Stanislaus County · HCAI 106500852
1441 FLORIDA AVENUE, MODESTO 95350
Open · Hospital facility · roster 2026-10-01
Acute care + psychiatric care reporting unit
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
The available data, together. Tap a section to open its history and sources.
↑ Increasing · ↓ Decreasing · → Stable · Provisional = filing still in process
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.
Pay, overtime, orientation and contract records →
History & details →Patient days, discharges, care mix and workload history.
🔎 All sources →History & details →Evidence review · October 4, 2026
Florida Avenue acute campus: 394 licensed beds. The annual financial reporting unit includes 394 acute and 67 psychiatric beds, with psychiatric patient days separately reported. Its staffing and finances are presented at that combined reporting scope.
From 2022 to 2024, productive RN hours fell 9.6%, patient days fell 5.8%, and reported nursing FTEs fell from 1,216 to 991. RN hours per patient day fell from 13.46 to 12.92, with a 2023 low of 12.11 and a partial recovery in 2024. Contract RN hours fell from 201,107 to 41,040. Lower agency use therefore coincided with less reported employed RN labor, rather than establishing that staffing capacity recovered.
Reported operating income moved from $89.4 million in 2022 to $10.8 million in 2023 and a $23.1 million loss in 2024. Operating margin fell from 11.5% to −3.2%. Operating expenses grew 9.4% across the period while net patient revenue fell 1.8%. These are consolidated hospital accounting results; the records do not allocate the change to a particular nursing unit.
For January–March 2026, calculated operating income was a $32.0 million loss, a −20.1% margin, compared with a $28.7 million loss in the same quarter of 2025. Four of the five recovered quarters show operating losses. The positive Q2 2025 quarter does not establish a sustained recovery. These are quarterly filings as filed, not audited annual accounts.
Acute-campus ED encounters fell from 95,847 in 2022 to 88,033 in 2024. CMS still reports a 221-minute median ED visit in October 2024–September 2025 and 3% leaving before being seen in calendar 2024. Ambulance offload at the 90th percentile exceeded 30 minutes in five of six months from October 2024 to March 2025, then fell to 27.6 minutes in March. No later matched offload record is loaded for this hospital.
CMS classified urinary-catheter, colon-surgery and C. difficile infection ratios as better than the national benchmark in October 2024–September 2025. Nurse communication was rated “Always” by 72% of survey respondents. The nurses’ union reported ratification of a 2025–2028 agreement with a dedicated rapid-response nurse at each participating hospital and minimum orientation for new nurses. The executed local contract and implementation records have not been reviewed.
The collected 2022–2023 extract reports medical/surgical RN hours per census day falling from 8.26 to 6.98 (15.6%), with RN hours down from 523,300 to 438,349 while census days changed little. NICU RN hours per census day fell from 15.46 to 13.35 (13.6%). These are annual cost-center accounting ratios, not shift assignments or California ratio-compliance findings. Original complete filing rows remain queued for recheck.
The preserved July 2024 CDPH extract contains 15 distinct penalty records for the matched facility, after removing exact duplicate API rows. The newest issue date in that extract is 2017-10-27. 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.
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.
| Metric / source field | 20222022-01-01–2022-12-31 Audited | 20232023-01-01–2023-12-31 Audited | 20242024-01-01–2024-12-31 Audited |
|---|---|---|---|
| Net patient revenueNET_PT_REV | $737,503,864 | $712,972,479 | $724,166,982 |
| Other operating revenueOTH_OP_REV | $39,664,739 | $3,455,613 | $5,143,172 |
| Total operating expensesTOT_OP_EXP | $687,739,901 | $705,641,943 | $752,374,576 |
| Income / loss from operationsNET_FRM_OP | $89,428,702 | $10,786,149 | -$23,064,422 |
| Net income / lossNET_INCOME | $89,232,557 | $10,435,573 | -$23,267,673 |
| Salaries · all hospital employeesEXP_SAL | $220,479,118 | $234,172,619 | $232,867,871 |
| Employee benefits · all employeesEXP_BEN | $92,435,569 | $94,415,841 | $99,148,168 |
| Purchased services · all categoriesEXP_PURCH | $97,764,752 | $106,550,777 | $117,263,256 |
| Administration cost centerEXP_ADM | $109,928,426 | $106,140,299 | $149,993,441 |
| Education cost center · all programsEXP_ED | $3,535,729 | $6,638,817 | $6,454,565 |
| Construction in progressCONST_PROG | $5,028,572 | $1,867,390 | $551,811 |
| Net property, plant & equipmentNET_PPE | $89,761,459 | $90,149,194 | $82,238,950 |
| Total assetsTOT_ASST | $836,497,930 | $915,326,547 | $857,701,527 |
| Current assetsCUR_ASST | $336,666,867 | $389,157,645 | $345,240,822 |
| Current liabilitiesCUR_LIAB | $110,598,216 | $183,601,940 | $136,641,110 |
| Net long-term debtNET_LTDEBT | $336,165 | $1,461,969 | $1,418,858 |
| Reported nursing FTEs · NURS_FTENURS_FTE | 1,216 | 1,053 | 991 |
| Reported hospital FTEsHOSP_FTE | 2,225 | 1,964 | 1,935 |
| Reported staffed beds · financial scopeBED_STF | 368 | 363 | 347 |
| Licensed beds · financial scopeBED_LIC | 461 | 461 | 461 |
| Patient days · financial scopeDAY_TOT | 132,782 | 130,887 | 125,023 |
| Acute patient daysDAY_ACUTE | 112,802 | 110,730 | 105,220 |
| Psychiatric patient daysDAY_PSYCH | 19,980 | 20,157 | 19,803 |
| Productive RN hoursPRD_HR_RN | 1,787,875 | 1,584,674 | 1,615,565 |
| Productive LVN hoursPRD_HR_LVN | 9,789 | 33,295 | 39,963 |
| Productive aide hoursPRD_HR_AID | 531,029 | 421,207 | 364,909 |
| Contract RN hoursCNT_HR_RN | 201,107 | 150,095 | 41,040 |
| DischargesDIS_TOT | 23,707 | 24,317 | 23,287 |
| Operating margin · calculated | 11.5% | 1.5% | -3.2% |
| Medicare share of patient days · traditional + managed | 39.6% | 40.8% | 42.0% |
| Medi-Cal share of patient days · traditional + managed | 51.6% | 49.5% | 44.4% |
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.
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.
| Period | Staffed beds | Patient days | Net patient revenue | Other operating revenue | Operating expenses | Calculated operating income / margin |
|---|---|---|---|---|---|---|
| 2025-Q12025-01-01–2025-03-31 | 362 | 31,241 | $155,764,488 | $1,306,895 | $185,740,954 | -$28,669,571-18.3% |
| 2025-Q22025-04-01–2025-06-30 | 352 | 30,873 | $217,040,868 | $947,728 | $189,065,794 | $28,922,80213.3% |
| 2025-Q32025-07-01–2025-09-30 | 349 | 30,739 | $157,073,721 | $3,001,222 | $183,105,366 | -$23,030,423-14.4% |
| 2025-Q42025-10-01–2025-12-31 | 342 | 30,274 | $181,936,071 | $3,497,145 | $234,614,907 | -$49,181,691-26.5% |
| 2026-Q12026-01-01–2026-03-31 | 347 | 29,987 | $155,664,730 | $3,236,060 | $190,883,801 | -$31,983,011-20.1% |
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.
| 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 | 62,247 | 3,251 | 19.15 | 60,367 | 3,323 | 18.17 |
| Coronary Care | 120,077 | 6,196 | 19.38 | 116,134 | 6,266 | 18.53 |
| Neonatal Intensive Care | 93,941 | 6,077 | 15.46 | 85,659 | 6,416 | 13.35 |
| Definitive Observation | 140,377 | 14,335 | 9.79 | 127,393 | 14,451 | 8.82 |
| Medical/Surgical Acute | 523,300 | 63,345 | 8.26 | 438,349 | 62,845 | 6.98 |
| Pediatric Acute | 47,527 | 6,084 | 7.81 | 40,045 | 4,355 | 9.20 |
| Psychiatric Acute - Adult | 114,582 | 19,980 | 5.73 | 93,167 | 20,157 | 4.62 |
| Obstetrics Acute | 103,693 | 11,091 | 9.35 | 86,803 | 10,620 | 8.17 |
| Nursery Acute | 20,018 | Different / unverified service denominator | Not calculated | 17,162 | Different / unverified service denominator | Not calculated |
| Emergency Services | 155,280 | Different / unverified service denominator | Not calculated | 130,159 | Different / unverified service denominator | Not calculated |
| Observation Care | UNKNOWN | Different / unverified service denominator | Not calculated | 16,980 | Different / unverified service denominator | Not calculated |
| Labor and Delivery Services | 79,533 | Different / unverified service denominator | Not calculated | 77,255 | Different / unverified service denominator | Not calculated |
| Surgery and Recovery Services | 164,172 | Different / unverified service denominator | Not calculated | 152,082 | 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 →Exact CDPH ELMS facility 030000122 matched to HCAI 106500852, CMS 050464 and 1441 FLORIDA AVE, 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 30 matched rows; 15 exact duplicate penalty records were removed. Distinct penalties can concern the same incident. Reporting failures, privacy breaches and immediate-jeopardy penalties are separate categories.
| Issued / penalty number | Violation period | Type / coded category | Initial / final amount due | Disposition / appealed |
|---|---|---|---|---|
| 2017-10-27040013576 | 2017-02-09–2017-02-09 | AP - Non-Immediate Jeopardy (HSC 1280.3)AE27 - Death/injury from a physical assault | $13,200 / $13,200 | ClosedAppealed: No |
| 2014-04-01030010584 | 2009-10-15–2009-10-15 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $1,500 / $1,500 | ClosedAppealed: No |
| 2014-03-18030010552 | 2009-11-30–2009-11-30 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $200 / $200 | ClosedAppealed: No |
| 2014-03-18030010553 | 2009-03-06–2009-03-06 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $100 / $100 | ClosedAppealed: No |
| 2014-02-18030010476 | 2009-11-01–2009-11-01 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $900 / $900 | ClosedAppealed: No |
| 2014-02-11030010433 | 2009-04-26–2009-04-26 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $400 / $400 | ClosedAppealed: No |
| 2014-02-04030010411 | 2009-08-06–2009-08-06 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach by h/c worker within facility/hc system | $600 / $600 | ClosedAppealed: No |
| 2014-01-28030010387 | 2009-11-10–2009-11-10 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $2,200 / $2,200 | ClosedAppealed: No |
| 2014-01-21030010358 | 2009-02-06–2009-02-06 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $900 / $900 | ClosedAppealed: No |
| 2013-11-20030010270 | 2009-05-13–2009-05-13 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $200 / $200 | ClosedAppealed: No |
| 2013-10-21030010225 | 2009-05-21–2009-05-21 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $1,300 / $1,300 | ClosedAppealed: No |
| 2013-10-17030010211 | 2009-07-10–2009-07-10 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $400 / $400 | ClosedAppealed: No |
| 2013-10-15030010196 | 2009-01-15–2009-01-15 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $100 / $100 | ClosedAppealed: No |
| 2013-06-04040009929 | 2009-10-10–2009-10-10 | Failure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | $1,700 / $1,700 | ClosedAppealed: No |
| 2008-05-14030005038 | 2007-12-12–2007-12-12 | Failure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission | $1,700 / $1,700 | 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 →17 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.
| Licensed service | Name / location | Record start date |
|---|---|---|
| BASIC EMERGENCY MEDICAL | Parent-site serviceOnsite | 2005-02-24 |
| MOBILE UNIT | Parent-site serviceOnsite | 2019-06-19 |
| MOBILE UNITTEMPORARY VIN # 1S9FA482141182674 | Parent-site serviceOnsite | 2025-06-18 |
| OUTPATIENT SERVICESCLINIC | Parent-site service1540 FLORIDA AVENUE, MODESTOOffsite | 2025-03-04 |
| NUCLEAR MEDICINE | Parent-site serviceOnsite | 2005-02-24 |
| MOBILE UNITNUCLEAR MEDICINE | Parent-site serviceOnsite | 2019-11-05 |
| OUTPATIENT SERVICESHIGH RISK INFANT | HIGH RISK INFANT FOLLOW UP CLINIC1441 FLORIDA AVENUE, MODESTOOnsite | 2009-12-11 |
| OUTPATIENT SERVICESMOBILE NUCLEAR MEDICINE | Parent-site serviceOnsite | 2005-02-24 |
| OUTPATIENT SERVICE - OUTPATIENT CLINIC | DARROCH BRAIN AND SPINE INSTITUTE4016 DALE ROAD, MODESTOOffsite | 2016-03-10 |
| MOBILE UNITIMAGING TRAILER | Parent-site serviceOnsite | 2022-01-27 |
| PHYSICAL THERAPY | Parent-site serviceOnsite | 2005-02-24 |
| OUTPATIENT SERVICES | DARROCH BRAIN AND SPINE INSTITUTE4016 DALE RD., MODESTOOffsite | 2018-12-20 |
| OUTPATIENT SERVICESCARDIOLOGY | VALLEY HEART INSTITUTE1540 FLORIDA AVE., STE 100, MODESTOOffsite | 2015-03-02 |
| SPEECH PATHOLOGY | Parent-site serviceOnsite | 2005-02-24 |
| SOCIAL SERVICES | Parent-site serviceOnsite | 2005-02-24 |
| CARDIOVASCULAR SURGERY | Parent-site serviceOnsite | 2005-02-24 |
| RESPIRATORY CARE SERVICES | Parent-site serviceOnsite | 2005-02-24 |
CNA/NNU stated that Doctors Modesto had lost 160 RNs since the pandemic began. This remains an attributed historical union claim; an HR denominator, gross-versus-net separations and unit distribution were not supplied.
Source record →Case 32-CA-326941 names the Modesto employer, alleges bargaining and coercive-statement violations, and lists a December 8 letter approving withdrawal. The case is closed. The docket establishes allegations and a withdrawal, not an adjudicated violation. Related cases located in Manteca and Turlock are excluded from this hospital’s case count.
Source record →CNA/NNU included Doctors Modesto among six Tenet hospitals in its ratification announcement. It reported rapid-response and orientation commitments and 11%–18% wage increases over the agreement covering July 2025–June 2028. This is the union’s description of the agreement.
Source record →The state facility record identifies an open, licensed 394-bed acute parent at 1441 Florida Avenue, with Level II trauma recorded. The supplemental-service inventory is shown below. Licensing entries establish authorized services, not the number of staff on a shift.
Source record →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.
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 →
Q1 2025–Q1 2026: patient days fell 4.0%; reported staffed beds fell 15.
🔎 Quarterly records & preserved source →2022–2024 reporting years: patient days fell 5.8%; productive RN hours fell 9.6%.
| Measure | 2022 | 2023 | 2024 |
|---|---|---|---|
| Patient days | 132,782 | 130,887 | 125,023 |
| Productive RN hours | 1,787,875 | 1,584,674 | 1,615,565 |
| Reported staffed beds | 368 | 363 | 347 |
| RN hours / patient day | 13.46 | 12.11 | 12.92 |
| Reporting period | Productive RN hours | Contract RN hours | Patient days | Filing status | Source |
|---|---|---|---|---|---|
| 2022-01-01–2022-12-31 | 1,787,875 | 201,107 | 132,782 | Audited | Preserved fileAPI record ID 103 |
| 2023-01-01–2023-12-31 | 1,584,674 | 150,095 | 130,887 | Audited | Preserved fileAPI record ID 102 |
| 2024-01-01–2024-12-31 | 1,615,565 | 41,040 | 125,023 | Audited | Preserved fileHADR 01-01-2024 to 12-31-2024 row 103 |
Mostly acute-care patient days
84.2% of this report’s patient days: acute care
Within the typical reported range
🔎 Comparison source & calculation| Period | RN hours / patient day |
|---|---|
| 2022 | 13.46 |
| 2023 | 12.11 |
| 2024 | 12.92 |
2022–2024 pattern: RN hours per patient day went from 13.46 to 12.92.
↑ Back to snapshot| Period | % of nursing hours |
|---|---|
| 2022 | 7.95 |
| 2023 | 6.86 |
| 2024 | 1.99 |
2022–2024 pattern: contract RN share went from 7.9% to 2.0%.
2018–2019 baseline: 6.2%.
↑ Back to snapshotWhich kind of bed capacity is reported?
| Licensed beds | 2022 | 2023 | 2024 |
|---|---|---|---|
| ❤️ ICU | 32 | 32 | 32 |
| 👶 NICU | 45 | 45 | 45 |
| 🤰 Perinatal | 56 | 56 | 56 |
| Period | Beds |
|---|---|
| Q1 2025 | 362 |
| Q1 2026 | 347 |
Q1 2025–Q1 2026: 15 fewer reported staffed beds.
| Period | Stations |
|---|---|
| 2022 | 33 |
| 2023 | 33 |
| 2024 | 33 |
| Period | Minutes |
|---|---|
| Oct 2024 | 33.12 |
| Nov 2024 | 35.98 |
| Dec 2024 | 40.6 |
| Jan 2025 | 44.25 |
| Feb 2025 | 35.58 |
| Mar 2025 | 27.62 |
| Period | Encounters |
|---|---|
| 2022 | 95,847 |
| 2023 | 92,659 |
| 2024 | 88,033 |
Licensed service inventory reviewed
September 16, 2026 licensed service inventory →
All documented service changes →↑ Back to snapshotCMS reporting unit 050464 · DOCTORS MEDICAL CENTER
CDPH facility 030000122 · DOCTORS MEDICAL CENTER
CLABSI means a central-line-associated bloodstream infection. Counts are shown with central-line days and reporting coverage.
| Year | Reported infections | Central-line days | Months reported |
|---|---|---|---|
| 2022 | 3 | 8,960 | 12 / 12 |
| 2023 | 9 | 8,747 | 12 / 12 |
| 2024 | 8 | 7,785 | 12 / 12 |
| 2025 | 4 | 8,294 | 12 / 12 |
Identity snapshot: 2026-09-16 · CDPH facility record 233
Matched records & checksums · Official CDPH datasetRN trend comparison: eligible. Contract-share trend comparison: eligible.
Download preserved source · Official source · API record ID 103
| Field | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| year | 2022 | ||||||||||||||
| begin | 2022-01-01 | ||||||||||||||
| end | 2022-12-31 | ||||||||||||||
| reportDays | 365 | ||||||||||||||
| filing | Audited | ||||||||||||||
| type | Comparable | ||||||||||||||
| sourceRecord | 103 | ||||||||||||||
| name | DOCTORS MEDICAL CENTER - MODESTO | ||||||||||||||
| county | Stanislaus | ||||||||||||||
| rnHours | 1787875 | ||||||||||||||
| patientDays | 132782 | ||||||||||||||
| ratio | 13.464739196577849 | ||||||||||||||
| components | Open components
| ||||||||||||||
| nursingHours | 2529800 | ||||||||||||||
| contractShare | 0.07949521701320263 | ||||||||||||||
| careDays | Open careDays
|
Download preserved source · Official source · API record ID 102
| Field | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| year | 2023 | ||||||||||||||
| begin | 2023-01-01 | ||||||||||||||
| end | 2023-12-31 | ||||||||||||||
| reportDays | 365 | ||||||||||||||
| filing | Audited | ||||||||||||||
| type | Comparable | ||||||||||||||
| sourceRecord | 102 | ||||||||||||||
| name | DOCTORS MEDICAL CENTER - MODESTO | ||||||||||||||
| county | Stanislaus | ||||||||||||||
| rnHours | 1584674 | ||||||||||||||
| patientDays | 130887 | ||||||||||||||
| ratio | 12.107191699710437 | ||||||||||||||
| components | Open components
| ||||||||||||||
| nursingHours | 2189271 | ||||||||||||||
| contractShare | 0.06855935149188931 | ||||||||||||||
| careDays | Open careDays
|
Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 103
| Field | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| year | 2024 | ||||||||||||||
| begin | 2024-01-01 | ||||||||||||||
| end | 2024-12-31 | ||||||||||||||
| reportDays | 366 | ||||||||||||||
| filing | Audited | ||||||||||||||
| type | Comparable | ||||||||||||||
| sourceRecord | 103 | ||||||||||||||
| name | DOCTORS MEDICAL CENTER - MODESTO | ||||||||||||||
| county | Stanislaus | ||||||||||||||
| rnHours | 1615565 | ||||||||||||||
| patientDays | 125023 | ||||||||||||||
| ratio | 12.92214232581205 | ||||||||||||||
| components | Open components
| ||||||||||||||
| nursingHours | 2061477 | ||||||||||||||
| contractShare | 0.019908056214063993 | ||||||||||||||
| careDays | Open careDays
|
| Field | Value |
|---|---|
| year | 2022 |
| begin | 2022-01-01 |
| end | 2022-12-31 |
| reportDays | 365 |
| patientDays | 132782 |
| rnHours | 1787875 |
| contractRnHours | 201107 |
| staffedBeds | 368 |
| filing | Audited |
| sourceId | AFD-2022 |
| sourceFile | hadr-2022.xlsx |
| sourceRow | 104 |
| workbookRow | 5 |
| Field | Value |
|---|---|
| year | 2023 |
| begin | 2023-01-01 |
| end | 2023-12-31 |
| reportDays | 365 |
| patientDays | 130887 |
| rnHours | 1584674 |
| contractRnHours | 150095 |
| staffedBeds | 363 |
| filing | Audited |
| sourceId | AFD-2023 |
| sourceFile | hadr-2023.xlsx |
| sourceRow | 103 |
| workbookRow | 6 |
| Field | Value |
|---|---|
| year | 2024 |
| begin | 2024-01-01 |
| end | 2024-12-31 |
| reportDays | 366 |
| patientDays | 125023 |
| rnHours | 1615565 |
| contractRnHours | 41040 |
| staffedBeds | 347 |
| filing | Audited |
| sourceId | AFD-2024 |
| sourceFile | hadr-2024.xlsx |
| sourceRow | 103 |
| workbookRow | 7 |
| Field | Value |
|---|---|
| rnHours | 1615565 |
| contractHours | 41040 |
| contractShare | 0.01991 |
| rnPerPatientDay | 12.92214 |
| baseline | 0.06162 |
| history | UNIQUE |
| filing | Audited |
| Field | Value | ||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| officialName | DOCTORS MEDICAL CENTER | ||||||||||||||||||||||||||||||||||
| county | Stanislaus | ||||||||||||||||||||||||||||||||||
| city | MODESTO | ||||||||||||||||||||||||||||||||||
| address | 1441 FLORIDA AVENUE | ||||||||||||||||||||||||||||||||||
| zip | 95350 | ||||||||||||||||||||||||||||||||||
| level | Parent Facility | ||||||||||||||||||||||||||||||||||
| category | General Acute Care Hospital | ||||||||||||||||||||||||||||||||||
| status | Open | ||||||||||||||||||||||||||||||||||
| statusEffective | 1962-07-11 | ||||||||||||||||||||||||||||||||||
| licensedBeds | 394 | ||||||||||||||||||||||||||||||||||
| erServiceLevel | Emergency - Basic | ||||||||||||||||||||||||||||||||||
| licenseNumber | 030000026 | ||||||||||||||||||||||||||||||||||
| rosterDate | 2026-10-01 | ||||||||||||||||||||||||||||||||||
| checkedOn | 2026-10-12 | ||||||||||||||||||||||||||||||||||
| sourceRow | 484 | ||||||||||||||||||||||||||||||||||
| officialUrl | https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing | ||||||||||||||||||||||||||||||||||
| sourceFile | /downloads/coverage/hcai-current-20261001.json.gz | ||||||||||||||||||||||||||||||||||
| aliases | Open aliasesRecord 1DOCTORS MEDICAL CENTER | ||||||||||||||||||||||||||||||||||
| parentId | — UNKNOWN | ||||||||||||||||||||||||||||||||||
| parentName | — UNKNOWN | ||||||||||||||||||||||||||||||||||
| cdphFacilityType | GENERAL ACUTE CARE HOSPITAL | ||||||||||||||||||||||||||||||||||
| crosswalkRows | Open crosswalkRowsRecord 1
| ||||||||||||||||||||||||||||||||||
| addedByCoverageAudit | false |
| Field | Value |
|---|---|
| licensedBeds | 461 |
| staffedBeds | 342 |
| availableBeds | 461 |
| reportingYear | 2025 |
| scope | Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment. |
| Field | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| year | 2022 | ||||||||||||||
| begin | 2022-01-01 | ||||||||||||||
| end | 2022-12-31 | ||||||||||||||
| operated | Yes | ||||||||||||||
| beds | Open beds
| ||||||||||||||
| total | 394 | ||||||||||||||
| sourceRow | 466 | ||||||||||||||
| sourceId | AUR-2022 |
| Field | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| year | 2023 | ||||||||||||||
| begin | 2023-01-01 | ||||||||||||||
| end | 2023-12-31 | ||||||||||||||
| operated | Yes | ||||||||||||||
| beds | Open beds
| ||||||||||||||
| total | 394 | ||||||||||||||
| sourceRow | 472 | ||||||||||||||
| sourceId | AUR-2023 |
| Field | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| year | 2024 | ||||||||||||||
| begin | 2024-01-01 | ||||||||||||||
| end | 2024-12-31 | ||||||||||||||
| operated | Yes | ||||||||||||||
| beds | Open beds
| ||||||||||||||
| total | 394 | ||||||||||||||
| sourceRow | 470 | ||||||||||||||
| sourceId | AUR-2024 |
| Field | Value |
|---|---|
| name | Doctors Medical Center – Modesto |
| id | 106500852 |
| beds2025 | 362 |
| beds2026 | 347 |
| bedChange | -15 |
| utilization2025 | 0.9589011664 |
| utilization2026 | 0.9601985271 |
| utilizationChange | 0.001297360699999972 |
| patientDaysChange | -0.0401395602 |
| outpatientChange | -0.0001458371 |
Download preserved workbook · Official source · HCAI 106500852 · source row 466
| Field | Value |
|---|---|
| year | 2022 |
| begin | 2022-01-01 |
| end | 2022-12-31 |
| operated | Yes |
| sourceId | AUR-2022 |
| sourceRow | 466 |
| diversionReported | No |
| icuLicensed | 32 |
| nicuLicensed | 45 |
| perinatalLicensed | 56 |
| edStations | 33 |
| edNonAdmitVisits | 78041 |
| edAdmissions | 17806 |
| diversionHours | — UNKNOWN |
Download preserved workbook · Official source · HCAI 106500852 · source row 472
| Field | Value |
|---|---|
| year | 2023 |
| begin | 2023-01-01 |
| end | 2023-12-31 |
| operated | Yes |
| sourceId | AUR-2023 |
| sourceRow | 472 |
| diversionReported | No |
| icuLicensed | 32 |
| nicuLicensed | 45 |
| perinatalLicensed | 56 |
| edStations | 33 |
| edNonAdmitVisits | 74440 |
| edAdmissions | 18219 |
| diversionHours | — UNKNOWN |
Download preserved workbook · Official source · HCAI 106500852 · source row 470
| Field | Value |
|---|---|
| year | 2024 |
| begin | 2024-01-01 |
| end | 2024-12-31 |
| operated | Yes |
| sourceId | AUR-2024 |
| sourceRow | 470 |
| diversionReported | No |
| icuLicensed | 32 |
| nicuLicensed | 45 |
| perinatalLicensed | 56 |
| edStations | 33 |
| edNonAdmitVisits | 70471 |
| edAdmissions | 17562 |
| diversionHours | — UNKNOWN |
CMS 050464 · DOCTORS MEDICAL CENTER · Download preserved CMS file · Official source
| Field | Value |
|---|---|
| value | 221 |
| raw | 221 |
| sample | 409 |
| footnote | |
| start | 2024-10-01 |
| end | 2025-09-30 |
| sourceRow | 13285 |
| 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 |
| Field | Value |
|---|---|
| value | 164 |
| raw | 164 |
| sample | 36 |
| footnote | |
| start | 2024-10-01 |
| end | 2025-09-30 |
| sourceRow | 13286 |
| 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 |
| Field | Value |
|---|---|
| value | — UNKNOWN |
| raw | Not Available |
| sample | Not Available |
| footnote | 1 |
| start | 2024-10-01 |
| end | 2025-09-30 |
| sourceRow | 13287 |
| measureName | Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better |
| Field | Value |
|---|---|
| value | 3 |
| raw | 3 |
| sample | 86210 |
| footnote | |
| start | 2024-01-01 |
| end | 2024-12-31 |
| sourceRow | 13288 |
| measureName | Left before being seen |
Doctors Medical Center · CEMSIS 20101 · unique normalized hospital / retained CMS name + EMS geography
Download preserved report · Official report
| Field | Value |
|---|---|
| month | 2024-10 |
| minutes | 33.11666666666667 |
| offloadCount | 1641 |
| countPage | 30 |
| rawTime | 0:33:07 |
| sourceId | EMSA-APOT-JUNE2025 |
| page | 23 |
| row | 32 |
| Field | Value |
|---|---|
| month | 2024-11 |
| minutes | 35.983333333333334 |
| offloadCount | 1673 |
| countPage | 35 |
| rawTime | 0:35:59 |
| sourceId | EMSA-APOT-JUNE2025 |
| page | 23 |
| row | 32 |
| Field | Value |
|---|---|
| month | 2024-12 |
| minutes | 40.6 |
| offloadCount | 1661 |
| countPage | 40 |
| rawTime | 0:40:36 |
| sourceId | EMSA-APOT-JUNE2025 |
| page | 23 |
| row | 32 |
| Field | Value |
|---|---|
| month | 2025-01 |
| minutes | 44.25 |
| offloadCount | 1635 |
| countPage | 45 |
| rawTime | 0:44:15 |
| sourceId | EMSA-APOT-JUNE2025 |
| page | 23 |
| row | 32 |
| Field | Value |
|---|---|
| month | 2025-02 |
| minutes | 35.583333333333336 |
| offloadCount | 1537 |
| countPage | 51 |
| rawTime | 0:35:35 |
| sourceId | EMSA-APOT-JUNE2025 |
| page | 23 |
| row | 32 |
| Field | Value |
|---|---|
| month | 2025-03 |
| minutes | 27.616666666666667 |
| offloadCount | 1593 |
| countPage | 56 |
| rawTime | 0:27:37 |
| sourceId | EMSA-APOT-JUNE2025 |
| page | 23 |
| row | 32 |
CMS 050464 · DOCTORS MEDICAL CENTER · 1441 FLORIDA AVENUE, MODESTO 95350 · unique normalized address + city + ZIP
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Gzip SHA-256: 04b606e8f24603cc6711bd630abc02fee2ee707d81a529360c72433806b180ce
| Measure | Reported value | Period | Source / row | CMS footnotes |
|---|---|---|---|---|
| H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well | 72 | 2024-10-01–2025-09-30 | hcahps / 31350 | None |
| H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted | 56 | 2024-01-01–2024-12-31 | responsiveness / 43089 | None |
| HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards) | 0.484 | 2024-10-01–2025-09-30 | hai / 16603 | None |
| HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 4 | 2024-10-01–2025-09-30 | hai / 16602 | None |
| HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 8.260 | 2024-10-01–2025-09-30 | hai / 16601 | None |
| HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.154 | 2024-10-01–2025-09-30 | hai / 16598 | None |
| HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.168 | 2024-10-01–2025-09-30 | hai / 16599 | None |
| HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards) | 0.281 | 2024-10-01–2025-09-30 | hai / 16609 | None |
| HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 5 | 2024-10-01–2025-09-30 | hai / 16608 | None |
| HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 17.783 | 2024-10-01–2025-09-30 | hai / 16607 | None |
| HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.103 | 2024-10-01–2025-09-30 | hai / 16604 | None |
| HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.623 | 2024-10-01–2025-09-30 | hai / 16605 | None |
| HAI_3_SIRSSI - Colon Surgery | 0.183 | 2024-10-01–2025-09-30 | hai / 16615 | None |
| HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases | 1 | 2024-10-01–2025-09-30 | hai / 16614 | None |
| HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases | 5.453 | 2024-10-01–2025-09-30 | hai / 16613 | None |
| HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit | 0.009 | 2024-10-01–2025-09-30 | hai / 16610 | None |
| HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit | 0.904 | 2024-10-01–2025-09-30 | hai / 16611 | None |
| HAI_4_SIRSSI - Abdominal Hysterectomy | Not Available | 2024-10-01–2025-09-30 | hai / 16621 | 13CMS cannot calculate |
| HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases | 0 | 2024-10-01–2025-09-30 | hai / 16620 | None |
| HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases | 0.292 | 2024-10-01–2025-09-30 | hai / 16619 | None |
| HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit | Not Available | 2024-10-01–2025-09-30 | hai / 16616 | 13CMS cannot calculate |
| HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit | Not Available | 2024-10-01–2025-09-30 | hai / 16617 | 13CMS cannot calculate |
| HAI_5_SIRMRSA Bacteremia | 0.582 | 2024-10-01–2025-09-30 | hai / 16627 | None |
| HAI_5_NUMERATORMRSA Bacteremia: Observed Cases | 7 | 2024-10-01–2025-09-30 | hai / 16626 | None |
| HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases | 12.024 | 2024-10-01–2025-09-30 | hai / 16625 | None |
| HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit | 0.255 | 2024-10-01–2025-09-30 | hai / 16622 | None |
| HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit | 1.152 | 2024-10-01–2025-09-30 | hai / 16623 | None |
| HAI_6_SIRClostridium Difficile (C.Diff) | 0.326 | 2024-10-01–2025-09-30 | hai / 16633 | None |
| HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases | 23 | 2024-10-01–2025-09-30 | hai / 16632 | None |
| HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases | 70.620 | 2024-10-01–2025-09-30 | hai / 16631 | None |
| HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit | 0.211 | 2024-10-01–2025-09-30 | hai / 16628 | None |
| HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit | 0.481 | 2024-10-01–2025-09-30 | hai / 16629 | None |
| READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate | 15.3CMS cohort: 424Lower estimate: Not AvailableHigher estimate: Not Available | 2023-07-01–2025-06-30 | readmissions / 6464 | None |
| READM_30_HFHeart failure (HF) 30-Day Readmission Rate | 24CMS cohort: 682Lower estimate: Not AvailableHigher estimate: Not Available | 2023-07-01–2025-06-30 | readmissions / 6467 | None |
| READM_30_PNPneumonia (PN) 30-Day Readmission Rate | 19.2CMS cohort: 564Lower estimate: Not AvailableHigher estimate: Not Available | 2023-07-01–2025-06-30 | readmissions / 6469 | None |
| READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients | 20.1CMS cohort: 189Lower estimate: Not AvailableHigher estimate: Not Available | 2023-07-01–2025-06-30 | readmissions / 6466 | None |
| READM_30_CABGRate of readmission for CABG | 14.7CMS cohort: 120Lower estimate: Not AvailableHigher estimate: Not Available | 2023-07-01–2025-06-30 | readmissions / 6465 | None |
| READM_30_HIP_KNEERate of readmission after hip/knee replacement | 6.1CMS cohort: 70Lower estimate: Not AvailableHigher estimate: Not Available | 2023-07-01–2025-06-30 | readmissions / 6468 | None |
| MORT_30_AMIDeath rate for heart attack patients | 15.2CMS cohort: 276Lower estimate: Not AvailableHigher estimate: Not Available | 2022-07-01–2025-06-30 | mortality / 9224 | None |
| MORT_30_HFDeath rate for heart failure patients | 12.8CMS cohort: 321Lower estimate: Not AvailableHigher estimate: Not Available | 2022-07-01–2025-06-30 | mortality / 9227 | None |
| MORT_30_PNDeath rate for pneumonia patients | 16.2CMS cohort: 364Lower estimate: Not AvailableHigher estimate: Not Available | 2022-07-01–2025-06-30 | mortality / 9228 | None |
| MORT_30_COPDDeath rate for COPD patients | 10.1CMS cohort: 95Lower estimate: Not AvailableHigher estimate: Not Available | 2022-07-01–2025-06-30 | mortality / 9226 | None |
| MORT_30_CABGDeath rate for CABG surgery patients | 4.1CMS cohort: 135Lower estimate: Not AvailableHigher estimate: Not Available | 2022-07-01–2025-06-30 | mortality / 9225 | None |
| MORT_30_STKDeath rate for stroke patients | 12.9CMS cohort: 767Lower estimate: Not AvailableHigher estimate: Not Available | 2023-07-01–2025-06-30 | mortality / 9229 | None |
| Report | Reporting period | Productive RN hours | Patient days | Contract RN hours | Nursing hours |
|---|---|---|---|---|---|
| 2022 | 2022-01-01–2022-12-31 | 1,787,875 | 132,782 | 201,107 | 2,529,800 |
| 2023 | 2023-01-01–2023-12-31 | 1,584,674 | 130,887 | 150,095 | 2,189,271 |
| 2024 | 2024-01-01–2024-12-31 | 1,615,565 | 125,023 | 41,040 | 2,061,477 |
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).
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 106500852 · HADR 01-01-2024 to 12-31-2024 · row 103 · Audited · 2024-01-01–2024-12-31
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 1,615,565 ÷ total patient days: 125,023
Doctors Medical Center · Stanislaus · CEMSIS 20101 · unique normalized hospital / retained CMS name + EMS geography
1441 FLORIDA AVENUE, MODESTO 95350 · unique normalized address + city + ZIP
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).
Stanislaus County · HCAI 106500852 · CMS 050464
The same-quarter records do not support the claim that the hospital treated more inpatient days in Q1 2026 than in Q1 2025. They do support a narrower finding: reported inpatient demand occupied essentially the same share of a smaller staffed-bed base.
Each answer keeps its own reporting window. Measures from different years are shown together for context but are not treated as if they came from the same shift or unit.
Outpatient visits were essentially unchanged (−0.01%). This does not measure acuity, boarding, assignment complexity, or how busy a particular unit felt.
The staffed-bed utilization proxy remained almost flat: 95.9% → 96.0%. Similar utilization can coexist with fewer patient days when the staffed-bed denominator also falls.
The annual nursing measure recovered from 12.11 in 2023 to 12.92 in 2024, but remained below 2022. No comparable 2025–2026 nursing-hours measure is present in the quarterly record.
Contract reliance alone cannot establish vacancies, turnover, overtime, missed breaks, or whether permanent staffing was adequate.
If the floor nevertheless felt busier, the missing explanation may lie in acuity, boarding, unit closures, uneven assignments, support-staff changes, or where those fifteen staffed beds disappeared. The public quarterly record does not identify the units or explain why the staffed-bed count changed.
The records leave a specific question unanswered: Which units lost staffed beds, and how did permanent nursing coverage change with them?
The main Doctors Medical Center profile lists 394 licensed beds.
Open official HCAI facility record ↗The 461-bed annual dataset total includes a separately listed 67-bed behavioral-health facility. It is not the main acute-care campus bed count.
Open behavioral-health record ↗Productive RN hours, contract RN hours, contract share, and RN hours per patient day use the 2024 hospital financial/workforce reporting layer.
Open HCAI hospital financials ↗Q1 2025 and Q1 2026 staffed beds, patient days, outpatient visits, and utilization proxy come from the quarterly utilization dataset.
Open quarterly source ↗Actual assignments, unit-level census, acuity, charge-nurse coverage, missed breaks, overtime, vacancies, turnover, educator support, and whether any particular shift was safe. Hospital-level public reporting is evidence—not a substitute for the bedside record.
“The quarterly record shows fifteen fewer staffed beds while utilization remained near 96%. Which units lost staffed capacity, why did it change, and how did permanent RN coverage change with it?”