🏥 Memorial Medical Center – Modesto

Stanislaus County · HCAI 106500939

1700 Coffee Road, Modesto, CA 95355

Open · Hospital facility · roster 2026-10-01

What matters here

Patient days rose 3.1% while reported staffed beds fell by 25: Q1 2025 → Q1 2026. Source →
Employed RN hours rose 14.9% from 2022 to 2024. Newer comparable RN hours: UNKNOWN. Source →
Contract hours swung sharply in 2022–2024. The labor coding needs checking. Source →

Compare with similar reporting units · 0 matches

Same reported care categories; 2024 licensed beds within 50%; children’s hospitals kept separate. Audited full-year filings only.

Peer median RN hours / patient day: UNKNOWN — fewer than 3 matches

Source & calculation →

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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: 17.44↑
Productive RN hours: 1,883,092
RN-only FTEs · productive, calculated: 905.33
Reported nursing FTEs · NURS_FTE: 928

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 1.8%↓
Contract RN hours: 34,817

History & details →

🛏️ Beds & capacity

🏥 HCAI facility licensed beds: 419
🛏️ Reported staffed beds: 342↓
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 419
❤️ Licensed ICU beds: 23
👶 Licensed NICU beds: 12
🤰 Licensed perinatal beds: 29
🚑 ED treatment stations: 44

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 90,726
🛏️ ED admissions: 16,911
⏱️ Median ED stay · excludes psych / transfers: 258 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 27.38 min
🚨 Reported diversion hours: 11 hours
🚑 ED service level: Basic
🛏️ Inpatient average stay · includes long-term care: 4.9 days
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Licensed service inventory reviewed

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: 59%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: 0.389↔
Catheter-associated urinary infections · CAUTI · SIR: 0.093↓
MRSA bloodstream infections · SIR: 0.485↔
C. diff infections · SIR: 0.085↓
Surgical-site infections · colon surgery · SIR: 0.507↔
Surgical-site infections · hysterectomy · SIR: — UNKNOWN

History & details →

🦠 Central-line infections · CDPH counts

Reported CLABSIs: 5
Central-line days: 12,185
Months reported: 12 / 12

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 15%↑
Heart failure: 19.9%↓
Pneumonia: 17.9%↑
COPD: 19.4%↓
Coronary bypass surgery: 10.7%↓
Hip/knee replacement: 4.9%↓

30-day mortality

Heart attack: 14.1%↑
Heart failure: 12.9%↑
Pneumonia: 12.4%↓
COPD: 6.2%↓
Coronary bypass surgery: 3.2%↑
Stroke: 9.3%↓

History & details →

💵 Finances & enforcement

Operating margin · annual filing: 11.81%
Distinct penalties in historical extract: 14
Licensed supplemental service records: 19

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: 17.14 → 17.44 · 2022–2024Who covers call-outs and breaks on this unit?Source →
Contract RN share of nursing hours: 1.8% · 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 →

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👥 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

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💵 Finances & enforcement

Open details

Evidence review · October 4, 2026

Show me the records

Findings & sources · 7

Growing inpatient workload, a larger ED, and a workforce mix that changed sharply

1700 Coffee Road acute-care reporting unit. HCAI 106500939, CMS 050557 and CDPH ELMS 030000123 match through the official crosswalk. The 2024 financial filing is marked In Process; its figures remain labeled that way.

Inpatient growth reached the bedside accounting records

Patient days rose 12.9% from 2022 to 2024, while productive RN hours rose 14.9%. RN hours per patient day were 17.14, 17.78 and 17.44. Reported nursing FTEs moved from 857 to 972 to 928. Contract RN hours moved from a reported zero in 2022 to 229,658 in 2023 and 34,817 in 2024. The filed zero and sharp shifts merit a coding and labor-allocation check, rather than being read as a complete history of traveler staffing.

Inspect evidence 1 →Inspect evidence 2 →

Annual expansion and the recent quarterly change run in different directions

Financial-report staffed beds rose from 265 in 2022 to 325 in 2024. The existing Q1 2025–Q1 2026 series then reports 25 fewer staffed beds while patient days rose 3.1%. The later quarter comparison answers a different question from the annual expansion. ED treatment stations increased from 38 to 44 in the 2024 utilization report.

Inspect evidence 1 →Inspect evidence 2 →Inspect evidence 3 →

The newer finances include a sharp quarterly swing

Calculated operating income was a $32.9 million surplus in January–March 2026, a 12.3% margin, down from $45.2 million and 17.6% in the same quarter of 2025. Q4 2025 showed a $16.4 million operating loss, with reported expenses higher than in neighboring quarters. The filings show the swing but do not identify its cause. Quarterly figures are as filed, not audited annual accounts.

Inspect evidence →

Emergency access remains a distinct pressure point

CMS reports a 258-minute median ED visit in October 2024–September 2025 and 1% leaving before being seen in calendar 2024. Reported annual diversion hours increased from 5 to 6 to 11 across 2022–2024. The ambulance offload 90th percentile ranged from 27.4 to 41.2 minutes in the loaded six-month series. These measures do not identify how much time patients spent boarding for an inpatient bed.

Inspect evidence →

Positive outcomes and financial room are also visible

The 2024 In Process filing reports $114.0 million from operations, an 11.8% operating margin and $138.4 million net income. CMS classified urinary-catheter and C. difficile infection ratios as better than the national benchmark; 77% of survey respondents said nurses always communicated well. None of these hospital-level results resolves current unit staffing or the historical enforcement findings.

Inspect evidence 1 →Inspect evidence 2 →Inspect evidence 3 →

Growth was uneven across accounting departments

The collected 2022–2023 extract reports medical/surgical RN hours per census day increasing from 8.87 to 9.48, while intensive-care hours per census day fell 5.5% and obstetrics fell from 13.99 to 11.97 (14.4%). Hospital totals can conceal these different directions. These annual accounting departments do not establish shift staffing or ratio compliance; original complete filing rows remain queued for recheck.

Inspect evidence →

Historical enforcement is now tied to the correct facility

The preserved July 2024 CDPH extract contains 14 distinct penalty records for the matched facility, after removing exact duplicate API rows. The newest issue date in that extract is 2021-03-19. The complete table retains violation dates, categories, amounts and recorded appeals. This history is not a complete count of complaints, incidents or 2024–2026 findings; original deficiency narratives and current dispositions remain to be obtained.

Inspect evidence →

Annual finances, labor and patient mix · 2022–2024 reporting years

Each column retains the actual fiscal period and filing status. Dollars are reported amounts. Nursing FTEs cover the reported nursing workforce; they are separate from calculated productive RN-only FTEs.

HCAI 106500939 · annual financial reporting unit
Metric / source field	20222022-01-01–2022-12-31 Audited	20232023-01-01–2023-12-31 Audited	20242024-01-01–2024-12-31 In Process
Net patient revenueNET_PT_REV	$763,784,273	$830,262,744	$954,332,118
Other operating revenueOTH_OP_REV	$8,625,575	$9,715,646	$11,043,098
Total operating expensesTOT_OP_EXP	$704,192,954	$761,499,519	$851,359,518
Income / loss from operationsNET_FRM_OP	$68,216,894	$78,478,871	$114,015,698
Net income / lossNET_INCOME	$56,281,454	$120,567,157	$138,382,035
Salaries · all hospital employeesEXP_SAL	$204,051,905	$225,291,728	$263,940,774
Employee benefits · all employeesEXP_BEN	$97,638,602	$111,706,520	$122,271,502
Purchased services · all categoriesEXP_PURCH	$152,964,329	$141,749,245	$147,829,276
Administration cost centerEXP_ADM	$100,765,601	$111,020,336	$133,114,022
Education cost center · all programsEXP_ED	$0	$0	$623,585
Construction in progressCONST_PROG	$8,038,523	$12,073,789	$19,492,628
Net property, plant & equipmentNET_PPE	$165,698,698	$171,024,843	$170,541,875
Total assetsTOT_ASST	$342,349,610	$377,815,179	$416,957,815
Current assetsCUR_ASST	$167,312,304	$193,510,915	$225,322,087
Current liabilitiesCUR_LIAB	$148,037,633	$144,044,206	$47,997,681
Net long-term debtNET_LTDEBT	$0	$2,644,213	$101,495,716
Reported nursing FTEs · NURS_FTENURS_FTE	857	972	928
Reported hospital FTEsHOSP_FTE	2,001	2,030	2,420
Reported staffed beds · financial scopeBED_STF	265	300	325
Licensed beds · financial scopeBED_LIC	419	419	419
Patient days · financial scopeDAY_TOT	95,608	99,389	107,946
Acute patient daysDAY_ACUTE	95,608	99,389	107,946
Psychiatric patient daysDAY_PSYCH	0	0	0
Productive RN hoursPRD_HR_RN	1,638,628	1,766,764	1,883,092
Productive LVN hoursPRD_HR_LVN	0	0	0
Productive aide hoursPRD_HR_AID	143,572	25,422	13,038
Contract RN hoursCNT_HR_RN	0	229,658	34,817
DischargesDIS_TOT	18,449	19,903	22,121
Operating margin · calculated	8.8%	9.3%	11.8%
Medicare share of patient days · traditional + managed	55.4%	56.1%	52.0%
Medi-Cal share of patient days · traditional + managed	24.1%	22.4%	24.9%

Operating margin = income from operations ÷ (net patient revenue + other operating revenue). Purchased services include more than contract nursing; education expenses cover more than bedside RN education. Those fields cannot establish dollars spent on travelers or nurse educators.

2022 preserved HCAI source · API record 244 · Audited
2023 preserved HCAI source · API record 244 · Audited
2024 preserved HCAI source · workbook row 242 · In Process

More recent finances · five quarters through March 2026

Quarterly HCAI filings are shown as filed and may be revised. They are not audited annual accounts. Operating income is calculated as net patient revenue + other operating revenue − total operating expenses. Quarter-to-quarter changes can reflect timing, settlements and accounting adjustments.

Exact HCAI reporting unit 106500939 · actual reporting windows
Period	Staffed beds	Patient days	Net patient revenue	Other operating revenue	Operating expenses	Calculated operating income / margin
2025-Q12025-01-01–2025-03-31	367	29,219	$253,811,919	$2,885,544	$211,467,865	$45,229,59817.6%
2025-Q22025-04-01–2025-06-30	303	27,226	$254,178,181	$2,659,691	$217,896,486	$38,941,38615.2%
2025-Q32025-07-01–2025-09-30	318	28,835	$268,910,902	$3,023,298	$228,804,200	$43,130,00015.9%
2025-Q42025-10-01–2025-12-31	316	28,950	$251,605,581	$1,911,817	$269,869,791	-$16,352,393-6.5%
2026-Q12026-01-01–2026-03-31	342	30,123	$264,776,428	$2,080,255	$233,940,168	$32,916,51512.3%

2025-Q1 preserved primary API · record 243 · HCAI endpoint →
2025-Q2 preserved primary API · record 241 · HCAI endpoint →
2025-Q3 preserved primary API · record 240 · HCAI endpoint →
2025-Q4 preserved primary API · record 239 · HCAI endpoint →
2026-Q1 preserved primary API · record 239 · HCAI endpoint →

Inside the hospital · collected 2022–2023 cost-center RN labor

Annual accounting departments expose differences hidden by hospital totals. These values were assessed from CNO’s collected extract; original complete filing rows remain queued for independent recheck. Census-day ratios are calculated only where a positive adult/pediatric census denominator is present. ED, surgery, nursery and labor/delivery have different service denominators and are shown as hours.

Collected HCAI cost-center extract · original files 48hospitaldata.xlsx / 49hospitaldata.xlsx · page 21
Accounting cost center	2022 RN hours	2022 census days	2022 RN hours / census day	2023 RN hours	2023 census days	2023 RN hours / census day
Medical/Surgical Intensive Care	154,397	10,843	14.24	146,898	10,916	13.46
Coronary Care	184,595	20,432	9.03	189,328	20,036	9.45
Neonatal Intensive Care	24,813	1,292	19.21	23,996	991	24.21
Medical/Surgical Acute	529,081	59,647	8.87	602,811	63,585	9.48
Pediatric Acute	8,753	687	12.74	7,412	564	13.14
Obstetrics Acute	37,880	2,707	13.99	39,470	3,297	11.97
Nursery Acute	8,280	Different / unverified service denominator	Not calculated	5,304	Different / unverified service denominator	Not calculated
Emergency Services	196,053	Different / unverified service denominator	Not calculated	213,313	Different / unverified service denominator	Not calculated
Observation Care	68,199	Different / unverified service denominator	Not calculated	76,398	Different / unverified service denominator	Not calculated
Labor and Delivery Services	39,598	Different / unverified service denominator	Not calculated	45,796	Different / unverified service denominator	Not calculated
Surgery and Recovery Services	159,135	Different / unverified service denominator	Not calculated	178,718	Different / unverified service denominator	Not calculated

Adult psychiatric cost-center rows at Doctors retain the combined financial filing’s scope; they do not describe the Florida Avenue acute campus.

Download the assessed extract, field values and row locators → · HCAI complete-report collection →

CDPH enforcement history · 14 distinct penalty records

Exact CDPH ELMS facility 030000123 matched to HCAI 106500939, CMS 050557 and 1700 COFFEE RD, MODESTO. This is the July 30, 2024 extract, whose resource is titled 1997–2023 and includes 2024-issued records. It does not provide complete 2024–2026 complaint or enforcement coverage.

The API returned 28 matched rows; 14 exact duplicate penalty records were removed. Distinct penalties can concern the same incident. Reporting failures, privacy breaches and immediate-jeopardy penalties are separate categories.

Amounts and appeal/disposition status as recorded in the preserved extract
Issued / penalty number	Violation period	Type / coded category	Initial / final amount due	Disposition / appealed
2021-03-19040018546	2016-07-12–2016-07-12	AP - Breach (HSC 1280.15)Deliberate breach of PHI by health care worker	$10,000 / $10,000	ClosedAppealed: No
2017-08-10040013351	2016-11-22–2016-11-22	AP - Immediate Jeopardy (HSC 1280.3)AE12 - Medication error	$71,250 / $71,250	ClosedAppealed: No
2014-04-08030010585	2009-01-12–2009-01-12	AP - Immediate Jeopardy (HSC 1280.3)AE04 - Retention of a foreign object in a patient	$100,000 / $100,000	ClosedAppealed: No
2013-02-05040009732	2011-12-03–2011-12-03	AP - Immediate Jeopardy (HSC 1280.3)AE15 - Death/disability directly related to hypoglycemia	$100,000 / $100,000	ClosedAppealed: No
2012-10-07040009592	2011-05-22–2011-05-22	AP - Immediate Jeopardy (HSC 1280.3)AE02 - Wrong patient surgery	$50,000 / $50,000	ClosedAppealed: No
2012-07-25040009417	2011-12-19–2011-12-19	AP - Immediate Jeopardy (HSC 1280.3)AE28 - Adverse event or series of adverse events	$75,000 / $75,000	ClosedAppealed: No
2010-10-14040007630	2010-06-18–2010-06-18	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$900 / $900	ClosedAppealed: No
2009-06-12030006289	2008-07-16–2008-07-16	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$2,400 / $2,400	ClosedAppealed: No
2009-05-13030006181	2008-10-08–2008-10-08	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$100 / $100	ClosedAppealed: No
2009-05-13030006182	2008-05-27–2008-05-27	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$2,200 / $2,200	ClosedAppealed: No
2009-03-20030006002	2008-10-06–2008-10-06	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$300 / $300	ClosedAppealed: No
2009-03-18030005982	2008-01-12–2008-01-12	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$2,000 / $2,000	ClosedAppealed: No
2009-03-18030005986	2007-08-31–2007-08-31	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$12,800 / $12,800	ClosedAppealed: No
2009-03-17030005976	2008-03-20–2008-03-20	Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission	$7,100 / $7,100	ClosedAppealed: No

A coded category names the event class; the original deficiency report is needed for the clinical narrative, unit location, correction plan and later outcome. A burn adverse-event category does not establish that an event occurred in the burn center.

Preserved primary API response → · CDPH dataset and field dictionary →

Licensed supplemental services · September 16, 2026 inventory

19 service records for the matched parent facility. This inventory lists supplemental services and authorized locations; it is not a complete list of bedside units or a staffing roster. Start dates are licensing-record dates.

CDPH service records · ELMS 030000123
Licensed service	Name / location	Record start date
OUTPATIENT SERVICES	MEMORIAL SURGERY CENTER1401 SPANOS CT, MODESTOOffsite	2026-01-14
OUTPATIENT SERVICES	SUTTER MEMORIAL MEDICAL CENTER - INFUSION1329 SPANOS CT, MODESTOOffsite	2025-11-13
OUTPATIENT SERVICES	Parent-site service1401 SPANOS CT, MODESTOOffsite	2025-11-13
OUTPATIENT SERVICESPULMONARY REHAB SERVICES	Parent-site service1401 SPANOS CT, MODESTOOffsite	2025-11-13
NUCLEAR MEDICINECT SCAN	Parent-site serviceOnsite	2017-12-01
OUTPATIENT SERVICESTRAUMA CLINIC	TRAUMA CLINIC1401 SPANOS CT., MODESTOOffsite	2020-12-16
OUTPATIENT SERVICES	HEART AND VALVE INSTITUTE CLINIC1329 SPANOS CT SUITE C-3,, MODESTOOffsite	2022-05-04
BASIC EMERGENCY MEDICAL	Parent-site serviceOnsite	2005-02-24
OCCUPATIONAL THERAPY	Parent-site serviceOnsite	2010-06-17
MOBILE UNITSTERILE PROCESSING DEPARTMENT	Parent-site serviceOnsite	2026-04-14
RESPIRATORY CARE SERVICES	Parent-site serviceOnsite	2005-02-24
CARDIOVASCULAR SURGERY	Parent-site serviceOnsite	2005-02-24
SPEECH PATHOLOGY	Parent-site serviceOnsite	2005-02-24
SOCIAL SERVICES	Parent-site serviceOnsite	2005-02-24
CARDIAC CATHETERIZATION LABORATORY SERVICES	Parent-site serviceOnsite	2005-02-24
RADIATION THERAPY	Parent-site serviceOnsite	2005-02-24
NUCLEAR MEDICINE	Parent-site serviceOnsite	2005-02-24
PHYSICAL THERAPY	Parent-site serviceOnsite	2005-02-24
MOBILE UNIT	Parent-site serviceOnsite	2026-09-02

Official service inventory → · Preserved assessed rows →

Hospital timeline · services, labor and institutional records

2014-06-27 / 2015-09-17
Historical RN representation election
NLRB case 32-RC-128843 lists 917 eligible voters, 352 votes for CNA/NNU and 462 against in the 2014 initial tally. Its docket later lists approval of petition withdrawal in September 2015. This describes that election and does not establish the hospital’s current bargaining status.
Source record →
2014-02-24
Historical labor-case settlement listed
NLRB case 32-CA-114382 lists a bilateral settlement agreement after a charge alleging coercive rules. The public docket was assessed; the settlement text and compliance details have not been obtained.
Source record →
2025-11-13 / 2026-01-14
Infusion and surgery-center licensing entries
The September 2026 service inventory records Sutter Memorial Medical Center – Infusion at 1329 Spanos Court with a November 13, 2025 start date, and Memorial Surgery Center at 1401 Spanos Court with a January 14, 2026 start date. These are licensing-record dates; first-patient opening dates and staffed capacity remain unverified.
Source record →
2025 reporting year
Community-benefit filing assessed
The hospital reported $73.5 million in total community-benefit spending, including $6.1 million traditional charity care, for January–December 2025. Medicare and Medi-Cal amounts retain the publisher’s separate categories; they are not added again to the headline total.
Source record →

Evidence still needed · specific records and status

What accounts for the recent quarterly staffed-bed decrease while patient days increased? Obtain unit-level staffed and temporarily unavailable bed histories.
Why did reported aide hours drop from 143,572 in 2022 to 13,038 in 2024, while RN hours increased? Confirm accounting reclassification and support-staff coverage.
What changed after the medication-error and surgical enforcement findings? Obtain original deficiency reports, correction plans and appeal outcomes.
Obtain current nursing turnover, educator coverage, break-relief staffing, boarding hours and the completed audited 2024 financial filing.
Obtain explanatory schedules for unusual quarterly revenue or expense changes and revised filings; quarterly totals do not identify the underlying accounting transactions.

The September 2026 complete annual financial release for FY2024–25 was identified. Its download returned 403 and its resource has no accessible datastore response here; those newer annual figures are not substituted for the assessed 2022–2024 series.

Staffing-ratio and staffing-response requests in the collected planning workbook are marked “Ready to submit,” not submitted. No response or finding is inferred from those drafts.

The collected OSHA inspection extract identifies case 1712202.015 at 1700 Coffee Road, opened November 15, 2023, with closed status and $900 shown in current penalties at the time of collection. The live OSHA page could not be retrieved; this remains a historical extract awaiting a fresh original-record check.

Site-matched OSHA injury summaries, nurse-specific injury denominators, educator staffing, vacancy and turnover records are not yet assessed. Hospital-level outcome figures cannot supply those missing workforce records.

Download review data and source locators → · Review change log →

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

Recent workload & beds

Q1 2025 → Q1 2026 · quarterly reporting unit

🛏️ Patient days: ↑ 3.1%
🛏️ Reported staffed beds: 367 → 342
🏥 Outpatient visits: ↑ 20.8%
👩‍⚕️ RN hours · Q1 2026: — UNKNOWN

Q1 2025–Q1 2026: patient days rose 3.1%; reported staffed beds fell 25.

🔎 Quarterly records & preserved source →

Workload & RN hours over time

Hospital-wide · annual financial reporting unit · calendar years 2022–2024

2022–2024 reporting years: patient days rose 12.9%; productive RN hours rose 14.9%.

📈 Change over time · 2022 = 100

Patient days
Productive RN hours
Reported staffed beds

Annual workload, RN hours, and capacity
Measure	2022	2023	2024
Patient days	95,608	99,389	107,946
Productive RN hours	1,638,628	1,766,764	1,883,092
Reported staffed beds	265	300	325
RN hours / patient day	17.14	17.78	17.44

🔎 Reporting dates & sources

Open retained annual records and full history →

Preserved workbook · Raw Financial Extract →

↑ 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	1,638,628	0	95,608	Audited	Preserved fileAPI record ID 244
2023-01-01–2023-12-31	1,766,764	229,658	99,389	Audited	Preserved fileAPI record ID 244
2024-01-01–2024-12-31	1,883,092	34,817	107,946	In Process	Preserved fileHADR 01-01-2024 to 12-31-2024 row 242

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

17.44

2024-01-01–2024-12-31📈 Trend: ↑ Increasing · 2022–2024 · provisional reported series · 2024 filing In Process

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

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

1,883,092

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

905.33

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

Reported nursing FTEs · NURS_FTE

928

2024

📈 Reported RN hours per patient day · provisional series

Reported RN hours per patient day · provisional series · RN hours / patient day
Period	RN hours / patient day
2022	17.14
2023	17.78
2024	17.44

2022: Audited · 2023: Audited · 2024: In Process

📈 RN hours per patient day

RN hours per patient day · RN hours / patient day
Period	RN hours / patient day
2022	17.14
2023	17.78
2024	17.44

2022–2024 pattern: hospital-wide RN hours per patient day ended higher than in 2022.

📈 Reported nursing FTEs · NURS_FTE

Reported nursing FTEs · NURS_FTE · Nursing FTEs
Period	Nursing FTEs
2022	857
2023	972
2024	928

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 1.8%
Contract RN hours: 34,817

📈 Contract RN share of nursing hours

Contract RN share of nursing hours · % · reported contract RN share
Period	% · reported contract RN share
2018–2019 baseline	2.8
2024	1.8

2024 contract RN share was 1.0 percentage points below the 2018–2019 baseline.

↑ 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 →

🏥 HCAI facility licensed beds: 419
🛏️ Reported staffed beds: 342
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 419
❤️ Licensed ICU beds: 23
👶 Licensed NICU beds: 12
🤰 Licensed perinatal beds: 29
🚑 ED treatment stations: 44

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	23	23	23
👶 NICU	12	12	12
🤰 Perinatal	29	29	29

📈 Reported staffed-bed capacity

Reported staffed-bed capacity · Beds
Period	Beds
Q1 2025	367
Q1 2026	342

Q1 2025–Q1 2026: 25 fewer reported staffed beds.

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	38
2023	38
2024	44

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 90,726
🛏️ ED admissions: 16,911
⏱️ Median ED stay · excludes psych / transfers: 258 min↑
🚑 Left before being seen: 1%↓
⏱️ Ambulance offload · 90th percentile: 27.38 min
🚨 Reported diversion hours: 11 hours
🚑 ED service level: Basic
🛏️ Inpatient average stay · includes long-term care: 4.9 days
⏱️ 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	35.62
Nov 2024	28.88
Dec 2024	41.15
Jan 2025	38.32
Feb 2025	39.05
Mar 2025	27.38

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	92,385
2023	89,241
2024	90,726

📈 Reported diversion hours

Reported diversion hours · Hours
Period	Hours
2022	5
2023	6
2024	11

↑ Back to snapshot

🔄 Services & Changes

Open details

Licensed service inventory reviewed

September 16, 2026 licensed service inventory →

All documented service changes →↑ Back to snapshot

💬 Patient experience, infections & outcomes

Open details

Patient Experience & Outcomes

CMS reporting unit 050557 · MEMORIAL MEDICAL CENTER

Patients who answered “Always”

Nurses communicated well: 77%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 59%↓Below national rate 67% · numerical comparison

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI: 0.389↔CMS: no different from national benchmark
Catheter-associated urinary infections · CAUTI: 0.093↓CMS: lower than national benchmark · better
MRSA bloodstream infections: 0.485↔CMS: no different from national benchmark
C. diff infections: 0.085↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery: 0.507↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy: — UNKNOWN

30-day readmissions & mortality · risk-standardized rates

Unplanned readmissions within 30 days

Heart attack: 15%↑Above national rate 14.4% · numerical comparison
Heart failure: 19.9%↓Below national rate 21.3% · numerical comparison
Pneumonia: 17.9%↑Above national rate 17.3% · numerical comparison
COPD: 19.4%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: 10.7%↓Below national rate 11% · numerical comparison
Hip/knee replacement: 4.9%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 14.1%↑Above national rate 11.9% · numerical comparison
Heart failure: 12.9%↑Above national rate 11.1% · numerical comparison
Pneumonia: 12.4%↓Below national rate 15.2% · numerical comparison
COPD: 6.2%↓Below national rate 8.6% · numerical comparison
Coronary bypass surgery: 3.2%↑Above national rate 2.4% · numerical comparison
Stroke: 9.3%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Central-line infections · CDPH

Open details

Central-line infections reported

CDPH facility 030000123 · MEMORIAL MEDICAL CENTER

Reported CLABSIs: 5
Months reported: 12 / 12

Risk-adjusted infection record · 2025

Standardized infection ratio (SIR): 0.52↔
Predicted infections: 9.65

CLABSI means a central-line-associated bloodstream infection. Counts are shown with central-line days and reporting coverage.

2022–2025 counts & source records

CDPH CLABSI records · facility 030000123
Year	Reported infections	Central-line days	Months reported
2022	9	12,148	12 / 12
2023	9	9,933	12 / 12
2024	11	10,840	12 / 12
2025	5	12,185	12 / 12

2022 · preserved CDPH CSV (gzip) · row 437 · Major Teaching · Acute Care Hospital
2023 · preserved CDPH CSV (gzip) · row 441 · Major Teaching · Acute Care Hospital
2024 · preserved CDPH CSV (gzip) · row 439 · Major Teaching · Acute Care Hospital
2025 · preserved CDPH CSV (gzip) · row 436 · Major Teaching · Acute Care Hospital

Identity snapshot: 2026-09-16 · CDPH facility record 234

Matched records & checksums · Official CDPH dataset

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 486 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106500939 · dates, source locators and original values included

RN labor and workload · records & history

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

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

Download preserved source · Official source · API record ID 244

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

244

name

MEMORIAL HOSPITAL MODESTO

county

Stanislaus

rnHours

1638628

patientDays

95608

ratio

17.139026022926952

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1638628
PRD_HR_LVN	0
PRD_HR_AID	143572
CNT_HR_RN	0

nursingHours

1782200

contractShare

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	95608
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 244

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

244

name

MEMORIAL HOSPITAL MODESTO

county

Stanislaus

rnHours

1766764

patientDays

99389

ratio

17.776252905251084

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1766764
PRD_HR_LVN	0
PRD_HR_AID	25422
CNT_HR_RN	229658

nursingHours

2021844

contractShare

0.11358838763030184

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	99389
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

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

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 242

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

In Process

type

Comparable

sourceRecord

242

name

MEMORIAL HOSPITAL MODESTO

county

Stanislaus

rnHours

1883092

patientDays

107946

ratio

17.44475941674541

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1883092
PRD_HR_LVN	0
PRD_HR_AID	13038
CNT_HR_RN	34817

nursingHours

1930947

contractShare

0.01803104901377407

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	107946
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

Pilot workload records · all retained years

Download pilot workbook · Raw Financial Extract

Record 1 · 2022

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
reportDays	365
patientDays	95608
rnHours	1638628
contractRnHours	0
staffedBeds	265
filing	Audited
sourceId	AFD-2022
sourceFile	hadr-2022.xlsx
sourceRow	245
workbookRow	8

Record 2 · 2023

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
reportDays	365
patientDays	99389
rnHours	1766764
contractRnHours	229658
staffedBeds	300
filing	Audited
sourceId	AFD-2023
sourceFile	hadr-2023.xlsx
sourceRow	245
workbookRow	9

Record 3 · 2024

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
reportDays	366
patientDays	107946
rnHours	1883092
contractRnHours	34817
staffedBeds	325
filing	In Process
sourceId	AFD-2024
sourceFile	hadr-2024.xlsx
sourceRow	242
workbookRow	10

Reported nursing FTEs · complete history

Preserved workbook

Record 1

Retained record fields
Field	Value
period	2022
value	857

Record 2

Retained record fields
Field	Value
period	2023
value	972

Record 3

Retained record fields
Field	Value
period	2024
value	928

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	1883092
contractHours	34817
contractShare	0.01803
rnPerPatientDay	17.44476
baseline	0.028
history	UNIQUE
filing	In Process

Beds and capacity · records & history

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

Official HCAI roster · Retained source · row 486

Field

Value

officialName

MEMORIAL MEDICAL CENTER - MODESTO

county

Stanislaus

city

MODESTO

address

1700 COFFEE ROAD

zip

95355

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1970-05-01

licensedBeds

419

erServiceLevel

Emergency - Basic

licenseNumber

030000061

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

486

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

MEMORIAL MEDICAL CENTER

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	242
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	030000123
LICENSE_NUMBER	030000061
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	11111
HCAI_ID	106500939
ASPEN_FACID	CA030000123
CCN	050557
NPI	1699129601
ASPEN_STATUS	ACTIVE
FACNAME	MEMORIAL MEDICAL CENTER
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Official facility record · checked 2026-10-03

Official campus record

Retained record fields
Field	Value
licensedBeds	419
staffedBeds	316
availableBeds	419
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 468

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	419
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

419

sourceRow

468

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 474

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	419
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

419

sourceRow

474

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 472

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	419
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

419

sourceRow

472

sourceId

AUR-2024

Quarterly staffed beds and workload · retained comparison

Preserved workbook · Quarterly Pulse

Retained record fields
Field	Value
name	Memorial Medical Center – Modesto
id	106500939
beds2025	367
beds2026	342
bedChange	-25
utilization2025	0.8846200424
utilization2026	0.9786549708
utilizationChange	0.09403492839999994
patientDaysChange	0.0309387727
outpatientChange	0.2077443557

Facility checks and separately scoped bed records

Field

Value

officialName

Memorial Medical Center – Modesto

address

1700 Coffee Road, Modesto, CA 95355

officialUrl

https://hcai.ca.gov/facility/memorial-medical-center-modesto/

licensedBeds

419

edServiceLevel

Basic

facilityStatus

Open

checkedOn

2026-10-03

averageStayDays

4.9

averageStayPeriod

2024

nursingFTEHistory

Open nursingFTEHistory

Record 1

Retained record fields
Field	Value
period	2022
value	857

Record 2

Retained record fields
Field	Value
period	2023
value	972

Record 3

Retained record fields
Field	Value
period	2024
value	928

edStationsHistory

Open edStationsHistory

Record 1

Retained record fields
Field	Value
period	2022
value	38

Record 2

Retained record fields
Field	Value
period	2023
value	38

Record 3

Retained record fields
Field	Value
period	2024
value	44

diversionHoursHistory

Open diversionHoursHistory

Record 1

Retained record fields
Field	Value
period	2022
value	5

Record 2

Retained record fields
Field	Value
period	2023
value	6

Record 3

Retained record fields
Field	Value
period	2024
value	11

workbookSource

/downloads/California_Nursing_Conditions_Observatory_Pilot_V1.0.xlsx

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106500939 · source row 468

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	468
diversionReported	Yes
icuLicensed	23
nicuLicensed	12
perinatalLicensed	29
edStations	38
edNonAdmitVisits	78182
edAdmissions	14203
diversionHours	5

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106500939 · source row 474

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	474
diversionReported	Yes
icuLicensed	23
nicuLicensed	12
perinatalLicensed	29
edStations	38
edNonAdmitVisits	74080
edAdmissions	15161
diversionHours	6

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106500939 · source row 472

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	472
diversionReported	Yes
icuLicensed	23
nicuLicensed	12
perinatalLicensed	29
edStations	44
edNonAdmitVisits	73815
edAdmissions	16911
diversionHours	11

Local ED and average-stay records

Official facility source

Field

Value

edServiceLevel

Basic

averageStayDays

4.9

averageStayPeriod

2024

edStationsHistory

Open edStationsHistory

Record 1

Retained record fields
Field	Value
period	2022
value	38

Record 2

Retained record fields
Field	Value
period	2023
value	38

Record 3

Retained record fields
Field	Value
period	2024
value	44

diversionHoursHistory

Open diversionHoursHistory

Record 1

Retained record fields
Field	Value
period	2022
value	5

Record 2

Retained record fields
Field	Value
period	2023
value	6

Record 3

Retained record fields
Field	Value
period	2024
value	11

CMS ED measures · records & history

CMS 050557 · MEMORIAL 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 14058

Retained record fields
Field	Value
value	258
raw	258
sample	369
footnote
start	2024-10-01
end	2025-09-30
sourceRow	14058
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 14059

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	14059
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 14060

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	7
start	2024-10-01
end	2025-09-30
sourceRow	14060
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 14061

Retained record fields
Field	Value
value	1
raw	1
sample	92625
footnote
start	2024-01-01
end	2024-12-31
sourceRow	14061
measureName	Left before being seen

Ambulance offload · records & history
Memorial Medical Center, Modesto · CEMSIS 20275 · explicit retained-identity alias + EMS geography
Download preserved report · Official report
Record 1 · 2024-10
Retained record fields
Field Value
month 2024-10
minutes 35.61666666666667
offloadCount 1806
countPage 30
rawTime 0:35:37
sourceId EMSA-APOT-JUNE2025
page 23
row 35
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 28.883333333333333
offloadCount 1811
countPage 36
rawTime 0:28:53
sourceId EMSA-APOT-JUNE2025
page 23
row 35
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 41.15
offloadCount 1978
countPage 40
rawTime 0:41:09
sourceId EMSA-APOT-JUNE2025
page 23
row 35
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 38.31666666666667
offloadCount 1904
countPage 46
rawTime 0:38:19
sourceId EMSA-APOT-JUNE2025
page 23
row 35
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 39.05
offloadCount 1914
countPage 50
rawTime 0:39:03
sourceId EMSA-APOT-JUNE2025
page 23
row 35
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 27.383333333333333
offloadCount 1819
countPage 56
rawTime 0:27:23
sourceId EMSA-APOT-JUNE2025
page 23
row 35

CMS patient experience, infection, readmission & mortality records

CMS 050557 · MEMORIAL MEDICAL CENTER · 1700 COFFEE RD, MODESTO 95355 · 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 050557
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 / 33118	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	59	2024-01-01–2024-12-31	responsiveness / 45507	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	0.389	2024-10-01–2025-09-30	hai / 17539	None
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	3	2024-10-01–2025-09-30	hai / 17538	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	7.710	2024-10-01–2025-09-30	hai / 17537	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.099	2024-10-01–2025-09-30	hai / 17534	None
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	1.059	2024-10-01–2025-09-30	hai / 17535	None
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.093	2024-10-01–2025-09-30	hai / 17545	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 17544	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	10.773	2024-10-01–2025-09-30	hai / 17543	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.005	2024-10-01–2025-09-30	hai / 17540	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	0.458	2024-10-01–2025-09-30	hai / 17541	None
HAI_3_SIRSSI - Colon Surgery	0.507	2024-10-01–2025-09-30	hai / 17551	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	3	2024-10-01–2025-09-30	hai / 17550	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	5.914	2024-10-01–2025-09-30	hai / 17549	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.129	2024-10-01–2025-09-30	hai / 17546	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	1.381	2024-10-01–2025-09-30	hai / 17547	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 17557	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 17556	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.225	2024-10-01–2025-09-30	hai / 17555	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17552	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 17553	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	0.485	2024-10-01–2025-09-30	hai / 17563	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	4	2024-10-01–2025-09-30	hai / 17562	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	8.244	2024-10-01–2025-09-30	hai / 17561	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	0.154	2024-10-01–2025-09-30	hai / 17558	None
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	1.170	2024-10-01–2025-09-30	hai / 17559	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.085	2024-10-01–2025-09-30	hai / 17569	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	11	2024-10-01–2025-09-30	hai / 17568	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	129.993	2024-10-01–2025-09-30	hai / 17567	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.044	2024-10-01–2025-09-30	hai / 17564	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.147	2024-10-01–2025-09-30	hai / 17565	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	15CMS cohort: 255Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6828	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	19.9CMS cohort: 849Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6831	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	17.9CMS cohort: 895Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6833	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.4CMS cohort: 341Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6830	None
READM_30_CABGRate of readmission for CABG	10.7CMS cohort: 108Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6829	None
READM_30_HIP_KNEERate of readmission after hip/knee replacement	4.9CMS cohort: 273Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 6832	None
MORT_30_AMIDeath rate for heart attack patients	14.1CMS cohort: 194Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9744	None
MORT_30_HFDeath rate for heart failure patients	12.9CMS cohort: 513Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9747	None
MORT_30_PNDeath rate for pneumonia patients	12.4CMS cohort: 640Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9748	None
MORT_30_COPDDeath rate for COPD patients	6.2CMS cohort: 237Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9746	None
MORT_30_CABGDeath rate for CABG surgery patients	3.2CMS cohort: 105Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 9745	None
MORT_30_STKDeath rate for stroke patients	9.3CMS cohort: 278Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 9749	None

CMS footnote definitions · HCAHPS survey versions

2024 HCAI selected annual financial reports · RN hours and patient-day care mix · Preserved workbook
RN comparison calculation & reporting scope
Unweighted median of hospital report ratios PRD_HR_RN / DAY_TOT. Middle 50%: inclusive linear-interpolated 25th and 75th percentiles. Same 2024 selected-report file; audited Comparable reports, 365 or 366 days, majority (>50%) patient-day care group, exact unique HCAI IDs, reconciled care-day totals and existing CNO ratio. Includes reported zero RN hours; excludes missing values. No reference for mixed care-day groups or cohorts smaller than eight.
HCAI 106500939 · HADR 01-01-2024 to 12-31-2024 · row 242 · In Process · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 1,883,092 ÷ total patient days: 107,946
- Acute care: 107,946 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 23 · Preserved report
Offload hospital identity & source times
Memorial Medical Center, Modesto · Stanislaus · CEMSIS 20275 · explicit retained-identity alias + EMS geography
- Oct 2024: 0:35:37 · 90th percentile · 1,806 qualifying offloads · page 23 · count page 30
- Nov 2024: 0:28:53 · 90th percentile · 1,811 qualifying offloads · page 23 · count page 36
- Dec 2024: 0:41:09 · 90th percentile · 1,978 qualifying offloads · page 23 · count page 40
- Jan 2025: 0:38:19 · 90th percentile · 1,904 qualifying offloads · page 23 · count page 46
- Feb 2025: 0:39:03 · 90th percentile · 1,914 qualifying offloads · page 23 · count page 50
- Mar 2025: 0:27:23 · 90th percentile · 1,819 qualifying offloads · page 23 · count page 56
CMS ED measures · reporting unit 050557 · MEMORIAL MEDICAL CENTER · Preserved file
CMS values, dates & identity match
1700 COFFEE RD, MODESTO 95355 · unique normalized address + city + ZIP
- OP_18b: 258 · 2024-10-01–2025-09-30 · sample 369
- OP_18c: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 7
- OP_22: 1 · 2024-01-01–2024-12-31 · sample 92625
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
HCAI facility identity, licensed beds, ED level & average stay · checked 2026-10-03
CNO preserved source workbook · 2022–2024 nursing FTEs, ED stations & diversion
2024 HCAI annual financial / RN labor
2022 HCAI annual financial / RN history
2023 HCAI annual financial / RN history
2025 California capacity record
Official hospital facility / campus beds
Q1 2025–Q1 2026 utilization / staffed beds
2024 HCAI utilization / ED volume and admissions
2022 HCAI utilization / ED volume
CMS ED measures · 10/1/2024–9/30/2025

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

Research record, provenance & reporting scope

← 30 reviewed hospitals

Hospital Change Profile · Reviewed pilot

Memorial Hospital Modesto

Stanislaus County · HCAI 106500939 · CMS 050557

Evidence statusFiling still in processWorkforce: 2024Capacity: 2025 · Quarterly context: Q1 2026

What the available records supportPatient days changed +3.1% from Q1 2025 to Q1 2026. Reported staffed beds changed from 367 to 342 (-25).

The nurse’s questions

What changed?

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

Are we busier?Patient days changed +3.1% from Q1 2025 to Q1 2026.

+3.1%Patient-day change · Q1 2025 → Q1 2026

Did available capacity change?Reported staffed beds changed from 367 to 342 (-25).

367 → 342Reported quarterly staffed beds

What did the nursing record show?17.4 RN hours per patient day.

17.4Hospital-wide RN intensity · 2024

What contract labor did the source report?Reported contract-RN share: 1.8%.

2.8% → 1.8%2018–2019 baseline → 2024 reported share

Reported contract reliance was 1.0 percentage points below the hospital’s pre-pandemic baseline.

Show me the receipts

Where the numbers came from.

Facility record

Official HCAI parent-facility identity and 419 licensed beds match the reporting-period record. The current official name is Memorial Medical Center - Modesto; the dataset uses Memorial Hospital Modesto.

Open official facility source ↗

Reporting scope

Stable HCAI ID 106500939 reconciles the naming difference. The workforce filing remains in process and must not be described as audited.

Workforce source

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

Open HCAI hospital financials ↗

Quarterly context

Q1 2025 and Q1 2026 demand and staffed-bed measures provide newer context but contain no nursing hours.

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 →

Field	Value
month	2024-10
minutes	35.61666666666667
offloadCount	1806
countPage	30
rawTime	0:35:37
sourceId	EMSA-APOT-JUNE2025
page	23
row	35

Field	Value
month	2024-11
minutes	28.883333333333333
offloadCount	1811
countPage	36
rawTime	0:28:53
sourceId	EMSA-APOT-JUNE2025
page	23
row	35

Field	Value
month	2024-12
minutes	41.15
offloadCount	1978
countPage	40
rawTime	0:41:09
sourceId	EMSA-APOT-JUNE2025
page	23
row	35

Field	Value
month	2025-01
minutes	38.31666666666667
offloadCount	1904
countPage	46
rawTime	0:38:19
sourceId	EMSA-APOT-JUNE2025
page	23
row	35

Field	Value
month	2025-02
minutes	39.05
offloadCount	1914
countPage	50
rawTime	0:39:03
sourceId	EMSA-APOT-JUNE2025
page	23
row	35

Field	Value
month	2025-03
minutes	27.383333333333333
offloadCount	1819
countPage	56
rawTime	0:27:23
sourceId	EMSA-APOT-JUNE2025
page	23
row	35

🏥 Memorial Medical Center – Modesto

What matters here

Hospital Snapshot

30-day readmissions

30-day mortality

Explore history & sources

Before you take the job

👥 Turnover & working conditions

Who stays? Who leaves?

💵 Finances & enforcement

Show me the records

Growing inpatient workload, a larger ED, and a workforce mix that changed sharply

Inpatient growth reached the bedside accounting records

Annual expansion and the recent quarterly change run in different directions

The newer finances include a sharp quarterly swing

Emergency access remains a distinct pressure point

Positive outcomes and financial room are also visible

Growth was uneven across accounting departments

Historical enforcement is now tied to the correct facility

Historical RN representation election

Historical labor-case settlement listed

Infusion and surgery-center licensing entries

Community-benefit filing assessed

📈 Workload & patient demand

📈 Workload, Staffing & Capacity

Recent workload & beds

Workload & RN hours over time

👩‍⚕️ RN Staffing

✈️ Travelers / Agency Nursing

🛏️ Beds & Capacity

🚑 ED & Hospital Pressure

🔄 Services & Changes

💬 Patient experience, infections & outcomes

Patient Experience & Outcomes

Patients who answered “Always”

Infections · standardized infection ratio (SIR)

Unplanned readmissions within 30 days

Deaths within 30 days

🦠 Central-line infections · CDPH

Central-line infections reported

Risk-adjusted infection record · 2025

🔎 Sources

Memorial Hospital Modesto

What changed?

Where the numbers came from.