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Sierra Vista hospital in line for $220 million in improvements

January 18, 2026

By KAREN VELIE

Sierra Vista Regional Medical Center in San Luis Obispo is in line for a $220 million investment for major improvements, Adventist Health announced Saturday.

Adventist Health plans to modernize and expand facilities at Sierra Vista to improve access to care for the community. Construction is expected to begin in 2028.

Planned improvements include:

  • A new emergency department and trauma center
  • New labor and delivery and postpartum units
  • New operating and procedure rooms to support expanded services
  • A new intensive care unit
  • Remodeled inpatient rooms designed to enhance comfort, healing, and the overall patient experience

“This investment reflects our long-term commitment to the Central Coast,” said Ryan Ashlock, president of Adventist Health Central Coast Network. “From the beginning, we recognized that this community expects more from its healthcare providers — and that earning trust matters. This project ensures families can access the care they need in facilities that reflect the level of care already being delivered here.”

Adventist Health Sierra Vista is San Luis Obispo County’s only trauma center, only neonatal intensive care unit, and only pediatric inpatient unit, caring for patients during some of life’s most critical moments.

 


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Watch out – Adventist might just get the project entitled and then “flip it” to another buyer and not have to spend the $220m. Look for the Craigslist ad – “Hospital complex available in SLO with shovel ready plans…”


2

Jeez, why all the complaints about a hospital making improvements? Don’t these folks know that President Trump will start sending them money to take care of their health related needs. The Great Health Bill or whatever it’s called will surely solve this nation’s healthcare issues.


-5

Is this why no one can afford medical care? 220 million is a huge amount of money, I doubt it’s buying much either Adventist siphoning off all the money and the rest goin to uncompensated charity care. I’ve always received the same slow terrible medical care for the highest price at Sierra Vista. This will not change that


9

Boy ! in some parts of the world, you could build 3 or 4 hospitals from the ground up for 220 million total. Money dosen’t buy what it used to!!

I agree with Caroljane about staffing .

Over the years my family and friends have had less- than- satisfactory outcomes consistently at Sierra Vista . These days I tell all my peeps to go to French if they have to go to the hospital.

Adventist is probably tired of watching all the smart monkeys run off to Cottage, Stanford or UCLA, We all know it’s about attracting and retaining better staffing. A remodel? Really?


11

Hopefully they’ll be adding A LOT more nurses and staff. The shortage of the support staff has caused a lot of insufficiencies. My husband’s experience after a surgery was sorely disappointing. The ratio of nurses to patients was extremely inadequate and if I hadn’t been there, things could have turned for the worse.


19

220 Million?… great that should paint a few walls and buy a new sign for out front….


20