Skilled nursing facility · CMS certification number 555590
HEALDSBURG HOSPITAL D/P SNF
HEALDSBURG, California · Medicare and Medicaid · 17 certified beds in Care Compare
Download HEALDSBURG HOSPITAL D/P SNF’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $22,936.00 · Payment denials: 0. The most recent penalty on file: November 13, 2023, Fine, $4,587. Every penalty on file ↓
HEALDSBURG HOSPITAL D/P SNF: its citable report, full history — $295 · an email when it changes — $99/month
HEALDSBURG HOSPITAL D/P SNF: nurse staffing hours by quarter →
Who owns HEALDSBURG HOSPITAL D/P SNF, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: NORCAL HEALTHCONNECT LLC (organization), 100%%, since 01/01/2021
- CONTRACTED MANAGING EMPLOYEE: WIDGER, JUDY (individual), NOT APPLICABLE, since 01/01/2021
- CORPORATE DIRECTOR: ARYANPUR, JOHN (individual), NOT APPLICABLE, since 01/01/2021; COFFEY, JUDITH (individual), NOT APPLICABLE, since 05/26/2021; DEVORE, JAMES (individual), NOT APPLICABLE, since 01/01/2021; FLAMER, KEITH (individual), NOT APPLICABLE, since 11/28/2023; HEWITT, CONRAD (individual), NOT APPLICABLE, since 01/01/2021; KINDIG, PAMELA (individual), NOT APPLICABLE, since 01/01/2020; MCNULTY, MARY (individual), NOT APPLICABLE, since 01/01/2021; WEISSBERG, JED (individual), NOT APPLICABLE, since 05/26/2021
- CORPORATE OFFICER: ADEYANJU, OLUYEMI (individual), NOT APPLICABLE, since 01/01/2021; ANDERSON, DONALD (individual), NOT APPLICABLE, since 01/01/2021; DRISCOLL, LAUREEN (individual), NOT APPLICABLE, since 01/25/2022; HOFFMAN, GREGORY (individual), NOT APPLICABLE, since 01/21/2021; HUSMANN, NATHAN (individual), NOT APPLICABLE, since 04/28/2023
- OPERATIONAL/MANAGERIAL CONTROL: PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), NOT APPLICABLE, since 01/01/2021; ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC (organization), NOT APPLICABLE, since 01/01/2021; ST. JOSEPH HEALTH SYSTEM (organization), NOT APPLICABLE, since 01/01/2021
- W-2 MANAGING EMPLOYEE: GIDEON, TROY (individual), NOT APPLICABLE, since 10/20/2023; NAOTUNNE, BHARATHA (individual), NOT APPLICABLE, since 10/17/2022
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of NORCAL HEALTHCONNECT LLC (enrollment ID O20201225000004).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: NORCAL HEALTHCONNECT LLC (organization), 100.00%, since 01/01/2021
- CONTRACTED MANAGING EMPLOYEE: JUDY A WIDGER (individual), 0.00%, since 01/01/2021
- CORPORATE DIRECTOR: CONRAD HEWITT (individual), since 01/01/2021; JAMES C DEVORE (individual), since 01/01/2021; JED WEISSBERG (individual), 0.00%, since 05/26/2021; JOHN ARYANPUR (individual), since 01/01/2021; JUDITH L COFFEY (individual), 0.00%, since 05/26/2021; KEITH FLAMER (individual), 0.00%, since 11/28/2023; MARY BERNADETTE MCNULTY (individual), since 01/01/2021; PAMELA A KINDIG (individual), 0.00%, since 01/01/2020
- CORPORATE OFFICER: DONALD WAYNE ANDERSON (individual), 0.00%, since 01/01/2021; GREGORY DAVID HOFFMAN (individual), since 01/21/2021; LAUREEN T DRISCOLL (individual), 0.00%, since 01/25/2022; NATHAN REINERT HUSMANN (individual), 0.00%, since 04/28/2023; OLUYEMI ADEYANJU (individual), 0.00%, since 01/01/2021
- OPERATIONAL/MANAGERIAL CONTROL: PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), since 01/01/2021; ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC (organization), since 01/01/2021; ST. JOSEPH HEALTH SYSTEM (organization), since 01/01/2021
- OTHER: WESTERN HEALTHCONNECT (organization), since 01/01/2021
- W-2 MANAGING EMPLOYEE: BHARATHA B NAOTUNNE (individual), 0.00%, since 10/17/2022; TROY A GIDEON (individual), 0.00%, since 10/20/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: NORCAL HEALTHCONNECT LLC; PROVIDENCE HEALTH & SERVICES - WASHINGTON; ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC; ST. JOSEPH HEALTH SYSTEM; WESTERN HEALTHCONNECT.
Private equity company, real estate investment trust and holding company: Paused by CMS: JUDY A WIDGER; CONRAD HEWITT; JAMES C DEVORE; JED WEISSBERG; JOHN ARYANPUR; JUDITH L COFFEY; KEITH FLAMER; MARY BERNADETTE MCNULTY; PAMELA A KINDIG; DONALD WAYNE ANDERSON; GREGORY DAVID HOFFMAN; LAUREEN T DRISCOLL; NATHAN REINERT HUSMANN; OLUYEMI ADEYANJU; BHARATHA B NAOTUNNE; TROY A GIDEON.
Changes in ownership
- May 1, 2024, enrollment ownership file; no longer listed: ARIEL U KELLEY (DIRECTOR); DARIAN HARRIS (W-2 MANAGING EMPLOYEE); TIMOTHY HERMAN (DIRECTOR); first listed: KEITH FLAMER (DIRECTOR), associated since November 28, 2023; JUDY A WIDGER (CONTRACTED MANAGING EMPLOYEE), associated since January 1, 2021; TROY A GIDEON (W-2 MANAGING EMPLOYEE), associated since October 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- September 15, 2023, enrollment ownership file; no longer listed: PATTI L PILGRIM (OFFICER); first listed: NATHAN REINERT HUSMANN (OFFICER), associated since April 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- January 1, 2023, enrollment ownership file; no longer listed: OLUYEMI ADEYANJU (W-2 MANAGING EMPLOYEE); first listed: BHARATHA B NAOTUNNE (W-2 MANAGING EMPLOYEE), associated since October 17, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- July 9, 2026: A deficiency was cited under tag F 0732, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 9, 2026: A deficiency was cited under tag F 0636, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 9, 2026: A deficiency was cited under tag F 0656, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 9, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
Inspections of HEALDSBURG HOSPITAL D/P SNF
- Cycle 1: health July 9, 2026 (3 deficiencies), fire safety July 9, 2026 (8)
- Cycle 2: health August 16, 2024 (3 deficiencies), fire safety August 16, 2024 (3)
- Cycle 3: health October 27, 2022 (0 deficiencies), fire safety October 27, 2022 (4)
- Cycle 3: health December 14, 2018 (3 deficiencies), fire safety December 14, 2018 (3)
Deficiencies cited at HEALDSBURG HOSPITAL D/P SNF
9 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; none cited from a complaint. Letter after a date: scope and severity grade.
- F 0636, resident assessment and care planning: July 9, 2026 (D, corrected July 30, 2026).
- F 0656, resident assessment and care planning: July 9, 2026 (E, corrected July 30, 2026); August 16, 2024 (D, corrected September 6, 2024).
- F 0732, nursing and physician services: July 9, 2026 (D, corrected July 30, 2026).
- F 0755, pharmacy service: August 16, 2024 (D, corrected September 6, 2024).
- F 0812, nutrition and dietary: August 16, 2024 (E, corrected September 6, 2024).
- F 0658, resident assessment and care planning: December 14, 2018 (D, corrected January 16, 2019).
- F 0695, quality of life and care: December 14, 2018 (D, corrected January 16, 2019).
- F 0880, infection control: December 14, 2018 (D, corrected January 16, 2019).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| November 13, 2023 | Fine | $4,587 | 129353 | ||
| November 6, 2023 | Fine | $4,587 | 129292 | ||
| October 17, 2023 | Fine | $13,762 | 129109 | ||
| October 2, 2023 | Fine | $4,587 | 128962 | ||
| September 25, 2023 | Fine | $4,587 | 128891 | ||
| September 5, 2023 | Fine | $13,762 | 128694 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
HEALDSBURG HOSPITAL D/P SNF in Care Compare
- Ownership Type: Non profit - Corporation
- Legal Business Name: NORCAL HEALTHCONNECT LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1994-03-22
- Provider Resides in Hospital: Y
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Sonoma
- Telephone Number: 7074316500
- Chain Name: PROVIDENCE HEALTH & SERVICES
- Chain ID: 430
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: None
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 14.1
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 3
- Long-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for HEALDSBURG HOSPITAL D/P SNF: no Medicare cost report.
Other nursing facilities in HEALDSBURG and California
- BERRYMAN HEALTH-HEALDSBURG
- HEALDSBURG SENIOR LIVING COMMUNITY
- San Luis Transitional Care San Luis Obispo
- SMITH RANCH SKILLED NURSING & REHABILITATION CENTE SAN RAFAEL
- PARKSIDE HEALTH AND WELLNESS CENTER EL CAJON
- TORRANCE MEMORIAL MED CTR SNF/DP TORRANCE
- MILLBRAE SERRA CONVELESCENT HOME MILLBRAE
- GLENHAVEN HEALTHCARE GLENDALE
Report a figure on HEALDSBURG HOSPITAL D/P SNF’s record that differs from its CMS file, quoting 555590.