{ "checkedOn": "2026-10-17", "scope": "Five featured hospitals; targeted incorporation review of retained financial, utilization, quality, CLABSI, workforce and dashboard-export evidence. Full narrative/POC reconciliation remains open where recorded.", "records": { "106500852": { "name": "Doctors Medical Center of Modesto", "reviewStatus": "Targeted source incorporation reviewed; remaining records listed", "clabsiYears": [ 2022, 2023, 2024, 2025 ], "clabsiSourceRows": [ 433, 437, 435, 432 ], "cmsCcn": "050464", "cmsMeasureRows": 50, "annualLaborYears": [ 2022, 2023, 2024 ], "newerDashboardPenaltyNumbers": [ "40021631", "40021149", "40020718" ], "workforceReview": { "completedOn": "2026-10-17", "scope": "Targeted public-source review of DMC acute-hospital RN turnover and vacancies; not a review of every working-condition field.", "checks": [ { "label": "2022 union departure statement", "url": "https://www.nationalnursesunited.org/press/rns-to-hold-info-pickets-and-public-actions-april-27-tenet-hospitals", "result": "160 RN departures attributed to DMC since the pandemic began; no precise starting date, average RN headcount, or annual turnover denominator." }, { "label": "July 2024 DMC union statement", "url": "https://www.nationalnursesunited.org/press/modesto-nurses-to-picket-for-safe-patient-care", "result": "Union describes staffing concerns and ADO submissions; no numeric acute-hospital RN turnover rate or budgeted vacancy count." }, { "label": "March 2026 contract ratification", "url": "https://www.nationalnursesunited.org/press/3000-registered-nurses-from-six-california-tenet-hospitals-ratify-new-three-year-contract", "result": "DMC is named; rapid-response and orientation provisions reported. No facility turnover rate, vacancy count, executed local clauses, or shift-level implementation records supplied." }, { "label": "Tenet 2025 Form 10-K", "url": "https://www.sec.gov/Archives/edgar/data/70318/000119312526159132/d935030dars.pdf", "result": "Nurse Staffing section states that turnover and vacancy data inform staffing assessments. Corporate scope; no DMC-specific numeric turnover or vacancy result identified in this review." }, { "label": "Leapfrog DMC facility page", "url": "https://ratings.leapfroggroup.org/facility/details/05-0464/doctors-medical-center-of-modesto-modesto-ca", "result": "Nursing and Bedside Care and Nursing Care entries display Declined to Report. This is a Leapfrog disclosure status, not a measured staffing result. Survey year not established from the retrieved page." }, { "label": "HCAI official facility record", "url": "https://hcai.ca.gov/facility/doctors-medical-center/", "result": "Identity matched to 1441 Florida Avenue, HCAI 106500852. Financial and utilization measures do not establish RN departures or budgeted vacancies." }, { "label": "DMC employer health-equity page", "url": "https://www.dmc-modesto.com/health-equity", "result": "Page opened; linked acute-hospital equity report could not be retrieved. Its contents were not assessed." } ], "accessGaps": [ "DMC health-professionals page returned 403; teams and news pages could not be retrieved.", "The linked hospital equity report could not be retrieved. No absence of workforce data is inferred from inaccessible material." ], "remainingRecords": "DMC and unit-level RN separation counts, monthly headcounts, turnover definitions, first-year retention, budgeted and filled RN FTEs, and dated vacancy reports.", "requestStatus": "Prepared only; not sent.", "requestTemplate": "/downloads/workforce/dmc-workforce-records-request.txt" }, "profile": "/hospitals/doctors-medical-center-modesto" }, "106500939": { "name": "Memorial Medical Center", "reviewStatus": "Targeted source incorporation reviewed; remaining records listed", "clabsiYears": [ 2022, 2023, 2024, 2025 ], "clabsiSourceRows": [ 437, 441, 439, 436 ], "cmsCcn": "050557", "cmsMeasureRows": 50, "annualLaborYears": [ 2022, 2023, 2024 ], "newerDashboardPenaltyNumbers": [ "40022522" ], "workforceReview": { "completedOn": "2026-10-17", "scope": "Targeted review of accessible and retained public sources for acute-hospital RN turnover and vacancies. Blocked and unresolved sources remain identified below.", "checks": [ { "label": "Official campus identity", "url": "https://hcai.ca.gov/facility/memorial-medical-center-modesto/", "result": "Memorial Medical Center, Modesto, 1700 Coffee Road; HCAI 106500939." }, { "label": "Sutter Memorial nursing recruitment listing", "url": "https://jobs.sutterhealth.org/us/en/job/R-142461/Registered-Nurse-II-Telemetry", "result": "Facility-specific recruitment description; no defined facility RN turnover rate or budgeted vacancy total." } ], "accessGaps": [ "Targeted Sutter/Memorial turnover and vacancy searches found no qualifying facility-specific numeric result. The attempted Sutter hospital-about page could not be accessed." ], "remainingRecords": "Dated acute-hospital RN separations and denominator, first-year retention, budgeted/filled/unfilled RN FTEs, and unit-level coverage definitions.", "requestStatus": "Prepared only; not sent.", "requestTemplate": "/downloads/workforce/106500939-workforce-records-request.txt" }, "profile": "/hospitals/106500939" }, "106504042": { "name": "Kaiser Permanente Modesto Medical Center", "reviewStatus": "Targeted source incorporation reviewed; remaining records listed", "clabsiYears": [ 2022, 2023, 2024, 2025 ], "clabsiSourceRows": [ 436, 440, 438, 435 ], "cmsCcn": null, "cmsMeasureRows": 0, "annualLaborYears": [], "newerDashboardPenaltyNumbers": [ "30022642" ], "workforceReview": { "completedOn": "2026-10-17", "scope": "Targeted review of accessible and retained public sources for acute-hospital RN turnover and vacancies. Blocked and unresolved sources remain identified below.", "checks": [ { "label": "Official campus identity", "url": "https://hcai.ca.gov/facility/kaiser-foundation-hospital-modesto/", "result": "Kaiser Permanente Modesto Medical Center, 4601 Dale Road; HCAI 106504042." }, { "label": "2024 Central Valley employer nursing report", "url": "https://nursingncal.kaiserpermanente.org/annual-report/2024-report/medical-centers/central-valley/", "result": "Retained 10.2% turnover context spans Modesto and Manteca; not adopted as an acute Modesto RN rate." }, { "label": "2025 Modesto employer nursing report", "url": "https://nursingncal.kaiserpermanente.org/annual-report-2025/medical-centers/modesto/", "result": "Report page opened. Retrieved text contains dashboard numbers without complete metric labels/definitions and discusses ambulatory nursing. The 5.10% value was not adopted as a verified acute-hospital RN turnover rate." } ], "accessGaps": [ "Original employer HTML retrieval returned 403; extracted page text did not resolve dashboard label, RN denominator, or inpatient versus ambulatory scope." ], "remainingRecords": "Dated acute-hospital RN separations and denominator, first-year retention, budgeted/filled/unfilled RN FTEs, and unit-level coverage definitions.", "requestStatus": "Prepared only; not sent.", "requestTemplate": "/downloads/workforce/106504042-workforce-records-request.txt" }, "profile": "/hospitals/106504042" }, "106500867": { "name": "Emanuel Medical Center", "reviewStatus": "Targeted source incorporation reviewed; remaining records listed", "clabsiYears": [ 2022, 2023, 2024, 2025 ], "clabsiSourceRows": [ 434, 438, 436, 433 ], "cmsCcn": "050179", "cmsMeasureRows": 50, "annualLaborYears": [ 2022, 2023, 2024 ], "newerDashboardPenaltyNumbers": [ "40021205" ], "workforceReview": { "completedOn": "2026-10-17", "scope": "Targeted review of accessible and retained public sources for acute-hospital RN turnover and vacancies. Blocked and unresolved sources remain identified below.", "checks": [ { "label": "Official campus identity", "url": "https://hcai.ca.gov/facility/emanuel-medical-center/", "result": "Emanuel Medical Center, Turlock, 825 Delbon Avenue; HCAI 106500867." }, { "label": "2022 union departure statement", "url": "https://www.nationalnursesunited.org/press/rns-to-hold-info-pickets-and-public-actions-april-27-tenet-hospitals", "result": "Union reports nearly 100 RN departures since the pandemic began; not an annual turnover rate. No exact starting date or denominator." }, { "label": "March 2026 contract ratification", "url": "https://www.nationalnursesunited.org/press/3000-registered-nurses-from-six-california-tenet-hospitals-ratify-new-three-year-contract", "result": "DMC is named; rapid-response and orientation provisions reported. No facility turnover rate, vacancy count, executed local clauses, or shift-level implementation records supplied." }, { "label": "Tenet 2025 Form 10-K", "url": "https://www.sec.gov/Archives/edgar/data/70318/000119312526159132/d935030dars.pdf", "result": "Nurse Staffing section states that turnover and vacancy data inform staffing assessments. Corporate scope; no DMC-specific numeric turnover or vacancy result identified in this review." } ], "accessGaps": [ "Targeted Emanuel turnover/vacancy searches did not identify qualifying facility-level numeric results. An attempted legacy employer-about URL returned unrelated Carondelet content and was excluded." ], "remainingRecords": "Dated acute-hospital RN separations and denominator, first-year retention, budgeted/filled/unfilled RN FTEs, and unit-level coverage definitions.", "requestStatus": "Prepared only; not sent.", "requestTemplate": "/downloads/workforce/106500867-workforce-records-request.txt" }, "profile": "/hospitals/106500867" }, "106500967": { "name": "Oak Valley Hospital", "reviewStatus": "Targeted source incorporation reviewed; remaining records listed", "clabsiYears": [ 2022, 2023, 2024, 2025 ], "clabsiSourceRows": [ 438, 442, 440, 437 ], "cmsCcn": "050067", "cmsMeasureRows": 50, "annualLaborYears": [ 2022, 2023, 2024 ], "newerDashboardPenaltyNumbers": [], "workforceReview": { "completedOn": "2026-10-17", "scope": "Targeted review of accessible and retained public sources for acute-hospital RN turnover and vacancies. Blocked and unresolved sources remain identified below.", "checks": [ { "label": "Official campus identity", "url": "https://hcai.ca.gov/facility/oak-valley-hospital-district/", "result": "Oak Valley Hospital, Oakdale, 350 South Oak Street; HCAI 106500967." }, { "label": "District recruitment page", "url": "https://oakvalleyhospital.com/job-openings/", "result": "Hospital, clinics and nursing-home roles are separately listed. Advertisements are not a count of unfilled budgeted hospital RN positions." }, { "label": "March 5, 2026 district board packet lead", "url": "https://oakvalleyhospital.com/wp-content/uploads/2026/03/03.05.2026-District-Board-Packet.pdf", "result": "Search index identifies an HR statistics report. PDF retrieval failed; no numerical finding taken from the inaccessible packet." }, { "label": "Retained separate-SNF CMS workforce record", "url": "/downloads/workforce-conditions.json", "result": "Oakdale SNF RN turnover remains separate; not substituted for acute-hospital RN turnover." } ], "accessGaps": [ "March 2026 board packet could not be retrieved. The referenced HR statistics report still requires inspection and workforce-scope verification." ], "remainingRecords": "Dated acute-hospital RN separations and denominator, first-year retention, budgeted/filled/unfilled RN FTEs, and unit-level coverage definitions.", "requestStatus": "Prepared only; not sent.", "requestTemplate": "/downloads/workforce/106500967-workforce-records-request.txt" }, "profile": "/hospitals/106500967" } }, "libraryArtifactsReviewed": [ { "name": "CNO_First_Five_Integrated_Profile_Drafts.csv", "decision": "Superseded campus matching and selected figures; not republished as verified facts." }, { "name": "CNO_First_Five_Enforcement_Research.csv", "decision": "Reconciled to six exact-FACID entries in the retained 628-entry dashboard export; older limited-export zero matches are not treated as zero enforcement." }, { "name": "CNO_First_Five_Quality_ED_Research_Status.csv", "decision": "Earlier unextracted statuses superseded where current primary rows now appear in profiles." }, { "name": "CNO_Memorial_2025_Findings_Addendum.xlsx", "decision": "UGBD11 narrative independently read on HospitalInspections.org; concise findings incorporated, IJ and correction outcomes not inferred." }, { "name": "CNO_Memorial_IJ_Reconciliation_v2.xlsx", "decision": "Historical penalty themes retained as leads; not merged with the separate 2025 federal report or newer penalty numbers." }, { "name": "CNO_Deep_Dive_Hospital_Penalties_628.csv", "decision": "Original bytes retained with SHA-256; six five-hospital entries uniquely matched to active CDPH/HCAI crosswalk." } ], "remainingWork": [ "Original narratives, plans of correction and current outcomes for the six newer dashboard entries.", "Full Memorial UGBD11 correction history and formal survey completion metadata.", "Kaiser Modesto campus-specific RN labor and staffed-bed allocation; complete 2025 employer dashboard labels and care-setting definitions.", "Oak Valley HR board-packet retrieval and acute/SNF separation.", "Additional retained staging checkpoints require item-level reconciliation before any whole-profile completion claim." ] }