What was lost: California’s public, hospital-level view of nursing quality. CNO has not found an equivalent current statewide public source for the former CALNOC hospital-level reporting.
CALNOC began in 1996 as a grassroots effort led by California nursing leaders. Participating hospitals and nursing teams built standardized measures of bedside nursing quality, including pressure injuries, falls, staffing, skill mix, and turnover. A published study documents publicly reported 2009 pressure-ulcer results for 213 California hospitals on CalHospitalCompare.
Each entry identifies the service, facility, effective date, stated reason for the change, and supporting sources. Where the public record does not answer a question, the entry says so.
LOST DATA records public information that nurses can no longer inspect alongside the service-change record.
REPORT A SERVICE LOSS → Anonymous tips are leads, not findings; CNO verifies them against its evidence standards.
Original service-change table
Hospital service changes
Closure, suspension, relocation, and restoration are separate statuses. A service removed from one hospital may still be available elsewhere.
Effective date
Service change
Facility
Status and record
Grossman Burn Center: adult and pediatric burn-care program, including acute-care beds and outpatient services
Hospital notice proposes ending labor and delivery, postpartum care, newborn nursery and related obstetrical support. Fifteen licensed perinatal beds would be removed.
Follow-up
Effective date is proposed. Completion: not yet due.
October reporting describes hospital leaders considering maternity closure amid financial pressure. This is a reported proposal, not a completed closure.
Follow-up
Effective date: UNKNOWN. Formal closure notice and board decision: not yet located.
Local reporting, including statements from the CEO, dates the temporary NICU suspension to July 10. September and October reporting still describes the unit as closed.
Follow-up
Reopening date: UNKNOWN. Latest follow-up reviewed: October 2, 2026.
Providence’s March 10 notice sets March 27 for closing inpatient pediatrics and converting eight beds to adult care. Pediatric ED care and outpatient services are listed as continuing.
Follow-up
Post-transition bed and licensing records: not yet reviewed.
The hospital’s public notice names August 31 for eliminating its outpatient behavioral-health clinic at 1751 North Sunrise Way, Palm Springs. No inpatient beds are removed.
Follow-up
Actual last clinic day and replacement capacity: UNKNOWN.
The hospital’s notice sets January 12 for ending obstetrics and labor and delivery. It describes ED care for imminent deliveries and transfers when appropriate.
Follow-up
Completion and current licensed scope: not yet independently checked.
June 4 reporting, quoting a system executive, describes closure of ten child and eleven adult psychiatric beds. Later reporting says the hospital received a staffing-rule waiver.
Follow-up
Restoration of these 21 beds: UNKNOWN. A 73-bed license does not establish operational capacity.
The September 23 EMS impact report preserves the hospital’s revised September 30, 7 p.m. ED closure date. Later reporting confirms the county lost its only ER. The earlier October 21 notice was superseded.
Follow-up
Critical-access status was restored in February 2026. A dated reopening confirmation was not found. The hospital homepage still advertises emergency services; current operations need reconciliation.
Bakersfield Memorial Hospital closed its Grossman Burn Center. The April 1 notice specifies seven inpatient burn beds and the outpatient burn clinic. The September 16 state inventory no longer lists the burn center but retains a Center for Wound Care and Hyperbarics under outpatient wound care. Closure of every wound-care or hyperbaric service is not established.
What the public record shows
Public materials described eight burn beds; licensing material later reflected seven licensed beds. Those figures are not the same as staffed or usable capacity. The available public record does not establish how many beds were staffed immediately before closure.
Stated reason
Dignity Health cited economic pressures, long-term sustainability, and consistently low patient volumes affecting use of specialized staff and resources.
What remains unknown
The February county letter proposed West Hills, Fresno and Los Angeles General; the April notice proposed West Hills, Fresno and UCI. Actual post-closure destinations, executed transfer agreements, EMS routing, transport effects, replacement staffed capacity and documented mitigation remain unknown.
Records status
In a letter dated September 16, 2026, the California Emergency Medical Services Authority (EMSA) reported that its search found no responsive records in its files for CNO’s request about closure communications, burn-center designation, routing and transfer protocols, regional effects, and continued designation requirements. That is an EMSA-file result only; it does not establish what Kern County EMS, CDPH, the hospital, or other agencies hold. CNO sent a narrower follow-up on September 22 about Kern County local EMS plan submissions. On October 4, CNO assessed the collected county letter, CDPH notice, service-removal application, public notice, webpage capture, EMSA directory and de-identified follow-up request. Their findings and preserved public documents are linked in the expanded hospital profile. Kern County requests for closure, routing, destination, capacity, and access records remain pending. Missing records are not zero effects.
Adventist Health Bakersfield closed its hospital burn center, described in contemporaneous reporting as a full-service burn center. The public reporting does not establish the exact licensed-bed count, staffed capacity, pediatric scope, or outpatient and rehabilitation services in operation at closure.
What the public record shows
Local reporting published on November 6, 2017 said the center had closed on November 3. It reported that Adventist had ended its partnership with Grossman Burn Centers in 2015 and that the hospital determined two full-service burn centers in Bakersfield were not needed.
Receiving service named publicly
Grossman Burn Center at Memorial Hospital stated that it remained open as Kern County's EMS-designated burn receiving center and that burn-injured residents would be transported there. Its public notice described a seven-bed ICU burn unit, outpatient burn clinic, adult and pediatric catastrophic burn care, and a dedicated operating suite.
Stated reason
Adventist said that local burn-injury volume did not require two full-service burn centers and that the closure would allow expansion of other health-care services.
What remains unknown
Whether public notice, a hearing, a written transition plan, EMS-routing documentation, a capacity review, or a formal impact assessment preceded the closure. These items have not been identified in the sources reviewed so far; not identified is not the same as did not occur.
Next evidence step
CNO will seek facility, county EMS, and state records concerning notice, oversight, licensed and staffed capacity, patient transition, and routing changes.
April 21, 2026, according to UCI Health. Nurses reported the units closed on March 23; the differing dates require reconciliation.
Service change
The pediatric ICU and inpatient pediatric floor transitioned to adult care. This record does not imply that all pediatric services or the hospital’s NICU ended.
Stated reason
UCI Health cited low patient volume and alignment with community needs.
What remains unknown
The exact last date of pediatric admissions, receiving facilities, transfer effects, and whether the licensed pediatric bed designations changed.
Directory status
CNO has held this facility profile pending source and scope review.
Providence suspended labor and delivery at Petaluma Valley Hospital, saying it would not provide obstetric services there until further notice. The emergency department remained open for screening and stabilization, with transfer when needed.
Later record
In June 2024, the hospital district approved an agreement removing Providence’s remaining obligation to maintain the birthing center, with investment in other services in lieu of reopening. This does not establish an exact date when the temporary suspension became permanent.
Stated reason
Providence cited inability to secure obstetric anesthesia and physician coverage.
What remains unknown
The formal licensing status and documented effects on travel and transfers.
