{ "version": 1, "generatedAt": "2026-09-07T04:32:07.308636+00:00", "data": { "linkage": "Documented CMS facility identifier only; numeric CCNs are left-padded to six digits and alphanumeric IDs are preserved, never collapsed into numeric CCNs. Unmatched facilities remain null.", "selection": "HCAHPS summary star and definitely-recommend percent; SEP-1; OP-18b ED median minutes; HRRP condition-specific excess readmission ratios and descriptive count above 1.", "californiaVsNationalHcahps": { "measureId": "H_RECMND_DY", "measureName": "Patients who definitely recommend the hospital", "exactDefinitionAndPeriodMatch": true, "aggregationMatch": true, "population": "CMS Acute Care Hospitals reporting a numeric H_RECMND_DY result", "californiaHospitalCount": 262, "nationalHospitalCount": 2904, "californiaUnweightedMeanPercent": 67.76, "nationalPercent": 69.01, "officialNationalPercentContextOnly": 71.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" }, "method": "Both California and U.S. results are unweighted means of hospital-level H_RECMND_DY percentages, restricted to CMS Acute Care Hospitals, with the identical reporting period and numeric-result eligibility. U.S. includes California.", "limitation": "Describes the average reporting hospital, not the average patient. Suppressed/unavailable results are excluded. The published CMS national statistic is retained separately for context and is not used as the comparator. No case-mix or sampling uncertainty comparison is inferred." }, "records": [ { "facilityId": "106580996", "facilityName": "ADVENTIST HEALTH AND RIDEOUT", "county": "Yuba", "ccn": "050133", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 52.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 2, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 194.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "sep1Percent": { "measureId": "SEP_1", "measureName": "Appropriate care for severe sepsis and septic shock", "value": 84.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "hrrp": { "conditionRatios": [ { "measureId": "READM-30-AMI-HRRP", "excessReadmissionRatio": 1.036, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-CABG-HRRP", "excessReadmissionRatio": 0.8871, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-COPD-HRRP", "excessReadmissionRatio": 1.0596, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HF-HRRP", "excessReadmissionRatio": 1.0936, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-PN-HRRP", "excessReadmissionRatio": 1.0601, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } } ], "ratioCount": 5, "ratiosAboveOne": 4 } } }, { "facilityId": "106150788", "facilityName": "ADVENTIST HEALTH BAKERSFIELD", "county": "Kern", "ccn": "050455", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 68.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 3, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 268.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "sep1Percent": { "measureId": "SEP_1", "measureName": "Appropriate care for severe sepsis and septic shock", "value": 73.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "hrrp": { "conditionRatios": [ { "measureId": "READM-30-AMI-HRRP", "excessReadmissionRatio": 1.0466, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-COPD-HRRP", "excessReadmissionRatio": 1.0091, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HF-HRRP", "excessReadmissionRatio": 1.0519, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-PN-HRRP", "excessReadmissionRatio": 1.0232, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } } ], "ratioCount": 4, "ratiosAboveOne": 4 } } }, { "facilityId": "106171049", "facilityName": "ADVENTIST HEALTH CLEARLAKE", "county": "Lake", "ccn": "051317", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 67.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 4, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 160.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } } } }, { "facilityId": "106150706", "facilityName": "ADVENTIST HEALTH DELANO", "county": "Kern", "ccn": "050608", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 62.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 3, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 150.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "sep1Percent": { "measureId": "SEP_1", "measureName": "Appropriate care for severe sepsis and septic shock", "value": 84.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "hrrp": { "conditionRatios": [ { "measureId": "READM-30-HF-HRRP", "excessReadmissionRatio": 0.9744, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-PN-HRRP", "excessReadmissionRatio": 1.0492, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } } ], "ratioCount": 2, "ratiosAboveOne": 1 } } }, { "facilityId": "106190323", "facilityName": "ADVENTIST HEALTH GLENDALE", "county": "Los Angeles", "ccn": "050239", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 69.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 3, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 183.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "sep1Percent": { "measureId": "SEP_1", "measureName": "Appropriate care for severe sepsis and septic shock", "value": 90.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "hrrp": { "conditionRatios": [ { "measureId": "READM-30-AMI-HRRP", "excessReadmissionRatio": 1.0734, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-CABG-HRRP", "excessReadmissionRatio": 0.9411, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-COPD-HRRP", "excessReadmissionRatio": 0.999, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HF-HRRP", "excessReadmissionRatio": 1.0849, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HIP-KNEE-HRRP", "excessReadmissionRatio": 1.0778, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-PN-HRRP", "excessReadmissionRatio": 1.1485, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } } ], "ratioCount": 6, "ratiosAboveOne": 4 } } }, { "facilityId": "106164029", "facilityName": "ADVENTIST HEALTH HANFORD", "county": "Kings", "ccn": "050121", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 65.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 3, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 180.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "sep1Percent": { "measureId": "SEP_1", "measureName": "Appropriate care for severe sepsis and septic shock", "value": 88.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "hrrp": { "conditionRatios": [ { "measureId": "READM-30-AMI-HRRP", "excessReadmissionRatio": 0.9742, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-COPD-HRRP", "excessReadmissionRatio": 0.9189, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HF-HRRP", "excessReadmissionRatio": 1.0661, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HIP-KNEE-HRRP", "excessReadmissionRatio": 0.9577, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-PN-HRRP", "excessReadmissionRatio": 0.9472, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } } ], "ratioCount": 5, "ratiosAboveOne": 1 } } }, { "facilityId": "106234038", "facilityName": "ADVENTIST HEALTH HOWARD MEMORIAL", "county": "Mendocino", "ccn": "051310", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 80.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 4, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 108.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } } } }, { "facilityId": "106390923", "facilityName": "ADVENTIST HEALTH LODI MEMORIAL", "county": "San Joaquin", "ccn": "050336", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 69.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 3, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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", "value": 188.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "sep1Percent": { "measureId": "SEP_1", "measureName": "Appropriate care for severe sepsis and septic shock", "value": 89.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "hrrp": { "conditionRatios": [ { "measureId": "READM-30-AMI-HRRP", "excessReadmissionRatio": 0.9723, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-COPD-HRRP", "excessReadmissionRatio": 0.972, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HF-HRRP", "excessReadmissionRatio": 1.1077, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-PN-HRRP", "excessReadmissionRatio": 1.0693, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } } ], "ratioCount": 4, "ratiosAboveOne": 2 } } }, { "facilityId": "106231013", "facilityName": "ADVENTIST HEALTH MENDOCINO COAST", "county": "Mendocino", "ccn": "051325", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 80.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 5, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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. 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A lower number of minutes is better", "value": 156.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "sep1Percent": { "measureId": "SEP_1", "measureName": "Appropriate care for severe sepsis and septic shock", "value": 81.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "hrrp": { "conditionRatios": [ { "measureId": "READM-30-AMI-HRRP", "excessReadmissionRatio": 1.0506, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-COPD-HRRP", "excessReadmissionRatio": 0.9478, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HF-HRRP", "excessReadmissionRatio": 1.1126, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-HIP-KNEE-HRRP", "excessReadmissionRatio": 1.1557, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } }, { "measureId": "READM-30-PN-HRRP", "excessReadmissionRatio": 1.0982, "period": { "startDate": "07/01/2021", "endDate": "06/30/2024" } } ], "ratioCount": 5, "ratiosAboveOne": 4 } } }, { "facilityId": "106554011", "facilityName": "ADVENTIST HEALTH SONORA - GREENLEY", "county": "Tuolumne", "ccn": "050335", "cmsQuality": { "hcahps": { "definitelyRecommendPercent": { "measureId": "H_RECMND_DY", "measureName": "Patients who reported YES, they would definitely recommend the hospital", "value": 64.0, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } }, "summaryStarRating": { "measureId": "H_STAR_RATING", "measureName": "Summary star rating", "value": 3, "period": { "startDate": "10/01/2024", "endDate": "09/30/2025" } } }, "timelyEffectiveCare": { "edMedianMinutes": { "measureId": "OP_18b", "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. 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