🏥 Sutter Santa Rosa Regional Hospital

Sonoma County · HCAI 106494106

30 MARK WEST SPRINGS RD., SANTA ROSA 95403

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: 24.94↑
Productive RN hours: 897,324
RN-only FTEs · productive, calculated: 431.41

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 0.7%↓
Contract RN hours: 7,305

History & details →

🛏️ Beds & capacity

🏥 Campus licensed beds: 124
🛏️ Reported staffed beds: 103—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 124
❤️ Licensed ICU beds: 12
👶 Licensed NICU beds: 12
🤰 Licensed perinatal beds: 10
🚑 ED treatment stations: 34

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 42,728
🛏️ ED admissions: 5,761
⏱️ Median ED stay · excludes psych / transfers: 212 min↑
⏱️ Psychiatric / mental-health ED stay · median: 302 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 23.82 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: 79%↓
Help as soon as wanted · Always · legacy measure: 61%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.000↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.626↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.299↔CMS: no different from national benchmark
C. diff infections · SIR: 0.157↓CMS: lower than national benchmark · better
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: 14.1%↓
Heart failure: 21%↓
Pneumonia: 16.2%↓
COPD: 19.8%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.3%↓

30-day mortality

Heart attack: 11.8%↓
Heart failure: 10.5%↓
Pneumonia: 14%↓
COPD: 6.8%↓
Coronary bypass surgery: — UNKNOWN
Stroke: 11.6%↓

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 →
RN hours / patient day: 24.94 · 2024Who covers call-outs and breaks on this unit?Source →
Contract RN share of nursing hours: 0.7% · 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 increased from 35,656 to 42,728.

🚑 ED activity · ↑ 19.8%

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
2022-01-01–2022-12-31	606,184	93,256	31,282	Audited	Preserved fileAPI record ID 402
2023-01-01–2023-12-31	827,101	80,129	34,537	Audited	Preserved fileAPI record ID 406
2024-01-01–2024-12-31	897,324	7,305	35,978	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 401

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

24.94

2024-01-01–2024-12-31📈 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

100.0% of this report’s patient days: acute care

Above the typical reported range

🔎 Comparison source & calculation

Productive RN hours

897,324

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

431.41

2024-01-01–2024-12-31 · productive RN hours ÷ 2,080

📈 RN hours per patient day · annual reports

RN hours per patient day · annual reports · RN hours / patient day
Period	RN hours / patient day
2022	19.38
2023	23.95
2024	24.94

2022–2024 pattern: RN hours per patient day went from 19.38 to 24.94.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 0.7%
Contract RN hours: 7,305

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	12.28
2023	7.9
2024	0.71

2022–2024 pattern: contract RN share went from 12.3% to 0.7%.

2018–2019 baseline: 2.9%.

↑ 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 →

🏥 Campus licensed beds: 124
🛏️ Reported staffed beds: 103
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 124
❤️ Licensed ICU beds: 12
👶 Licensed NICU beds: 12
🤰 Licensed perinatal beds: 10
🚑 ED treatment stations: 34

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	12	12	12
👶 NICU	12	12	12
🤰 Perinatal	10	10	10

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	34
2023	34
2024	34

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 42,728
🛏️ ED admissions: 5,761
⏱️ Median ED stay · excludes psych / transfers: 212 min↑
⏱️ Psychiatric / mental-health ED stay · median: 302 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 23.82 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	30.97
Nov 2024	27.17
Dec 2024	27.97
Jan 2025	33.2
Feb 2025	32.43
Mar 2025	27.5

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	35,656
2023	39,056
2024	42,728

↑ 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 050291 · SUTTER SANTA ROSA REGIONAL HOSPITAL

Patients who answered “Always”

Nurses communicated well: 79%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 61%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050291 · SUTTER SANTA ROSA REGIONAL HOSPITAL

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: 0.000↓CMS: lower than national benchmark · better
Catheter-associated urinary infections · CAUTI · SIR: 0.626↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: 0.299↔CMS: no different from national benchmark
C. diff infections · SIR: 0.157↓CMS: lower than national benchmark · better
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 050291 · SUTTER SANTA ROSA REGIONAL HOSPITAL

Unplanned readmissions within 30 days

Heart attack: 14.1%↓Below national rate 14.4% · numerical comparison
Heart failure: 21%↓Below national rate 21.3% · numerical comparison
Pneumonia: 16.2%↓Below national rate 17.3% · numerical comparison
COPD: 19.8%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.3%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 11.8%↓Below national rate 11.9% · numerical comparison
Heart failure: 10.5%↓Below national rate 11.1% · numerical comparison
Pneumonia: 14%↓Below national rate 15.2% · numerical comparison
COPD: 6.8%↓Below national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 11.6%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 483 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106494106 · dates, source locators and original values included

RN labor and workload · records & history

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

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

Download preserved source · Official source · API record ID 402

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

402

name

SUTTER SANTA ROSA REGIONAL HOSPITAL

county

Sonoma

rnHours

606184

patientDays

31282

ratio

19.37804488204079

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	606184
PRD_HR_LVN	20
PRD_HR_AID	60174
CNT_HR_RN	93256

nursingHours

759634

contractShare

0.12276438390066795

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	31282
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2023 · 2023-01-01–2023-12-31 · Audited

Download preserved source · Official source · API record ID 406

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

406

name

SUTTER SANTA ROSA REGIONAL HOSPITAL

county

Sonoma

rnHours

827101

patientDays

34537

ratio

23.94825838955323

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	827101
PRD_HR_LVN	0
PRD_HR_AID	106754
CNT_HR_RN	80129

nursingHours

1013984

contractShare

0.07902392937166662

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	34537
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2024 · 2024-01-01–2024-12-31 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 401

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

Audited

type

Comparable

sourceRecord

401

name

SUTTER SANTA ROSA REGIONAL HOSPITAL

county

Sonoma

rnHours

897324

patientDays

35978

ratio

24.940908332870087

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	897324
PRD_HR_LVN	0
PRD_HR_AID	122096
CNT_HR_RN	7305

nursingHours

1026725

contractShare

0.007114855487107064

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	35978
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	897324
contractHours	7305
contractShare	0.00711
rnPerPatientDay	24.94091
baseline	0.029
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 483

Field

Value

officialName

SUTTER SANTA ROSA REGIONAL HOSPITAL

county

Sonoma

city

SANTA ROSA

address

30 MARK WEST SPRINGS RD.

zip

95403

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

2014-10-21

licensedBeds

124

erServiceLevel

Emergency - Basic

licenseNumber

110000005

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

483

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

SUTTER SANTA ROSA REGIONAL HOSPITAL

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2183
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	110000007
LICENSE_NUMBER	110000005
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	18187
HCAI_ID	106494106
ASPEN_FACID	CA11000000332
CCN	050291
NPI	1740413798
ASPEN_STATUS	ACTIVE
FACNAME	SUTTER SANTA ROSA REGIONAL HOSPITAL
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Official campus record

Retained record fields
Field	Value
licensedBeds	124
staffedBeds	103
availableBeds	124
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 465

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	124
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

124

sourceRow

465

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 471

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	124
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

124

sourceRow

471

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 469

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	124
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

124

sourceRow

469

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106494106 · source row 465

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	465
diversionReported	No
icuLicensed	12
nicuLicensed	12
perinatalLicensed	10
edStations	34
edNonAdmitVisits	30920
edAdmissions	4736
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106494106 · source row 471

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	471
diversionReported	No
icuLicensed	12
nicuLicensed	12
perinatalLicensed	10
edStations	34
edNonAdmitVisits	33771
edAdmissions	5285
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106494106 · source row 469

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	469
diversionReported	No
icuLicensed	12
nicuLicensed	12
perinatalLicensed	10
edStations	34
edNonAdmitVisits	36967
edAdmissions	5761
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050291 · SUTTER SANTA ROSA REGIONAL HOSPITAL · Download preserved CMS file · Official source

OP_18b · Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better · source row 11769

Retained record fields
Field	Value
value	212
raw	212
sample	378
footnote
start	2024-10-01
end	2025-09-30
sourceRow	11769
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 11770

Retained record fields
Field	Value
value	302
raw	302
sample	20
footnote
start	2024-10-01
end	2025-09-30
sourceRow	11770
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 11771

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	11771
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 11772

Retained record fields
Field	Value
value	2
raw	2
sample	45020
footnote
start	2024-01-01
end	2024-12-31
sourceRow	11772
measureName	Left before being seen

Ambulance offload · records & history

Sutter Santa Rosa Regional Hospital · CEMSIS 20478 · 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	30.966666666666665
offloadCount	673
countPage	31
rawTime	0:30:58
sourceId	EMSA-APOT-JUNE2025
page	19
row	35

Record 2 · 2024-11

Retained record fields
Field	Value
month	2024-11
minutes	27.166666666666668
offloadCount	678
countPage	36
rawTime	0:27:10
sourceId	EMSA-APOT-JUNE2025
page	19
row	35

Record 3 · 2024-12

Retained record fields
Field	Value
month	2024-12
minutes	27.966666666666665
offloadCount	787
countPage	41
rawTime	0:27:58
sourceId	EMSA-APOT-JUNE2025
page	19
row	35

Record 4 · 2025-01

Retained record fields
Field	Value
month	2025-01
minutes	33.2
offloadCount	819
countPage	46
rawTime	0:33:12
sourceId	EMSA-APOT-JUNE2025
page	19
row	35

Record 5 · 2025-02

Retained record fields
Field	Value
month	2025-02
minutes	32.43333333333333
offloadCount	758
countPage	51
rawTime	0:32:26
sourceId	EMSA-APOT-JUNE2025
page	19
row	35

Record 6 · 2025-03

Retained record fields
Field	Value
month	2025-03
minutes	27.5
offloadCount	715
countPage	56
rawTime	0:27:30
sourceId	EMSA-APOT-JUNE2025
page	19
row	35

Latest retained offload record · 2026-01

Retained record fields
Field	Value
month	2026-01
minutes	23.816666666666666
rawTime	0:23:49
offloadCount	722
standardMinutes	20
rawStandard	0:20:00
compliantPercent	84.2
sourceId	EMSA-APOT-FEB2026
page	7
rawLine	Coastal Valleys EMS Agency 20478 Sutter Santa Rosa Regional Hospital 722 0:23:49 0:20:00 0:03:49 84.2%

CMS patient experience, infection, readmission & mortality records

CMS 050291 · SUTTER SANTA ROSA REGIONAL HOSPITAL · 30 MARK WEST SPRINGS ROAD, SANTA ROSA 95403 · 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
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CMS unplanned readmissions · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
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CMS 30-day mortality · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
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CSV SHA-256: 2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a
Gzip SHA-256: 04b606e8f24603cc6711bd630abc02fee2ee707d81a529360c72433806b180ce

Exact CMS records · reporting unit 050291
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	79	2024-10-01–2025-09-30	hcahps / 27746	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	61	2024-01-01–2024-12-31	responsiveness / 38160	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.000	2024-10-01–2025-09-30	hai / 14695	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 14694	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	4.038	2024-10-01–2025-09-30	hai / 14693	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14690	8Lower confidence limit unavailable
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	0.742	2024-10-01–2025-09-30	hai / 14691	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.626	2024-10-01–2025-09-30	hai / 14701	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	3	2024-10-01–2025-09-30	hai / 14700	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	4.789	2024-10-01–2025-09-30	hai / 14699	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.159	2024-10-01–2025-09-30	hai / 14696	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	1.705	2024-10-01–2025-09-30	hai / 14697	None
HAI_3_SIRSSI - Colon Surgery	0.000	2024-10-01–2025-09-30	hai / 14707	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 14706	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	2.693	2024-10-01–2025-09-30	hai / 14705	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14702	8Lower confidence limit unavailable
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	1.112	2024-10-01–2025-09-30	hai / 14703	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 14713	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 14712	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.353	2024-10-01–2025-09-30	hai / 14711	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14708	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 14709	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	0.299	2024-10-01–2025-09-30	hai / 14719	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	1	2024-10-01–2025-09-30	hai / 14718	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	3.346	2024-10-01–2025-09-30	hai / 14717	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.015	2024-10-01–2025-09-30	hai / 14714	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	1.474	2024-10-01–2025-09-30	hai / 14715	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.157	2024-10-01–2025-09-30	hai / 14725	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	7	2024-10-01–2025-09-30	hai / 14724	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	44.455	2024-10-01–2025-09-30	hai / 14723	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.069	2024-10-01–2025-09-30	hai / 14720	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.311	2024-10-01–2025-09-30	hai / 14721	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	14.1CMS cohort: 186Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5722	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	21CMS cohort: 342Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5725	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	16.2CMS cohort: 309Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5727	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.8CMS cohort: 100Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5724	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 / 5723	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5.3CMS cohort: 215Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5726	None
MORT_30_AMIDeath rate for heart attack patients	11.8CMS cohort: 192Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8164	None
MORT_30_HFDeath rate for heart failure patients	10.5CMS cohort: 316Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8167	None
MORT_30_PNDeath rate for pneumonia patients	14CMS cohort: 296Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8168	None
MORT_30_COPDDeath rate for COPD patients	6.8CMS cohort: 85Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8166	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 / 8165	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	11.6CMS cohort: 142Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 8169	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	4579	2024-10-01–2025-09-30	hai / 14692	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	4886	2024-10-01–2025-09-30	hai / 14698	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	107	2024-10-01–2025-09-30	hai / 14704	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	46	2024-10-01–2025-09-30	hai / 14710	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	44235	2024-10-01–2025-09-30	hai / 14716	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	39420	2024-10-01–2025-09-30	hai / 14722	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106494106 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2022-01-01–2022-12-31	606,184	31,282	93,256	759,634
2023	2023-01-01–2023-12-31	827,101	34,537	80,129	1,013,984
2024	2024-01-01–2024-12-31	897,324	35,978	7,305	1,026,725

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 402 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 406 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 401 · Audited · ComparableSHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26

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 106494106 · HADR 01-01-2024 to 12-31-2024 · row 401 · Audited · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 897,324 ÷ total patient days: 35,978
- Acute care: 35,978 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 19 · Preserved report
Offload hospital identity & source times
Sutter Santa Rosa Regional Hospital · Coastal Valleys · CEMSIS 20478 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:30:58 · 90th percentile · 673 qualifying offloads · page 19 · count page 31
- Nov 2024: 0:27:10 · 90th percentile · 678 qualifying offloads · page 19 · count page 36
- Dec 2024: 0:27:58 · 90th percentile · 787 qualifying offloads · page 19 · count page 41
- Jan 2025: 0:33:12 · 90th percentile · 819 qualifying offloads · page 19 · count page 46
- Feb 2025: 0:32:26 · 90th percentile · 758 qualifying offloads · page 19 · count page 51
- Mar 2025: 0:27:30 · 90th percentile · 715 qualifying offloads · page 19 · count page 56
Jan 2026: 0:23:49 · 722 qualifying offloads · local standard 0:20:00 · 84.2% within standard · page 7
Jan 2026 · EMSA hospital offload exceedance table · page 7 · Preserved report
CMS ED measures · reporting unit 050291 · SUTTER SANTA ROSA REGIONAL HOSPITAL · Preserved file
CMS values, dates & identity match
30 MARK WEST SPRINGS ROAD, SANTA ROSA 95403 · unique normalized address + city + ZIP
- OP_18b: 212 · 2024-10-01–2025-09-30 · sample 378
- OP_18c: 302 · 2024-10-01–2025-09-30 · sample 20
- 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 45020
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

All public source collections →
Evidence standards & methodology →↑ Back to snapshot

Research record, provenance & reporting scope

← 30 reviewed hospitals

Hospital Change Profile · Reviewed pilot

Sutter Santa Rosa Regional Hospital

Sonoma County · HCAI 106494106

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?103 of 124 reported licensed beds were staffed in the 2025 capacity record.

83.1%Reported staffed share of licensed beds · 2025

What did the nursing record show?24.9 RN hours per patient day.

24.9Hospital-wide RN intensity · 2024

What contract labor did the source report?Reported contract-RN share: 0.7%.

2.9% → 0.7%2018–2019 baseline → 2024 reported share

Reported contract reliance was 2.2 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 124 licensed beds match the reporting-period record. Audited workforce filing, capacity record, and uniquely matched historical contract baseline are available.

Open official facility source ↗

Reporting scope

Sutter Santa Rosa Regional Hospital is a separate Sonoma County facility and must not be merged with Providence Santa Rosa Memorial or other regional hospitals.

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 →