Sutter Surgical Hospital - North Valley
An acute care hospital in Yuba City, California 95991
455 Plumas Blvd, Yuba City, California 95991. (530) 749-5700.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 14 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jul 8, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jul 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jul 8, 2026: complaint inspection1 deficiency
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Pharmacy Drug Records
The inspectors’ words, 901 words
“PHARMACY DRUG RECORDS CFR(s): 482.25(a)(3) Current and accurate records must be kept of the receipt and distribution of all scheduled drugs. This Standard is not met as evidenced by: 27194 Based on interview and document review, the hospital failed to ensure accurate records for the receipt and distribution of all controlled substance medications used for four patients (Patients 9, 8, 4 and 16) when: 1. PCA (patient-controlled analgesia: a pain management method that allows patients to self-administer small, predetermined doses of pain medication (usually opioids like morphine) by pressing a handheld button connected to an IV pump) administration was documented before discarding the unused controlled substance with another licensed staff for Patient 9. 2. Pharmacy monitored and reconciled controlled substances used in the hospital for Patients 4, 8 and 16. These failures could lead to unnoticed diversion of controlled substances and possible patient harm due to impaired staff performance. Findings: 1. During a concurrent interview and clinical record review on 7/8/26 at 11:11 AM, with Pharmacist (RPH) and Clinical Effectiveness Consultant (CEC), the clinical record and the medication administration record (MAR) for Patient 9, dated 1/27/26 were reviewed. The clinical record revealed that the physician ordered a morphine (opioid pain medication) PCA at 1 mg/ml (milligrams/milliliter) for breakthrough pain with specific instructions below: PCA Dose = 1 mg Lockout time = 10 minutes 4-hour dose limit = 25 mg The nurse started the medication at 3:18 PM. A subsequent review of the MAR revealed that the initial PCA syringe remained in use until 6:50 AM on 1/28/26, at which time it was replaced with a new morphine PCA syringe. The documented waste was 7.1 ml, but the nursing flowsheet (a streamlined, chronological documentation tool used to track repetitive clinical data such as vital signs, fluid balance (intake/output), medication administration, and specific care interventions) lacked the total dose given when the PCA syringe was replaced at 6:50 AM and the pump was cleared. During an interview on 7/8/26 at 2:26 PM with Registered Nurse (RN) 1 in the medical surgical unit, explained that to replace the PCA syringe, she would have to document the PCA dose given on the flowsheet, waste the medication with another nurse, and then replace the syringe. During a review of hospital policy and procedure (P&P) titled, “Patient controlled Analgesia Policy” dated 5/11/26, the P&P indicated, “The PCA pump will be cleared and documented in the PCA assessment section every 4 hours, changing PCA cartridges and tubing ... 2. Clear the pump at the end of each shift, and document total medication delivered, number of attempts and number of injection in the EHR.” 2. a During a concurrent interview and document review on 7/7/26 at 11:33 AM, with Pharmacist (RPH) and Director of Quality (DOQ), the hospital’s reconciliation of controlled substance (CS) usage and waste records dated 10/20/25 was audited. The narcotics reconciliation record indicated the previous pharmacist in charge (PIC) 2 did not investigate and address the oxycodone (narcotic pain medication) 5 mg tablet discrepancy for Patient 8 reported by Bluesight (a medication intelligence and compliance software company for hospital pharmacies that offer solutions in preventing drug diversion). During the concurrent interview with the RPH, she acknowledged it is the duty of the PIC to resolve any unreconciled controlled substance transaction per hospital policy. During a review of hospital P&P titled, “Controlled Substance Management Policy” dated 9/10/25, the P&P indicated, “The PIC is accountable for all CS activities, including procurement, storage, inventory, dispensing and disposal, validating they are conducted in compliance with DEA regulation and California law.” b. During a concurrent interview and document review on 7/7/26 at 4:28 PM, with RPH and DOQ, the hospital’s reconciliation of controlled substance usage and waste records dated 9/4/25 was audited. The narcotics reconciliation record indicated Anesthesiologist (MD) B removed 2 vials of fentanyl (potent opioid pain medication) 100 mcg/2ml (total 200 mcg) for Patient 4 on 9/4/25 at 10:15 AM, but only 100 mcg was administered according to the MAR with no waste documented, leaving 100 mcg of the medication unaccounted for. Further review of the Bluesight reconciliation comments put in by the former PIC 1 did not sufficiently explain such discrepancy. During the concurrent interview, the RPH said she could not resolve the discrepancy with the former PIC 1’s justification. c. During a concurrent interview and document review on 7/7/26 at 10:48 AM, with RPH and DOQ, the hospital’s reconciliation of controlled substance usage and waste records, dated 10/7/25 was audited. The narcotics reconciliation record indicated Anesthesiologist (MD) A removed one vial of fentanyl 100 mcg/2ml for Patient 16 on 10/7/25 at 10:27 AM and 1:05 PM respectively for a combined total of 200 mcg dose. Further review of the MAR revealed only a total of 100 mcg was administered by MD A with no waste documented, and leaving the remainder of 100 mcg dose unaccounted for. Further review of the Bluesight reconciliation comments put in by the former PIC 1 did not sufficiently explain the discrepancy of the missing 100 mcg dose in his investigation. During the concurrent interview, the RPH said she could not resolve the discrepancy with the former PIC 1’s justification. During a review of hospital P&P titled, “Controlled Substance Management Policy” dated 9/10/25, the P&P indicated, “The PIC is accountable for all CS activities, including procurement, storage, inventory, dispensing and disposal, validating they are conducted in compliance with DEA regulation and California law.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 8, 2026 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 1; safety of care, 0 better and 0 worse of 2; readmission, 0 better and 0 worse of 3.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “The number of cases/patients is too few to report a star rating.”
- In CMS’s patient survey (Oct 1, 2024 to Sep 30, 2025): 83% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): hip or knee replacement 5.3%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after outpatient surgery, no different than expected.
- Medicare’s spending per patient here is 1 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jun 16, 2009.
- Ownership: physician.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Physician.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- 79% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Sutter Valley Hospitals owns 100% directly since Apr 12, 2026.
- 21 owners or officers are people: Ann Marszal (corporate director, 100%); Rishi A Menon (corporate director, 100%); John Reynen (corporate director, 100%); David Warter (corporate director, 100%); Todd C Smith (corporate officer, 100%); Todd C Smith (corporate director, 100%); Benjamin Kirk (corporate officer, 100%); Daniel Flores (corporate director, 100%); Raeleigh Payanes (corporate director, 100%); Dineen Johnson Greer (corporate director, 100%); Bronwyn Fields (corporate director, 100%); Maria G Pallavicini (corporate director, 100%); William James Carroll (corporate officer, 100%); Chrysanthy Demos (corporate director, 100%); Jerry Tokunaga (corporate director, 100%); Kevin Patrick Manemann (corporate officer, 100%); Kevin Patrick Manemann (corporate director, 100%); Laura Beth Mathew (corporate director, 100%); Jonathan Ma (corporate officer, 100%); Tamara Powers (corporate officer); Tamara Powers (managing employee (on the payroll)).
- CMS’s Provider of Services file records 1 change of ownership, the latest on Apr 12, 2026.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sutter Valley Hospitals | Owns 5% or more directly | 100% | Apr 12, 2026 |
| Sutter Health | Owns 5% or more through other companies | 100% | Apr 12, 2026 |
How does it compare nearby?
- No other hospital CMS lists is in Sutter County.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.