50 retained measure rows under CMS 050179, including source unavailable and suppressed values. Infection counts and exposure remain separate from risk-adjusted ratios.
Retained dashboard export with filter endpoint October 9, 2026. These are administrative entry records, separate from the older monetary-penalty dataset.
1/6/2025 · AP IJ · 40021205
AE04 - Retention of a foreign object in a patient
Survey identifier
NDES11
Source facility
CDPH 030000125 · source row 209
Narrative and correction review
Original narrative and correction records not assessed
Current status
Not established by this dashboard entry
AP IJ is the dashboard’s Immediate Jeopardy penalty category; AP Non-IJ is its non-IJ category. FTR AE is a failure-to-report adverse-event penalty category. None establishes an active IJ condition today.
Available findings appear first. Open a section for its history, sources, and fields still awaiting data.
↑ 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 qualifying acute-hospital RN turnover rate was found in the accessible sources reviewed. Remaining access and scope questions are listed in the public-source review. · Source review: 2026-10-17Record not yet reviewed for this metric
RN vacancies
No figure found in reviewed sources
No qualifying acute-hospital RN budgeted vacancy count or rate was found in the accessible sources reviewed. Remaining access and scope questions are listed in the public-source review. · Source review: 2026-10-17Record not yet reviewed for this metric
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: 17.92 · 2024Who covers call-outs and breaks on this unit?Source →
Registry nursing share of nursing hours: 5.4% · 2024How many agency RNs are here now? How long is orientation?Source →
Hospital RN turnover: No figure found in reviewed sources · hospital RN vacancies: No figure found in reviewed sources · unit-level records separateWhat is this unit’s RN turnover over the last year? How many RN vacancies?Source →
Next evidence step: Obtain the existing facility workforce reports and resolve the documented access/scope gaps. A request template is prepared; no request has been sent.
Public-source review completed 2026-10-17
Targeted review of accessible and retained public sources for acute-hospital RN turnover and vacancies. Blocked and unresolved sources remain identified below.
DMC is named; rapid-response and orientation provisions reported. No facility turnover rate, vacancy count, executed local clauses, or shift-level implementation records supplied.
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.
Access gaps
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.
Records still needed
Dated acute-hospital RN separations and denominator, first-year retention, budgeted/filled/unfilled RN FTEs, and unit-level coverage definitions.
Mostly acute-care patient days. This broad group differs from the similar-reporting-unit comparison, which also matches licensed-bed size and exact care categories.
Registry nursing personnel may include RNs, LVNs, and aides/orderlies. Traveler-only and RN-only registry shares are not reported in this source category. Category definition · GAO →
Registry nursing hours / reported nursing hours
5.4%
2024↓ Decreasing · 2022–2024
Registry nursing hours
40,339
2024
📈 Registry nursing share of nursing hours · annual reports
Registry nursing share of nursing hours · annual reports · % of nursing hours
Period
% of nursing hours
2022
11.13
2023
10.18
2024
5.4
2022–2024 pattern: registry nursing share went from 11.1% to 5.4%.
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 10583
Retained record fields
Field
Value
value
190
raw
190
sample
418
footnote
start
2024-10-01
end
2025-09-30
sourceRow
10583
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 10584
Retained record fields
Field
Value
value
297
raw
297
sample
20
footnote
start
2024-10-01
end
2025-09-30
sourceRow
10584
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 10585
Retained record fields
Field
Value
value
— UNKNOWN
raw
Not Available
sample
Not Available
footnote
1
start
2024-10-01
end
2025-09-30
sourceRow
10585
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 10586
Retained record fields
Field
Value
value
2
raw
2
sample
63622
footnote
start
2024-01-01
end
2024-12-31
sourceRow
10586
measureName
Left before being seen
Ambulance offload · records & history
Emanuel Medical Center · CEMSIS 20119 · unique normalized hospital / retained CMS name + EMS geography
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.
Reported contract reliance was 4.3 percentage points below 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.
Where the numbers came from.
Facility record
Official HCAI identity and 209 licensed beds match the source record. Audited workforce filing, capacity record, and uniquely matched historical baseline are available.