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Healdsburg Hospital D/P SNF

1375 University Avenue, Healdsburg, CA 95448 · Sonoma County · (707) 431-6500

17 certified beds, about 15 residents a day · Non profit - Corporation · Medicare and Medicaid since 1994

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 555590 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 9, 2026, inspectors cited 3 health deficiencies (the California average is 15.6, the national average 9.2).

None of its 6 health citations since October 2022 was rated as actual harm or immediate jeopardy.

CMS lists 5 fines totaling $32,110 in the last three years; the largest was $13,762, and the latest is dated November 13, 2023.

Nurses and nurse aides worked 10.57 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 4.43 of those hours.

CMS links it to Providence Health & Services, an affiliated group of 8 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
2E
0F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard inspection · 3 citations
  1. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop activity care plans for the residents when three of five residents sampled for activities (Residents 7, 9, 13) did not have an activities care plan. This failure had the potential to result in activities that do not meet the needs of the residents. During a record review and concurrent interview on 7/8/26 at 10:52 a.m., when asked for the location of the activity care plan in the electronic medical record, Nurse Manager navigated to a flow sheet in Resident 13's chart for documentation of activities and stated the flow sheet was considered the care plan for activities. Review of Resident 13's flow sheet for activities indicated several general one-word categories of activities, such as music, but did not indicate what the resident's preferred activities were or how the resident's personal activities needs would be met. [...]
  2. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on interview and record review, the facility's staff failed to complete comprehensive assessments of residents when two of five residents sampled for activities (Residents 9 and 13) did not have completed activity assessments through family interview. This failure had the potential to result in activities that are not personalized for residents who are no longer able to communicate their preferences. During a record review and concurrent interview on 7/8/26 at 1:30 p.m., MDS Coordinator reviewed Resident 9's activity assessments dated 3/23/26 and 3/22/25 and verified they had not been completed. MDS Coordinator also reviewed Resident 9's activity assessment at the time of her admission in March of 2024 and verified it had not been completed, which meant Resident 9 had never had an activity assessment completed at this facility. [...]
  3. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview and record review, the facility did not ensure the posted daily staffing information included the required elements: 1. Facility name 2. The current date 3. The total number and actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: registered nurses, licensed practical nurses or licensed vocational nurses, and certified nurse aides. 4. Resident census. This failure resulted in residents, visitors and staff not having access to the required information and had the potential for the facility not to meet the required daily nurse staffing hours per patient day. During an observation on 7/7/26 at 11:35 a.m., the staffing assignment sheets were observed posted at the nursing station and contained licensed and unlicensed staff assigned to specific resident rooms. [...]
August 16, 2024Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observation and interview and facility policy review, the facility failed to ensure food items were stored in a manner that complied with food handling practices to prevent food-borne illness (illness caused by the ingestion of contaminated food or beverages), when two bowls of prepared food were in the walk-in refrigerator without any labeling and several food items were opened and without labels in the dry storage area. This failure had the potential to result in the rapid growth of pathogenic (capable of causing disease) microorganisms (e. g. bacteria, virus etc.) that could cause food-borne illnesses and could affect the residents of the facility.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observation, interviews and records review, the facility failed to develop a person-centered individualized care plan for 1 of 8 sampled residents (Resident 7.) This failure had the potential for facility staff to not provide adequate care to Resident 7's eyes which could cause further damage to his eyes and/or blindness.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure professional standards of practice when two of three residents (Resident 16 and Resident 5) did not have their enteral tube (a soft, flexible tube which enters a surgically created opening in the abdominal wall and is used to administer food, fluids, and medications to a person that cannot receive food, fluid, or medications through their mouth) flushed (the process of gently pushing water through the tube to clean it) before and after medication administration. This failure had the potential to cause a blockage in the enteral tube and delay the administration of critical medications (priority medications that should not be omitted or delayed).
October 27, 2022Standard inspection · 0 citations

Fire safety inspections

15 fire safety citations on file: 8 on July 9, 2026, 3 on August 16, 2024, 4 on October 27, 2022.

Every fire safety citation15 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · July 9, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 9, 2026 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 9, 2026 · Corrected (the home has a date of correction)
  4. D
    Establish policies and procedures for sheltering.
    E 22 · July 9, 2026 · Corrected (the home has a date of correction)
  5. D
    Create arrangements with other facilities to receive patients.
    E 25 · July 9, 2026 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 9, 2026 · Corrected (the home has a date of correction)
  7. D
    Provide a written emergency evacuation plan.
    K 711 · July 9, 2026 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 9, 2026 · Corrected (the home has a date of correction)
  9. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · August 16, 2024 · Corrected (the home has a date of correction)
  10. D
    Provide emergency officials' contact information.
    E 31 · August 16, 2024 · Corrected (the home has a date of correction)
  11. D
    Provide properly protected cooking facilities.
    K 324 · August 16, 2024 · Corrected (the home has a date of correction)
  12. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · October 27, 2022 · Corrected (the home has a date of correction)
  13. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 27, 2022 · Corrected (the home has a date of correction)
  14. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 27, 2022 · Corrected (the home has a date of correction)
  15. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 27, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 13, 2023Fine $4,587
November 6, 2023Fine $4,587
October 17, 2023Fine $13,762
October 2, 2023Fine $4,587
September 25, 2023Fine $4,587

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeCaliforniaUnited States
All nursing staff (RN, LPN and aides)10.574.523.86
Registered nurses4.430.670.69
All nursing staff on weekends9.554.093.42
Nurse aides4.67
Licensed practical nurses1.48
Nursing staff turnover (share who left in a year)not reported36.7%45.8%
Registered nurse turnovernot reported38.1%42.9%
Administrators who leftnot reported

CMS expects 9.07 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 10.99 on weekdays and 9.55 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 35.7% of nursing hours, against 5.3% nationally.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 202610.574.4310.999.55 35.7%10 of 9015
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
California, Jan to Mar 20264.360.594.523.972.3%0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeCaliforniaUS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.20.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
11.91.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.01.63.2
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.24.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.312.015.4

Owners and operators

Legal business name: NORCAL HEALTHCONNECT LLC. CMS links this home to Providence Health & Services, a group of 8 nursing homes averaging 3 stars overall.

NameRoleTypeShareSince
Norcal Healthconnect LLC5% or greater direct ownership interestOrganization100%01/01/2021
Widger, JudyContracted managing employeeIndividual01/01/2021
Gideon, TroyW-2 managing employeeIndividual10/20/2023
Naotunne, BharathaW-2 managing employeeIndividual10/17/2022
Aryanpur, JohnCorporate directorIndividual01/01/2021
Coffey, JudithCorporate directorIndividual05/26/2021
Devore, JamesCorporate directorIndividual01/01/2021
Flamer, KeithCorporate directorIndividual11/28/2023
Hewitt, ConradCorporate directorIndividual01/01/2021
Kindig, PamelaCorporate directorIndividual01/01/2020
McNulty, MaryCorporate directorIndividual01/01/2021
Weissberg, JedCorporate directorIndividual05/26/2021
Adeyanju, OluyemiCorporate officerIndividual01/01/2021
Anderson, DonaldCorporate officerIndividual01/01/2021
Driscoll, LaureenCorporate officerIndividual01/25/2022
Hoffman, GregoryCorporate officerIndividual01/21/2021
Husmann, NathanCorporate officerIndividual04/28/2023
Providence Health & Services - WashingtonOperational/managerial controlOrganization01/01/2021
St. Joseph Health Northern California LLCOperational/managerial controlOrganization01/01/2021
St. Joseph Health SystemOperational/managerial controlOrganization01/01/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 9, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on July 9, 2026: "Post nurse staffing information every day."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 16, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 16, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."

Other nursing homes nearby

California contacts for a concern about a nursing home

These are the official offices in California. NursingHomeClear cannot take or act on complaints.

Common questions

What is Healdsburg Hospital D/P SNF's Medicare star rating?
CMS rates Healdsburg Hospital D/P SNF 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Healdsburg Hospital D/P SNF get at its last inspection?
3 health deficiencies at the standard inspection on July 9, 2026. The California average is 15.6.
Has Healdsburg Hospital D/P SNF been fined?
Yes. CMS lists 5 fines totaling $32,110 in the last three years.
Does Healdsburg Hospital D/P SNF accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Healdsburg Hospital D/P SNF?
CMS lists 20 owners and managers, and links the home to Providence Health & Services. Legal business name: NORCAL HEALTHCONNECT LLC.

Sources

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