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Facility Information

Facility ID: 030000108

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Sutter Amador Hospital

Other previous Names(s) known as:

  • Sutter Amador Hospital (Rural Hosp.) (2-Rhc)

200 Mission Blvd
Jackson, Ca   95642

County:Amador

Phone:(209) 223-7500

Fax:(209) 223-7454

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

Sacramento District Office
3901 Lennane Drive, Suite 210
Sacramento, CA. 95834
Phone Number: (916) 263-5800

License Information

Licensee: Sutter Health Sacramento Sierra Region
2801 L Street, 7Th Floor
Sacramento, Ca 95816

Licensee Type: Nonprofit Corp

License Number: 030000008

License Status: Active

License Category: General Acute Care Hospital

License Effective Date: 4/8/2014

Expiration Date: 10/31/2014

Total License Capacity: 52

Bed Classification/Services:

Other Approved Services:

  • Basic Emergency Medical
  • Nuclear Medicine
  • Occupational Therapy
  • Outpatient Services
    • Cardiac Stress Test Lab
      Offsite Address: 100 Mission Boulevard, Jackson
    • Endoscopy Clinic
      Offsite Address: 100 Mission Boulevard, Jackson
    • Infusion Clinic
      Offsite Address: 100 Mission Boulevard, Jackson
    • Laboratory Services
      Offsite Address: 100 Mission Boulevard, Jackson
    • Pft/Eeg Clinic
      Offsite Address: 100 Mission Boulevard, Jackson
    • Radiology
      Offsite Address: 100 Mission Boulevard, Jackson
    • Sleep Center
  • Respiratory Care Services
  • Speech Pathology

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

This Hospital deemed by Joint Commission

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2014

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

6Survey DeficienciesSurvey Deficiencies

Year: 2013

2ComplaintsComplaints

3Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

10Survey DeficienciesSurvey Deficiencies

Year: 2012

6ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

5Survey DeficienciesSurvey Deficiencies

Year: 2011

0ComplaintsComplaints

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

6Survey DeficienciesSurvey Deficiencies

Year: 2010

0ComplaintsComplaints

3Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

10Survey DeficienciesSurvey Deficiencies

Year: 2009

0ComplaintsComplaints

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

1Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

3Survey DeficienciesSurvey Deficiencies

Administration Information

10/1/2009
to Present

Sutter Health Sacramento Sierra Region
Relationship to Facility: Licensee

1/31/2005
to Present

Platt, Anne
Relationship to Facility: Administrator

8/31/2009
to Present

Allen, Nicole (Nikki) Jeanne
Relationship to Facility: Director Of Nursing

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

10/1/2009
to Present

Sutter Amador Hospital
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

None found