🏥 Adventist Health Sonora - Greenley

Tuolumne County · HCAI 106554011

1000 GREENLEY RD, SONORA 95370

Open · Hospital facility · roster 2026-10-01

Acute care + LTC reporting unit

Hospital Snapshot

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

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

Read the arrows

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

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

—: no matched comparison.

👩‍⚕️ RN staffing

Acute care + LTC reporting unit · RN hours / patient day: 10.97↓
Productive RN hours: 407,557
RN-only FTEs · productive, calculated: 195.94

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 3.5%↑
Contract RN hours: 28,061

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 152
🛏️ Reported staffed beds: 105↑
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 152
❤️ Licensed ICU beds: 6
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 7
🚑 ED treatment stations: 18

Licensed care types · 2024 reporting unit

Acute care: 72
Skilled nursing / LTC: 68

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 36,415
🛏️ ED admissions: 3,396
⏱️ Median ED stay · excludes psych / transfers: 171 min↑
⏱️ Psychiatric / mental-health ED stay · median: 302 min↑
⏱️ ED stay before transfer · median: 483 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 12.6 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

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

Pay, overtime, orientation and contract records →

History & details →

💬 Patient experience

Nurses communicated well · Always: 80%↔
Help as soon as wanted · Always · legacy measure: 61%↓

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: 0.614↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.185↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: Not calculable
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: 13.6%↓
Heart failure: 19.6%↓
Pneumonia: 16.3%↓
COPD: 19.3%↓
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

30-day mortality

Heart attack: 9%↓
Heart failure: 11.7%↑
Pneumonia: 15%↓
COPD: 7.9%↓
Coronary bypass surgery: — UNKNOWN
Stroke: 12%↑

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: 12.39 → 10.97 · 2022–2024Who covers call-outs and breaks on this unit?Source →
Contract RN share of nursing hours: 3.5% · 2024How many agency RNs are here now? How long is orientation?Source →
Current unit turnover / vacancies — UNKNOWNWhat is this unit’s RN turnover over the last year? How many RN vacancies?Source →

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

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

Pay, overtime, orientation & contract

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

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

Recent workload & beds

Q1 2025 → Q1 2026 · quarterly reporting unit

🛏️ Patient days: ↑ 1.1%
🛏️ Reported staffed beds: 103 → 105
🏥 Outpatient visits: ↑ 5.7%
👩‍⚕️ RN hours · Q1 2026: — UNKNOWN

Q1 2025–Q1 2026: patient days rose 1.1%; reported staffed beds rose 2.

🔎 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 11.9%; productive RN hours fell 0.9%.

📈 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	33,212	33,226	37,154
Productive RN hours	411,346	365,228	407,557
Reported staffed beds	92	95	104
RN hours / patient day	12.39	10.99	10.97

🔎 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	411,346	39,250	33,212	Audited	Preserved fileAPI record ID 12
2023-01-01–2023-12-31	365,228	23,266	33,226	Audited	Preserved fileAPI record ID 12
2024-01-01–2024-12-31	407,557	28,061	37,154	In Process	Preserved fileHADR 01-01-2024 to 12-31-2024 row 14

Full source records & reporting scope →

🔎 Records & complete history →

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

10.97

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

California peer comparison

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

RN hours / patient day · 31 audited 2024 reports

Mostly long-term-care patient days

58.2% of this report’s patient days: long-term care

Above the typical reported range

🔎 Comparison source & calculation

Productive RN hours

407,557

2024-01-01–2024-12-31

RN-only FTEs · productive, calculated

195.94

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

📈 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	12.39
2023	10.99
2024	10.97

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	12.39
2023	10.99
2024	10.97

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

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 3.5%
Contract RN hours: 28,061

📈 Contract RN share of nursing hours

Contract RN share of nursing hours · % · reported contract RN share
Period	% · reported contract RN share
2018–2019 baseline	3.05
2024	3.48

2024 contract RN share was 0.4 percentage points above 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 →

Licensed beds by care type · 2024

🛏️ Acute care licensed beds: 72
🛏️ Skilled nursing / LTC licensed beds: 68
🏥 Total licensed beds · reporting unit: 140

🔎 2024 annual utilization · source & history

🏥 Reported licensed beds: 152
🛏️ Reported staffed beds: 105
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 152
❤️ Licensed ICU beds: 6
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 7
🚑 ED treatment stations: 18

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	6	6	6
👶 NICU	0	0	0
🤰 Perinatal	7	7	7

📈 Reported staffed-bed capacity

Reported staffed-bed capacity · Beds
Period	Beds
Q1 2025	103
Q1 2026	105

Q1 2025–Q1 2026: 2 more reported staffed beds.

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	18
2023	18
2024	18

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 36,415
🛏️ ED admissions: 3,396
⏱️ Median ED stay · excludes psych / transfers: 171 min↑
⏱️ Psychiatric / mental-health ED stay · median: 302 min↑
⏱️ ED stay before transfer · median: 483 min↑
🚑 Left before being seen: 2%↔
⏱️ Ambulance offload · 90th percentile: 12.6 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 Ambulance offload · 90th percentile · Oct 2024–Mar 2025

Ambulance offload · 90th percentile · Oct 2024–Mar 2025 · Minutes
Period	Minutes
Oct 2024	8.62
Nov 2024	7.93
Dec 2024	8
Jan 2025	9.38
Feb 2025	9.85
Mar 2025	12.6

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	34,347
2023	34,692
2024	36,415

↑ 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 050335 · ADVENTIST HEALTH SONORA

Patients who answered “Always”

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

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050335 · ADVENTIST HEALTH SONORA

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: 0.614↔CMS: no different from national benchmark
MRSA bloodstream infections · SIR: Not calculable
C. diff infections · SIR: 0.185↓CMS: lower than national benchmark · better
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 050335 · ADVENTIST HEALTH SONORA

Unplanned readmissions within 30 days

Heart attack: 13.6%↓Below national rate 14.4% · numerical comparison
Heart failure: 19.6%↓Below national rate 21.3% · numerical comparison
Pneumonia: 16.3%↓Below national rate 17.3% · numerical comparison
COPD: 19.3%↓Below national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: — UNKNOWN

Deaths within 30 days

Heart attack: 9%↓Below national rate 11.9% · numerical comparison
Heart failure: 11.7%↑Above national rate 11.1% · numerical comparison
Pneumonia: 15%↓Below national rate 15.2% · numerical comparison
COPD: 7.9%↓Below national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 12%↑Above national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 507 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106554011 · 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 12

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH SONORA - GREENLEY

county

Tuolumne

rnHours

411346

patientDays

33212

ratio

12.385463085631699

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	411346
PRD_HR_LVN	49783
PRD_HR_AID	370063
CNT_HR_RN	39250

nursingHours

870442

contractShare

0.04509203370241785

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	15726
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	17486
DAY_RESDNT	0

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

Download preserved source · Official source · API record ID 12

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

reportDays

365

filing

Audited

type

Comparable

sourceRecord

name

ADVENTIST HEALTH SONORA - GREENLEY

county

Tuolumne

rnHours

365228

patientDays

33226

ratio

10.992234996689339

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	365228
PRD_HR_LVN	47241
PRD_HR_AID	388514
CNT_HR_RN	23266

nursingHours

824249

contractShare

0.028226907160336257

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	14655
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	18571
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 14

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

reportDays

366

filing

In Process

type

Comparable

sourceRecord

name

ADVENTIST HEALTH SONORA - GREENLEY

county

Tuolumne

rnHours

407557

patientDays

37154

ratio

10.969397642245788

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	407557
PRD_HR_LVN	49600
PRD_HR_AID	320878
CNT_HR_RN	28061

nursingHours

806096

contractShare

0.03481099025426252

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	15541
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	21613
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	33212
rnHours	411346
contractRnHours	39250
staffedBeds	92
filing	Audited
sourceId	AFD-2022
sourceFile	hadr-2022.xlsx
sourceRow	13
workbookRow	17

Record 2 · 2023

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
reportDays	365
patientDays	33226
rnHours	365228
contractRnHours	23266
staffedBeds	95
filing	Audited
sourceId	AFD-2023
sourceFile	hadr-2023.xlsx
sourceRow	13
workbookRow	18

Record 3 · 2024

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
reportDays	366
patientDays	37154
rnHours	407557
contractRnHours	28061
staffedBeds	104
filing	In Process
sourceId	AFD-2024
sourceFile	hadr-2024.xlsx
sourceRow	14
workbookRow	19

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	407557
contractHours	28061
contractShare	0.03481
rnPerPatientDay	10.9694
baseline	0.03052
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 507

Field

Value

officialName

ADVENTIST HEALTH SONORA - GREENLEY

county

Tuolumne

city

SONORA

address

1000 GREENLEY RD

zip

95370

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

2004-01-14

licensedBeds

erServiceLevel

Emergency - Basic

licenseNumber

030000094

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

507

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 SONORA

Record 2

ADVENTIST HEALTH SONORA - D/P SNF (UNIT 7)

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	375
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	030001799
LICENSE_NUMBER	030000094
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	18163
HCAI_ID	106554011
ASPEN_FACID	CA030000142
CCN	050335
NPI	1780673376
ASPEN_STATUS	ACTIVE
FACNAME	ADVENTIST HEALTH SONORA
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

Record 2

Retained record fields
Field	Value
_id	5956
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	630014616
LICENSE_NUMBER	030000094
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	18163
HCAI_ID	106554011
ASPEN_FACID	CA030000142
CCN	050335
NPI	1780673376
ASPEN_STATUS	ACTIVE
FACNAME	ADVENTIST HEALTH SONORA - D/P SNF (UNIT 7)
FAC_TYPE_DESCRIPTION	SKILLED NURSING FACILITY
FAC_FDR	SKILLED NURSING FACILITY
FAC_FAC_RELATIONSHIP	Distinct Part
ELMS_PARENT_FACID	030001799

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	152
staffedBeds	100
availableBeds	152
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 488

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	72
psychiatric	0
chemical	0
skilledNursing	68
intermediateCare	0
developmentalCare	0

total

140

sourceRow

488

sourceId

AUR-2022

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

Preserved utilization workbook · Page 1-6 · row 494

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	72
psychiatric	0
chemical	0
skilledNursing	68
intermediateCare	0
developmentalCare	0

total

140

sourceRow

494

sourceId

AUR-2023

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

Preserved utilization workbook · Page 1-6 · row 492

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	72
psychiatric	0
chemical	0
skilledNursing	68
intermediateCare	0
developmentalCare	0

total

140

sourceRow

492

sourceId

AUR-2024

Quarterly staffed beds and workload · retained comparison

Preserved workbook · Quarterly Pulse

Retained record fields
Field	Value
name	Adventist Health Sonora – Greenley
id	106554011
beds2025	103
beds2026	105
bedChange	2
utilization2025	0.9952535059
utilization2026	0.986984127
utilizationChange	-0.008269378899999902
patientDaysChange	0.0109473228
outpatientChange	0.0567292975

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106554011 · source row 488

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	488
diversionReported	No
icuLicensed	6
nicuLicensed	0
perinatalLicensed	7
edStations	18
edNonAdmitVisits	31156
edAdmissions	3191
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106554011 · source row 494

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	494
diversionReported	No
icuLicensed	6
nicuLicensed	0
perinatalLicensed	7
edStations	18
edNonAdmitVisits	31587
edAdmissions	3105
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106554011 · source row 492

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	492
diversionReported	No
icuLicensed	6
nicuLicensed	0
perinatalLicensed	7
edStations	18
edNonAdmitVisits	33019
edAdmissions	3396
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050335 · ADVENTIST HEALTH SONORA · 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 12249

Retained record fields
Field	Value
value	171
raw	171
sample	403
footnote
start	2024-10-01
end	2025-09-30
sourceRow	12249
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 12250

Retained record fields
Field	Value
value	302
raw	302
sample	18
footnote
start	2024-10-01
end	2025-09-30
sourceRow	12250
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 12251

Retained record fields
Field	Value
value	483
raw	483
sample	17
footnote
start	2024-10-01
end	2025-09-30
sourceRow	12251
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 12252

Retained record fields
Field	Value
value	2
raw	2
sample	37239
footnote
start	2024-01-01
end	2024-12-31
sourceRow	12252
measureName	Left before being seen

Ambulance offload · records & history
Adventist Health Sonora, Greenley · CEMSIS 20438 · unique normalized hospital / retained CMS name + EMS geography
Download preserved report · Official report
Record 1 · 2024-10
Retained record fields
Field Value
month 2024-10
minutes 8.616666666666667
offloadCount 387
countPage 33
rawTime 0:08:37
sourceId EMSA-APOT-JUNE2025
page 23
row 37
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 7.933333333333334
offloadCount 425
countPage 38
rawTime 0:07:56
sourceId EMSA-APOT-JUNE2025
page 23
row 37
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 8
offloadCount 479
countPage 43
rawTime 0:08:00
sourceId EMSA-APOT-JUNE2025
page 23
row 37
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 9.383333333333333
offloadCount 470
countPage 48
rawTime 0:09:23
sourceId EMSA-APOT-JUNE2025
page 23
row 37
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 9.85
offloadCount 411
countPage 53
rawTime 0:09:51
sourceId EMSA-APOT-JUNE2025
page 23
row 37
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 12.6
offloadCount 451
countPage 58
rawTime 0:12:36
sourceId EMSA-APOT-JUNE2025
page 23
row 37

CMS patient experience, infection, readmission & mortality records

CMS 050335 · ADVENTIST HEALTH SONORA · 1000 GREENLEY ROAD, SONORA 95370 · 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 050335
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	80	2024-10-01–2025-09-30	hcahps / 28970	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	61	2024-01-01–2024-12-31	responsiveness / 39834	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 15343	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 15342	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.504	2024-10-01–2025-09-30	hai / 15341	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 15338	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 / 15339	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	0.614	2024-10-01–2025-09-30	hai / 15349	None
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 15348	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	1.628	2024-10-01–2025-09-30	hai / 15347	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	0.031	2024-10-01–2025-09-30	hai / 15344	None
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	3.029	2024-10-01–2025-09-30	hai / 15345	None
HAI_3_SIRSSI - Colon Surgery	Not Available	2024-10-01–2025-09-30	hai / 15355	13CMS cannot calculate
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	0	2024-10-01–2025-09-30	hai / 15354	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	0.550	2024-10-01–2025-09-30	hai / 15353	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 15350	13CMS cannot calculate
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 15351	13CMS cannot calculate
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 15361	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	0	2024-10-01–2025-09-30	hai / 15360	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.213	2024-10-01–2025-09-30	hai / 15359	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 15356	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 15357	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	Not Available	2024-10-01–2025-09-30	hai / 15367	13CMS cannot calculate
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	1	2024-10-01–2025-09-30	hai / 15366	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	0.600	2024-10-01–2025-09-30	hai / 15365	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 15362	13CMS cannot calculate
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 15363	13CMS cannot calculate
HAI_6_SIRClostridium Difficile (C.Diff)	0.185	2024-10-01–2025-09-30	hai / 15373	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	1	2024-10-01–2025-09-30	hai / 15372	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	5.408	2024-10-01–2025-09-30	hai / 15371	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.009	2024-10-01–2025-09-30	hai / 15368	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.912	2024-10-01–2025-09-30	hai / 15369	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	13.6CMS cohort: 105Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5974	None
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	19.6CMS cohort: 209Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5977	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	16.3CMS cohort: 381Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5979	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	19.3CMS cohort: 106Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5976	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 / 5975	1Too few cases to report
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 / 5978	1Too few cases to report
MORT_30_AMIDeath rate for heart attack patients	9CMS cohort: 125Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8524	None
MORT_30_HFDeath rate for heart failure patients	11.7CMS cohort: 236Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8527	None
MORT_30_PNDeath rate for pneumonia patients	15CMS cohort: 433Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8528	None
MORT_30_COPDDeath rate for COPD patients	7.9CMS cohort: 118Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 8526	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 / 8525	1Too few cases to report
MORT_30_STKDeath rate for stroke patients	12CMS cohort: 72Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 8529	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	627	2024-10-01–2025-09-30	hai / 15340	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	2207	2024-10-01–2025-09-30	hai / 15346	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	23	2024-10-01–2025-09-30	hai / 15352	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	22	2024-10-01–2025-09-30	hai / 15358	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	17887	2024-10-01–2025-09-30	hai / 15364	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	17045	2024-10-01–2025-09-30	hai / 15370	None

CMS footnote definitions · HCAHPS survey versions

Licensed care categories · 2022–2024 history & source rows
Licensed beds · annual utilization reporting unit
Care type 2022 2023 2024
Acute care 72 72 72
Skilled nursing / LTC 68 68 68
Reported total 140 140 140
- 2022 preserved utilization workbook · Page 1-6 · row 488 · HCAI 106554011
- 2023 preserved utilization workbook · Page 1-6 · row 494 · HCAI 106554011
- 2024 preserved utilization workbook · Page 1-6 · row 492 · HCAI 106554011
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 106554011 · HADR 01-01-2024 to 12-31-2024 · row 14 · In Process · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 407,557 ÷ total patient days: 37,154
- Acute care: 15,541 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 21,613 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
Adventist Health Sonora, Greenley · Tuolumne · CEMSIS 20438 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:08:37 · 90th percentile · 387 qualifying offloads · page 23 · count page 33
- Nov 2024: 0:07:56 · 90th percentile · 425 qualifying offloads · page 23 · count page 38
- Dec 2024: 0:08:00 · 90th percentile · 479 qualifying offloads · page 23 · count page 43
- Jan 2025: 0:09:23 · 90th percentile · 470 qualifying offloads · page 23 · count page 48
- Feb 2025: 0:09:51 · 90th percentile · 411 qualifying offloads · page 23 · count page 53
- Mar 2025: 0:12:36 · 90th percentile · 451 qualifying offloads · page 23 · count page 58
CMS ED measures · reporting unit 050335 · ADVENTIST HEALTH SONORA · Preserved file
CMS values, dates & identity match
1000 GREENLEY ROAD, SONORA 95370 · unique normalized address + city + ZIP
- OP_18b: 171 · 2024-10-01–2025-09-30 · sample 403
- OP_18c: 302 · 2024-10-01–2025-09-30 · sample 18
- OP_18d: 483 · 2024-10-01–2025-09-30 · sample 17
- OP_22: 2 · 2024-01-01–2024-12-31 · sample 37239
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
2022 HCAI annual financial / RN history
2023 HCAI annual financial / RN history
2025 California capacity record
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

Adventist Health Sonora - Greenley

Tuolumne County · HCAI 106554011 · CMS 050335

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

What the available records supportPatient days changed +1.1% from Q1 2025 to Q1 2026. Reported staffed beds changed from 103 to 105 (+2).

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 +1.1% from Q1 2025 to Q1 2026.

+1.1%Patient-day change · Q1 2025 → Q1 2026

Did available capacity change?Reported staffed beds changed from 103 to 105 (+2).

103 → 105Reported quarterly staffed beds

What did the nursing record show?11 RN hours per patient day.

11Hospital-wide RN intensity · 2024

What contract labor did the source report?Reported contract-RN share: 3.5%.

3.1% → 3.5%2018–2019 baseline → 2024 reported share

Reported contract reliance was 0.4 percentage points above the hospital’s pre-pandemic baseline.

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

Show me the receipts

Where the numbers came from.

Facility record

The reviewed pilot matched this hospital’s identity to its California facility record.

Open official facility source ↗

Reporting scope

No additional campus-specific scope note is recorded in the expansion review.

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	8.616666666666667
offloadCount	387
countPage	33
rawTime	0:08:37
sourceId	EMSA-APOT-JUNE2025
page	23
row	37

Field	Value
month	2024-11
minutes	7.933333333333334
offloadCount	425
countPage	38
rawTime	0:07:56
sourceId	EMSA-APOT-JUNE2025
page	23
row	37

Field	Value
month	2024-12
minutes	8
offloadCount	479
countPage	43
rawTime	0:08:00
sourceId	EMSA-APOT-JUNE2025
page	23
row	37

Field	Value
month	2025-01
minutes	9.383333333333333
offloadCount	470
countPage	48
rawTime	0:09:23
sourceId	EMSA-APOT-JUNE2025
page	23
row	37

Field	Value
month	2025-02
minutes	9.85
offloadCount	411
countPage	53
rawTime	0:09:51
sourceId	EMSA-APOT-JUNE2025
page	23
row	37

Field	Value
month	2025-03
minutes	12.6
offloadCount	451
countPage	58
rawTime	0:12:36
sourceId	EMSA-APOT-JUNE2025
page	23
row	37

Care type	2022	2023	2024
Acute care	72	72	72
Skilled nursing / LTC	68	68	68
Reported total	140	140	140