01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-08-16 | 3 | 2024-08-16 | 3 |
| Cycle 2 | 2022-10-27 | 0 | 2022-10-27 | 4 |
| Cycle 3 | 2018-12-14 | 3 | 2018-12-14 | 3 |
CMS CCN 5555902026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Healdsburg Hospital D/P Snf
1375 University Avenue · Healdsburg, CA 95448 · Sonoma County
Certified beds17CMS provider file
Recent citation rows16current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
16 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-08-16 · FIREE0031Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-16 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-16 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-16 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-16 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-09-182024-08-16 · FIREK0347Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2024-09-182022-10-27 · FIREK0347Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2022-11-282022-10-27 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-11-282022-10-27 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2022-11-282022-10-27 · FIREK0914Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2022-11-282018-12-14 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2019-01-162018-12-14 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2019-01-162018-12-14 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2019-01-162018-12-14 · FIREK0347Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2019-04-152018-12-14 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2019-04-152018-12-14 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2019-04-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-11-13 | Fine | $4,587 | 0 |
| 2023-11-06 | Fine | $4,587 | 0 |
| 2023-10-17 | Fine | $13,762 | 0 |
| 2023-10-02 | Fine | $4,587 | 0 |
| 2023-09-25 | Fine | $4,587 | 0 |
| 2023-09-05 | Fine | $13,762 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NORCAL HEALTHCONNECT LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2021
- WIDGER, JUDYIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2021
- GIDEON, TROYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/20/2023
- NAOTUNNE, BHARATHAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/17/2022
- ARYANPUR, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- COFFEY, JUDITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/26/2021
- DEVORE, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- FLAMER, KEITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/28/2023
- HEWITT, CONRADIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- KINDIG, PAMELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- MCNULTY, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- WEISSBERG, JEDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/26/2021
- ADEYANJU, OLUYEMIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2021
- ANDERSON, DONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2021
- DRISCOLL, LAUREENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/25/2022
- HOFFMAN, GREGORYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/21/2021
- HUSMANN, NATHANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/28/2023
- PROVIDENCE HEALTH & SERVICES - WASHINGTONOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours10.57per resident day
RN hours4.43per resident day
Weekend nurse hours9.55per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the California ledger →Other published facilities nearby
No second facility in the same city met the directory rule.