🏥 Palomar Ucsd Medical Center Poway

San Diego County · HCAI 106370977

15615 POMERADO ROAD, POWAY 92064

Open · Hospital facility · roster 2026-10-01

Acute care + LTC + other care reporting unit

Hospital Snapshot

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

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

Read the arrows

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

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

—: no matched comparison.

👩‍⚕️ RN staffing

Acute care + LTC + other care reporting unit · RN hours / patient day: 10.75↑
Productive RN hours: 615,853
RN-only FTEs · productive, calculated: 296.08

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 2.9%↓
Contract RN hours: 29,739

History & details →

🛏️ Beds & capacity

🏥 Campus licensed beds: 236
🛏️ Reported staffed beds: 149—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 164
❤️ Licensed ICU beds: 12
👶 Licensed NICU beds: 4
🤰 Licensed perinatal beds: 11
🚑 ED treatment stations: 21

Licensed care types · 2024 reporting unit

Acute care: 95
Psychiatric: 12
Skilled nursing / LTC: 129

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 24,880
🛏️ ED admissions: 2,437
⏱️ Median ED stay · excludes psych / transfers: 200 min↑
⏱️ ED stay before transfer · median: 318 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: — UNKNOWN
🚨 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: 77%↓
Help as soon as wanted · Always · legacy measure: 56%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: 0.000↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.513↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 0.000↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: 20.6%↓
Pneumonia: 17%↓
COPD: 18.8%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.9%↑

30-day mortality

Heart attack: — UNKNOWN
Heart failure: 9.6%↓
Pneumonia: 10.9%↓
COPD: 9.5%↑
Coronary bypass surgery: — UNKNOWN
Stroke: 11.3%↓

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

Charge-nurse patient assignment — UNKNOWN · charge availability affects every nurse’s backupIs the charge nurse free of a patient assignment on this unit? If not, is it a partial or full assignment, how many patients, and how often? What dedicated RN/LVN support is provided, and who covers charge duties during emergencies?Source →
RN hours / patient day: 10.75 · 2024Who covers call-outs and breaks on this unit?Source →
Contract RN share of nursing hours: 2.9% · 2024How many agency RNs are here now? How long is orientation?Source →
Current unit turnover / vacancies — UNKNOWNWhat is this unit’s RN turnover over the last year? How many RN vacancies?Source →

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

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

Pay, overtime, orientation & contract

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

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

2022–2024: ED encounters decreased from 30,933 to 24,880.

🚑 ED activity · ↓ 19.6%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2021-07-01–2022-06-30	479,671	26,693	66,246	Audited	Preserved fileAPI record ID 289
2022-07-01–2023-06-30	394,159	64,862	61,721	Audited	Preserved fileAPI record ID 286
2023-07-01–2024-06-30	615,853	29,739	57,270	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 284

Full source records & reporting scope →

🔎 Records & complete history →

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

10.75

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

California peer comparison

Peer median: 5.14
Typical reported range · middle 50%: 2.56–7.06

RN hours / patient day · 31 audited 2024 reports

Mostly long-term-care patient days

62.4% of this report’s patient days: long-term care

Above the typical reported range

🔎 Comparison source & calculation

Productive RN hours

615,853

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

296.08

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	7.24
2023	6.39
2024	10.75

2022–2024 pattern: RN hours per patient day went from 7.24 to 10.75.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 2.9%
Contract RN hours: 29,739

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	3.28
2023	8.47
2024	2.93

2022–2024 pattern: contract RN share went from 3.3% to 2.9%.

2018–2019 baseline: 3.4%.

↑ 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: 95
🛏️ Psychiatric licensed beds: 12
🛏️ Skilled nursing / LTC licensed beds: 129
🏥 Total licensed beds · reporting unit: 236

🔎 2024 annual utilization · source & history

🏥 Campus licensed beds: 236
🛏️ Reported staffed beds: 149
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 164
❤️ Licensed ICU beds: 12
👶 Licensed NICU beds: 4
🤰 Licensed perinatal beds: 11
🚑 ED treatment stations: 21

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	12	12	12
👶 NICU	4	4	4
🤰 Perinatal	11	11	11

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	8
2023	21
2024	21

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 24,880
🛏️ ED admissions: 2,437
⏱️ Median ED stay · excludes psych / transfers: 200 min↑
⏱️ ED stay before transfer · median: 318 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: — UNKNOWN
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	30,933
2023	24,880
2024	24,880

📈 Reported diversion hours

Reported diversion hours · Hours
Period	Hours
2022	2
2023	1

↑ 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 050636 · PALOMAR MEDICAL CENTER POWAY

Patients who answered “Always”

Nurses communicated well: 77%↓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 050636 · PALOMAR MEDICAL CENTER POWAY

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: 0.000↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.513↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: 0.000↔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 050636 · PALOMAR MEDICAL CENTER POWAY

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: 20.6%↓Below national rate 21.3% · numerical comparison
Pneumonia: 17%↓Below national rate 17.3% · numerical comparison
COPD: 18.8%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.9%↑Above national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: — UNKNOWN
Heart failure: 9.6%↓Below national rate 11.1% · numerical comparison
Pneumonia: 10.9%↓Below national rate 15.2% · numerical comparison
COPD: 9.5%↑Above national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 11.3%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 380 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106370977 · 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 289

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

289

name

PALOMAR MEDICAL CENTER POWAY

county

San Diego

rnHours

479671

patientDays

66246

ratio

7.24075415874166

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	479671
PRD_HR_LVN	45077
PRD_HR_AID	262205
CNT_HR_RN	26693

nursingHours

813646

contractShare

0.032806650558105124

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	23115
DAY_PSYCH	4380
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	38751
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 286

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

286

name

PALOMAR MEDICAL CENTER POWAY

county

San Diego

rnHours

394159

patientDays

61721

ratio

6.386140859674989

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	394159
PRD_HR_LVN	46724
PRD_HR_AID	259906
CNT_HR_RN	64862

nursingHours

765651

contractShare

0.08471483743898983

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	22232
DAY_PSYCH	498
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	38991
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 284

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

284

name

PALOMAR MEDICAL CENTER POWAY

county

San Diego

rnHours

615853

patientDays

57270

ratio

10.753500960363192

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	615853
PRD_HR_LVN	73414
PRD_HR_AID	295780
CNT_HR_RN	29739

nursingHours

1014786

contractShare

0.029305686124956393

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	17666
DAY_PSYCH	3887
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	35717
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	615853
contractHours	29739
contractShare	0.02931
rnPerPatientDay	10.7535
baseline	0.03416
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 380

Field

Value

officialName

PALOMAR UCSD MEDICAL CENTER POWAY

county

San Diego

city

POWAY

address

15615 POMERADO ROAD

zip

92064

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1977-06-22

licensedBeds

236

erServiceLevel

Emergency - Basic

licenseNumber

080000127

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

380

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

PALOMAR MEDICAL CENTER POWAY

Record 2

PALOMAR MEDICAL CENTER POWAY D/P APH

Record 3

THE VILLAS AT POWAY

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	1612
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	080000147
LICENSE_NUMBER	080000127
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	14190
HCAI_ID	106370977
ASPEN_FACID	CA080000147
CCN	050636
NPI	1376513754
ASPEN_STATUS	ACTIVE
FACNAME	PALOMAR MEDICAL CENTER POWAY
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	1649
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	080000679
LICENSE_NUMBER	080000127
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	14190
HCAI_ID	106370977
ASPEN_FACID	CA080000679
CCN	555301
NPI	1619947090
ASPEN_STATUS	ACTIVE
FACNAME	THE VILLAS AT POWAY
FAC_TYPE_DESCRIPTION	SKILLED NURSING FACILITY
FAC_FDR	SKILLED NURSING FACILITY
FAC_FAC_RELATIONSHIP	Distinct Part
ELMS_PARENT_FACID	080000147

Record 3

Retained record fields
Field	Value
_id	1700
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	080001257
LICENSE_NUMBER	080000127
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	14190
HCAI_ID	106370977
ASPEN_FACID	CA080000147
CCN	050636
NPI	1376513754
ASPEN_STATUS	ACTIVE
FACNAME	PALOMAR MEDICAL CENTER POWAY D/P APH
FAC_TYPE_DESCRIPTION	ACUTE PSYCHIATRIC HOSPITAL
FAC_FDR	ACUTE PSYCHIATRIC HOSPITAL
FAC_FAC_RELATIONSHIP	Distinct Part
ELMS_PARENT_FACID	080000147

addedByCoverageAudit

false

Official campus record

Retained record fields
Field	Value
licensedBeds	236
staffedBeds	149
availableBeds	164
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 365

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	95
psychiatric	12
chemical	0
skilledNursing	129
intermediateCare	0
developmentalCare	0

total

236

sourceRow

365

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 368

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	95
psychiatric	12
chemical	0
skilledNursing	129
intermediateCare	0
developmentalCare	0

total

236

sourceRow

368

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 368

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	95
psychiatric	12
chemical	0
skilledNursing	129
intermediateCare	0
developmentalCare	0

total

236

sourceRow

368

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106370977 · source row 365

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	365
diversionReported	Yes
icuLicensed	12
nicuLicensed	4
perinatalLicensed	11
edStations	8
edNonAdmitVisits	28539
edAdmissions	2394
diversionHours	2

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106370977 · source row 368

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	368
diversionReported	Yes
icuLicensed	12
nicuLicensed	4
perinatalLicensed	11
edStations	21
edNonAdmitVisits	22443
edAdmissions	2437
diversionHours	1

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106370977 · source row 368

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	368
diversionReported	No
icuLicensed	12
nicuLicensed	4
perinatalLicensed	11
edStations	21
edNonAdmitVisits	22443
edAdmissions	2437
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050636 · PALOMAR MEDICAL CENTER POWAY · 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 14628

Retained record fields
Field	Value
value	200
raw	200
sample	351
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14628
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 14629

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	14629
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 14630

Retained record fields
Field	Value
value	318
raw	318
sample	16
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14630
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 14631

Retained record fields
Field	Value
value	2
raw	2
sample	33595
footnote
start	2024-01-01
end	2024-12-31
sourceRow	14631
measureName	Left before being seen

CMS patient experience, infection, readmission & mortality records

CMS 050636 · PALOMAR MEDICAL CENTER POWAY · 15615 POMERADO ROAD, POWAY 92064 · 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 050636
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	77	2024-10-01–2025-09-30	hcahps / 34410	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 / 47367	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 18223	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 18222	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.950	2024-10-01–2025-09-30	hai / 18221	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18218	13CMS cannot calculate
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18219	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.000	2024-10-01–2025-09-30	hai / 18229	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 18228	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	2.256	2024-10-01–2025-09-30	hai / 18227	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18224	8Lower confidence limit unavailable
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.328	2024-10-01–2025-09-30	hai / 18225	None
HAI_3_SIRSSI - Colon Surgery	0.000	2024-10-01–2025-09-30	hai / 18235	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 18234	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	1.536	2024-10-01–2025-09-30	hai / 18233	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18230	8Lower confidence limit unavailable
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	1.950	2024-10-01–2025-09-30	hai / 18231	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 18241	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 18240	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.179	2024-10-01–2025-09-30	hai / 18239	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18236	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18237	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 18247	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 18246	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.884	2024-10-01–2025-09-30	hai / 18245	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18242	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 18243	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.513	2024-10-01–2025-09-30	hai / 18253	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	4	2024-10-01–2025-09-30	hai / 18252	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	7.794	2024-10-01–2025-09-30	hai / 18251	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.163	2024-10-01–2025-09-30	hai / 18248	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	1.238	2024-10-01–2025-09-30	hai / 18249	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7094	1Too few cases to report
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	20.6CMS cohort: 232Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7097	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17CMS cohort: 438Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7099	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	18.8CMS cohort: 86Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7096	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 / 7095	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5.9CMS cohort: 43Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7098	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 / 10124	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	9.6CMS cohort: 145Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10127	None
MORT_30_PNDeath rate for pneumonia patients	10.9CMS cohort: 368Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10128	None
MORT_30_COPDDeath rate for COPD patients	9.5CMS cohort: 63Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 10126	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 / 10125	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	11.3CMS cohort: 94Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 10129	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	1545	2024-10-01–2025-09-30	hai / 18220	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	4408	2024-10-01–2025-09-30	hai / 18226	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	62	2024-10-01–2025-09-30	hai / 18232	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	24	2024-10-01–2025-09-30	hai / 18238	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	20275	2024-10-01–2025-09-30	hai / 18244	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	20275	2024-10-01–2025-09-30	hai / 18250	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106370977 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-07-01–2022-06-30	479,671	66,246	26,693	813,646
2023	2022-07-01–2023-06-30	394,159	61,721	64,862	765,651
2024	2023-07-01–2024-06-30	615,853	57,270	29,739	1,014,786

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 289 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 286 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 284 · 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 95 95 95
Psychiatric 12 12 12
Skilled nursing / LTC 129 129 129
Reported total 236 236 236
- 2022 preserved utilization workbook · Page 1-6 · row 365 · HCAI 106370977
- 2023 preserved utilization workbook · Page 1-6 · row 368 · HCAI 106370977
- 2024 preserved utilization workbook · Page 1-6 · row 368 · HCAI 106370977
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 106370977 · HADR 01-01-2024 to 12-31-2024 · row 284 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 615,853 ÷ total patient days: 57,270
- Acute care: 17,666 patient days
- Psychiatric: 3,887 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 35,717 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
CMS ED measures · reporting unit 050636 · PALOMAR MEDICAL CENTER POWAY · Preserved file
CMS values, dates & identity match
15615 POMERADO ROAD, POWAY 92064 · unique normalized address + city + ZIP
- OP_18b: 200 · 2024-10-01–2025-09-30 · sample 351
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_18d: 318 · 2024-10-01–2025-09-30 · sample 16
- OP_22: 2 · 2024-01-01–2024-12-31 · sample 33595
Preserved hospital identities · CMS footnote definitions
2022-01-01–2022-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2023-01-01–2023-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024-01-01–2024-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024 contract RN share calculation
Nursing-hour denominator
Contract RN hours ÷ (productive RN + productive LVN + productive aide + contract RN hours). HCAI fields: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record
Official hospital facility / campus beds

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Evidence standards & methodology →↑ Back to snapshot

Research record, provenance & reporting scope

← 30 reviewed hospitals

Hospital Change Profile · Reviewed pilot

Palomar Medical Center Poway

San Diego County · HCAI 106370977

Evidence statusAudited filingWorkforce: 2024Capacity: 2025

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

The nurse’s questions

What changed?

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

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

UnknownNo reviewed recent same-quarter demand comparison

Did available capacity change?149 of 236 reported licensed beds were staffed in the 2025 capacity record.

63.1%Reported staffed share of licensed beds · 2025

What did the nursing record show?10.8 RN hours per patient day.

10.8Hospital-wide RN intensity · 2024

What contract labor did the source report?Reported contract-RN share: 2.9%.

3.4% → 2.9%2018–2019 baseline → 2024 reported share

Reported contract reliance was 0.5 percentage points below the hospital’s pre-pandemic baseline.

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

Show me the receipts

Where the numbers came from.

Facility record

Official HCAI facility identity and 236 licensed beds match the reporting-period source record. Audited workforce filing, capacity record, and uniquely matched historical contract baseline are available.

Open official facility source ↗

Reporting scope

This is Palomar Medical Center Poway, a distinct San Diego County facility. Its workforce, capacity, and historical contract figures must not be combined with Palomar Medical Center Escondido.

Workforce source

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

Open HCAI hospital financials ↗

Capacity source

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

Open California health data ↗

Use the gap

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

Explore another reviewed hospital →Compare two hospitals →

Compare hospitals →Request an anonymous review →

Care type	2022	2023	2024
Acute care	95	95	95
Psychiatric	12	12	12
Skilled nursing / LTC	129	129	129
Reported total	236	236	236