Health & Medicine

Layoffs coming to Adventist Health’s SLO County hospitals amid restructuring

Adventist Health took over Sierra Vista Regional Medical Center and Twin Cities Community Hospital in Templeton on March 29, 2024. The facilities will now be known as Adventist Health Sierra Vista and Adventist Health Twin Cities.
Adventist Health took over Sierra Vista Regional Medical Center and Twin Cities Community Hospital in Templeton on March 29, 2024. The facilities will now be known as Adventist Health Sierra Vista and Adventist Health Twin Cities.

San Luis Obispo County’s largest hospital system is preparing to cut several positions heading into Fourth of July weekend.

Last week, Adventist Health Systems West put out a Worker Adjustment and Retraining Notification, or WARN notice, alerting employees across the company’s western division of impending layoffs.

According to the WARN notice, a total of 115 roles are being eliminated between Kern, Kings, Lake, Los Angeles, Mendocino, Napa, Placer, San Joaquin, Solano, Tuolumne, Ventura, Yuba and San Luis Obispo counties, starting on or after July 3.

In San Luis Obispo County, nine positions are being eliminated between the company’s Twin Cities and Sierra Vista hospitals, according to the WARN notice.

Employees are being laid off as Adventist Health implements a more centralized, role-specialized structure across its quality, risk management, infection prevention, accreditation, regulatory and licensing departments, Adventist Health spokesperson Shelley Gesicki told The Tribune in an email.

The following positions are being eliminated:

Adventist Health Sierra Vista

  • Aadministrative director, quality management (1)
  • Risk management specialist (1)
  • RN, infection prevention (1)
  • RN, quality assurance (2)

Adventist Health Twin Cities

  • Manager, accreditation and regulatory compliance (1)
  • Peer review specialist (1)
  • RN, infection prevention and quality assurance (1)
  • RN, quality assurance (1)

Gesicki said while positions are being eliminated, the new organizational structure will actually lead to an increase of locally based support roles from 10 to 12 at Central Coast Adventist Health hospitals.

“To ensure we have strong accountability and deep expertise in these important functions, we have worked thoughtfully to create alignment of positions and centralization of roles,” Gesicki said in an email. “This new structure will advance our mission of compassionate, whole-person care — connecting dedicated local team members with best practices from system-level experts.”

Adventest Health, Sierra Vista, is set to announce a $220 million expansion, facility seen here on Jan. 14, 2026.
Adventist Health Sierra Vista, seen here on Jan. 14, 2026, announced a $220 million expansion that will include a new emergency department, trauma center, maternity rooms and more. David Middlecamp dmiddlecamp@thetribunenews.com

What will restructuring look like?

Though 115 positions are being eliminated, not all employees will be leaving Adventist Health, according to the WARN notice.

As of June 25, more than 80 employees have accepted new positions within the new structure, according to the WARN notice.

Los Angeles County’s three Adventist Health locations will see the most layoffs, with a total of 25 positions eliminated, according to the notice.

Employees separated from the company will receive 60 days’ written notice, and all affected employees are not represented by a union or collective bargaining representative, according to the WARN notice.

In an email, Gesicki said there will be no disruption in care or services as a result of the changes, both for day-to-day care and for the services provided by the quality, risk management, infection prevention and accreditation teams.

“Team members in these roles help us deliver the highest-quality care through patient safety, regulatory compliance, infection prevention practices, quality improvement initiatives, and accreditation readiness across our hospitals,” Gesicki said. “Under the new model, these responsibilities will be strengthened through the work of dedicated teams with clearly defined areas of expertise, while maintaining close partnerships with local leaders, providers and front-line staff.”

Joan Lynch
The Tribune
Joan Lynch is a housing reporter at the San Luis Obispo Tribune. Originally from Kenosha, Wisconsin, Joan studied journalism and telecommunications at Ball State University, graduating in 2022.
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