🏥 Adventist Health Tulare

Tulare County · HCAI 106540816

869 NORTH CHERRY STREET, TULARE 93274

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: 26.31↑
Productive RN hours: 193,199
RN-only FTEs · productive, calculated: 92.88

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 2.0%↓
Contract RN hours: 6,112

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 108
🛏️ Reported staffed beds: 22—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 73
❤️ Licensed ICU beds: 14
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 14
🚑 ED treatment stations: 15

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 37,042
🛏️ ED admissions: 1,972
⏱️ Median ED stay · excludes psych / transfers: 198 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: — UNKNOWN
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

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

Pay, overtime, orientation and contract records →

History & details →

💬 Patient experience

Nurses communicated well · Always: 77%↓
Help as soon as wanted · Always · legacy measure: 64%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: Not calculable
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.436↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: 21.2%↓
Pneumonia: 18.3%↑
COPD: 19.6%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: — UNKNOWN
Heart failure: 11.9%↑
Pneumonia: 16.6%↑
COPD: 8.6%↔
Coronary bypass surgery: — UNKNOWN
Stroke: 10.4%↓

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

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

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

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

Pay, overtime, orientation & contract

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

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

2022–2024: ED encounters increased from 31,285 to 37,042.

🚑 ED activity · ↑ 18.4%

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	153,177	23,913	8,781	Audited	Preserved fileAPI record ID 15
2023-01-01–2023-12-31	169,263	8,231	7,333	Audited	Preserved fileAPI record ID 15
2024-01-01–2024-12-31	193,199	6,112	7,342	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 17

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

26.31

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

193,199

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

92.88

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	17.44
2023	23.08
2024	26.31

2022–2024 pattern: RN hours per patient day went from 17.44 to 26.31.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 2.0%
Contract RN hours: 6,112

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	8.38
2023	2.91
2024	1.96

2022–2024 pattern: contract RN share went from 8.4% to 2.0%.

↑ Back to snapshot

🛏️ Beds & Capacity

Open details

Which kind of bed capacity is reported?

What do these bed counts mean?

🏥 Licensed: Authorized bed capacity under the facility license.
🛏️ Staffed: Beds the hospital reports having personnel to operate during the reporting period.
⚙️ Operational: Beds open and equipped for patient care at a stated time.
📋 Reported available: The source’s available-bed count for its dated reporting period. Live availability means an empty, staffed bed ready to accept a patient now.

🔎 Records & complete history →

🏥 Reported licensed beds: 108
🛏️ Reported staffed beds: 22
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 73
❤️ Licensed ICU beds: 14
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 14
🚑 ED treatment stations: 15

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	14	14	14
👶 NICU	0	0	0
🤰 Perinatal	14	14	14

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	15
2023	15
2024	15

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 37,042
🛏️ ED admissions: 1,972
⏱️ Median ED stay · excludes psych / transfers: 198 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: — UNKNOWN
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	31,285
2023	33,378
2024	37,042

↑ 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 050784 · ADVENTIST HEALTH TULARE

Patients who answered “Always”

Nurses communicated well: 77%↓Below national rate 80% · numerical comparison
Received help as soon as wanted: 64%↓Below national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050784 · ADVENTIST HEALTH TULARE

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: Not calculable
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.436↔CMS: no different from national benchmark
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: Not calculable

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050784 · ADVENTIST HEALTH TULARE

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: 21.2%↓Below national rate 21.3% · numerical comparison
Pneumonia: 18.3%↑Above national rate 17.3% · numerical comparison
COPD: 19.6%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

Heart attack: — UNKNOWN
Heart failure: 11.9%↑Above national rate 11.1% · numerical comparison
Pneumonia: 16.6%↑Above national rate 15.2% · numerical comparison
COPD: 8.6%↔Equal to national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 10.4%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 502 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106540816 · 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 15

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH TULARE

county

Tulare

rnHours

153177

patientDays

8781

ratio

17.444140758455756

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	153177
PRD_HR_LVN	2711
PRD_HR_AID	105670
CNT_HR_RN	23913

nursingHours

285471

contractShare

0.08376682745357672

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	8781
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 15

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH TULARE

county

Tulare

rnHours

169263

patientDays

7333

ratio

23.08236738033547

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	169263
PRD_HR_LVN	4833
PRD_HR_AID	100113
CNT_HR_RN	8231

nursingHours

282440

contractShare

0.029142472737572582

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	7333
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 17

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH TULARE

county

Tulare

rnHours

193199

patientDays

7342

ratio

26.31421955870335

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	193199
PRD_HR_LVN	6700
PRD_HR_AID	105893
CNT_HR_RN	6112

nursingHours

311904

contractShare

0.019595773058376936

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	7342
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	193199
contractHours	6112
contractShare	0.0196
rnPerPatientDay	26.31422
baseline	— UNKNOWN
history	MISSING
filing	Audited

Beds and capacity · records & history

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

Official HCAI roster · Retained source · row 502

Field

Value

officialName

ADVENTIST HEALTH TULARE

county

Tulare

city

TULARE

address

869 NORTH CHERRY STREET

zip

93274

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

2018-11-02

licensedBeds

erServiceLevel

Emergency - Basic

licenseNumber

120000585

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

502

officialUrl

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

sourceFile

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

aliases

Open aliases

Record 1

ADVENTIST HEALTH TULARE

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	2511
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	120001467
LICENSE_NUMBER	120000585
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	11145
HCAI_ID	106540816
ASPEN_FACID	CA1200001467
CCN	050784
NPI	1801366711
ASPEN_STATUS	ACTIVE
FACNAME	ADVENTIST HEALTH TULARE
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	108
staffedBeds	22
availableBeds	73
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 485

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	108
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

108

sourceRow

485

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 491

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	108
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

108

sourceRow

491

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 489

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	108
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

108

sourceRow

489

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106540816 · source row 485

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	485
diversionReported	No
icuLicensed	14
nicuLicensed	0
perinatalLicensed	14
edStations	15
edNonAdmitVisits	30023
edAdmissions	1262
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106540816 · source row 491

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	491
diversionReported	No
icuLicensed	14
nicuLicensed	0
perinatalLicensed	14
edStations	15
edNonAdmitVisits	31850
edAdmissions	1528
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106540816 · source row 489

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	489
diversionReported	No
icuLicensed	14
nicuLicensed	0
perinatalLicensed	14
edStations	15
edNonAdmitVisits	35070
edAdmissions	1972
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050784 · ADVENTIST HEALTH TULARE · 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 16248

Retained record fields
Field	Value
value	198
raw	198
sample	417
footnote
start	2024-10-01
end	2025-09-30
sourceRow	16248
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 16249

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	16249
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 16250

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	16250
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 16251

Retained record fields
Field	Value
value	2
raw	2
sample	35613
footnote
start	2024-01-01
end	2024-12-31
sourceRow	16251
measureName	Left before being seen

CMS patient experience, infection, readmission & mortality records

CMS 050784 · ADVENTIST HEALTH TULARE · 869 NORTH CHERRY STREET, TULARE 93274 · 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 050784
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 / 38082	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	64	2024-01-01–2024-12-31	responsiveness / 52389	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 20167	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 20166	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.749	2024-10-01–2025-09-30	hai / 20165	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20162	13CMS cannot calculate
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20163	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 20173	13CMS cannot calculate
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 20172	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	0.736	2024-10-01–2025-09-30	hai / 20171	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20168	13CMS cannot calculate
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20169	13CMS cannot calculate
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 20179	13CMS cannot calculate
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 20178	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	0.890	2024-10-01–2025-09-30	hai / 20177	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20174	13CMS cannot calculate
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20175	13CMS cannot calculate
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 20185	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 20184	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.008	2024-10-01–2025-09-30	hai / 20183	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20180	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20181	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 20191	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 20190	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.403	2024-10-01–2025-09-30	hai / 20189	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20186	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 20187	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.436	2024-10-01–2025-09-30	hai / 20197	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	1	2024-10-01–2025-09-30	hai / 20196	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	2.295	2024-10-01–2025-09-30	hai / 20195	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.022	2024-10-01–2025-09-30	hai / 20192	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	2.149	2024-10-01–2025-09-30	hai / 20193	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7850	1Too few cases to report
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	21.2CMS cohort: 94Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7853	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	18.3CMS cohort: 141Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7855	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.6CMS cohort: 46Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7852	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 / 7851	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 7854	5No CMS result for this period
MORT_30_AMIDeath rate for heart attack patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11204	1Too few cases to report
MORT_30_HFDeath rate for heart failure patients	11.9CMS cohort: 51Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11207	None
MORT_30_PNDeath rate for pneumonia patients	16.6CMS cohort: 135Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11208	None
MORT_30_COPDDeath rate for COPD patients	8.6CMS cohort: 29Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 11206	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 / 11205	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	10.4CMS cohort: 49Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 11209	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	932	2024-10-01–2025-09-30	hai / 20164	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	988	2024-10-01–2025-09-30	hai / 20170	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	30	2024-10-01–2025-09-30	hai / 20176	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	1	2024-10-01–2025-09-30	hai / 20182	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	7046	2024-10-01–2025-09-30	hai / 20188	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	7046	2024-10-01–2025-09-30	hai / 20194	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106540816 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2022-01-01–2022-12-31	153,177	8,781	23,913	285,471
2023	2023-01-01–2023-12-31	169,263	7,333	8,231	282,440
2024	2024-01-01–2024-12-31	193,199	7,342	6,112	311,904

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 15 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 15 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 17 · 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 106540816 · HADR 01-01-2024 to 12-31-2024 · row 17 · Audited · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 193,199 ÷ total patient days: 7,342
- Acute care: 7,342 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
CMS ED measures · reporting unit 050784 · ADVENTIST HEALTH TULARE · Preserved file
CMS values, dates & identity match
869 NORTH CHERRY STREET, TULARE 93274 · unique normalized address + city + ZIP
- OP_18b: 198 · 2024-10-01–2025-09-30 · sample 417
- 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 1
- OP_22: 2 · 2024-01-01–2024-12-31 · sample 35613
Preserved hospital identities · CMS footnote definitions
2022-01-01–2022-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2023-01-01–2023-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024-01-01–2024-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024 contract RN share calculation
Nursing-hour denominator
Contract RN hours ÷ (productive RN + productive LVN + productive aide + contract RN hours). HCAI fields: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record

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Research record, provenance & reporting scope

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Public Record Profile · No state call

Adventist Health Tulare

Tulare County · HCAI 106540816

Profile statusLISTED — NOT YET REVIEWEDDescriptive profile · two source layers2024 financial filing audited2024 workforce record available2025 capacity record available

What this page can show2024 nursing labor and 2025 capacity, reported separately.

What the public record reports

What is reported?

This facility is listed, but its records have not received the additional hospital-specific review shown on reviewed profiles.

Reported RN labor193,199 productive RN hours.

193,199Hospital-wide productive RN hours · 2024

Contract RN share2.0% of reported RN labor.

2.0%Agency, registry, or contract RN share · 2024

Reported RN intensity26.3 RN hours per patient day.

26.3Hospital-wide annual proxy · 2024

Reported capacity22 staffed beds.

73 → 22Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106540816.

Open official facility source ↗

Workforce source

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

Open HCAI hospital financials ↗

Capacity source

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

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Next evidence step

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