 Further violations for the hospital that were described by investigators and itself as "deficient" including poor recordkeeping, no standardized nor documented procedures, and understaffing of nurses in the emergency department.The deficiencies nearly led to Kaiser Permanente's losing its Medicare rating and therefore $2.9 billion in funding systemwide.During the investigation the hospital had to stop admitting ER patients and was forced to send them to the next closest hospitals Doctors Medical Center in San Pablo and Kaiser Oakland.