization workbook · Page 1-6 · row 365 · HCAI 106370780
- 2024 preserved utilization workbook · Page 1-6 · row 365 · HCAI 106370780
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 106370780 · HADR 01-01-2024 to 12-31-2024 · row 418 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 547,339 ÷ total patient days: 41,709
- Acute care: 39,730 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 1,979 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
Tri-City Medical Center · San Diego · CEMSIS 20497 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:47:34 · 90th percentile · — UNKNOWN qualifying offloads · page 22
- Nov 2024: 0:48:48 · 90th percentile · 92 qualifying offloads · page 22 · count page 34
- Dec 2024: 1:29:31 · 90th percentile · 93 qualifying offloads · page 22 · count page 39
- Jan 2025: 1:24:56 · 90th percentile · 77 qualifying offloads · page 22 · count page 44
- Feb 2025: 1:07:04 · 90th percentile · 74 qualifying offloads · page 22 · count page 49
- Mar 2025: 0:46:58 · 90th percentile · 78 qualifying offloads · page 22 · count page 54
Jan 2026: 0:43:00 · 1,010 qualifying offloads · local standard 0:30:00 · 78.2% within standard · page 6
Jan 2026 · EMSA hospital offload exceedance table · page 6 · Preserved report
CMS ED measures · reporting unit 050128 · TRI-CITY MEDICAL CENTER · Preserved file
CMS values, dates & identity match
4002 VISTA WAY, OCEANSIDE 92056 · unique normalized address + city + ZIP
- OP_18b: 248 · 2024-10-01–2025-09-30 · sample 405
- OP_18c: 324 · 2024-10-01–2025-09-30 · sample 25
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_22: 2 · 2024-01-01–2024-12-31 · sample 46789
Preserved hospital identities · CMS footnote definitions
2022-01-01–2022-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2023-01-01–2023-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024-01-01–2024-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024 contract RN share calculation
Nursing-hour denominator
Contract RN hours ÷ (productive RN + productive LVN + productive aide + contract RN hours). HCAI fields: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record

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Research record, provenance & reporting scope

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Public Record Profile · No state call

Tri-City Medical Center

San Diego County · HCAI 106370780

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 labor547,339 productive RN hours.

547,339Hospital-wide productive RN hours · 2024

Contract RN share12.2% of reported RN labor.

12.2%Agency, registry, or contract RN share · 2024

Reported RN intensity13.1 RN hours per patient day.

13.1Hospital-wide annual proxy · 2024

Reported capacity151 staffed beds.

386 → 151Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106370780.

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Workforce source

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

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Capacity source

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

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