Petaluma, CA
5-star overall rating with 4-star inspections with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
450 Hayes Lane, Petaluma, CA
(707) 778-8686
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
59
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
West Harbor Healthcare
Operator or chain grouping
Approved since
1980-06-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.43
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.24
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
4.45
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
1,163
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.31
Composite VBP score used to determine payment impact.
Payment multiplier
1.0145
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.80
Baseline 18.87% · Performance 18.28% · Measure score 6.80 · Achievement 6.80 · Improvement 2.68
Healthcare-associated infections
6.40
Baseline 6.20% · Performance 5.92% · Measure score 6.40 · Achievement 6.40 · Improvement 1.81
Total nurse turnover
5.95
Baseline 33.96% · Performance 39.34% · Measure score 5.95 · Achievement 5.95 · Improvement 0
Adjusted total nurse staffing
4.57
Baseline 4.68 hours · Performance 4.38 hours · Measure score 4.57 · Achievement 4.57 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 133 · Observed rate 10.53% · Lower 95% interval 7.67% |
| Discharge to community | 74.44% |
50.57%
23.9 pts better
|
Better than the National Rate · Eligible stays 129 · Observed rate 67.44% · Lower 95% interval 61.99% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 84 · Denominator 84 |
| Falls with major injury | 1.19% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 84 |
| Discharge self-care score | 45.31% |
53.69%
8.4 pts worse
|
Numerator 29 · Denominator 64 |
| Discharge mobility score | 57.81% |
50.94%
6.9 pts better
|
Numerator 37 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 3 · Denominator 84 · Adjusted rate 3.2% |
| Healthcare-associated infections requiring hospitalization | 5.92% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 3.8% · Lower 95% interval 3.29% |
| Staff COVID-19 vaccination coverage | 16.13% |
8.2%
7.9 pts better
|
Numerator 15 · Denominator 93 |
| Staff flu vaccination coverage | 36.99% |
42%
5 pts worse
|
Numerator 27 · Denominator 73 |
| Discharge function score | 62.5% |
56.45%
6 pts better
|
Numerator 40 · Denominator 64 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 93.48% |
96.28%
2.8 pts worse
|
Numerator 43 · Denominator 46 |
| Resident COVID-19 vaccinations up to date | 50% |
25.2%
24.8 pts better
|
Numerator 24 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.3
0.5 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.6% |
98.2%
4.6 pts worse
|
95.5%
1.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
1.6%
1 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
4.1%
1.9 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 0.0% · Q3 0.0% · Q4 11.1% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.1% |
13.7%
0.6 pts better
|
19.6%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 13.5% · Q3 10.5% · Q4 16.2% · 4Q avg 13.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.4% |
14.2%
0.8 pts better
|
16.7%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 12.0% · Q3 15.2% · Q4 16.1% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.8% |
11.0%
5.8 pts worse
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.2% |
10.7%
8.5 pts worse
|
14.9%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 36.7% · Q3 11.8% · Q4 6.2% · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.2%
1.3 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 7.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.4% |
10.9%
9.5 pts worse
|
19.8%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 16.4% · Q3 22.2% · Q4 14.4% · 4Q avg 20.4% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.7%
1.2 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.8% · Q3 2.7% · Q4 1.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.4% |
94.0%
4.6 pts worse
|
81.7%
7.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 92.5% · Q3 88.7% · Q4 89.5% · 4Q avg 89.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
11.2%
0.9 pts better
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 10.1% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.5% · Q4 3.2% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.6% |
93.2%
1.6 pts worse
|
79.7%
11.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.4% |
23.2%
11.8 pts better
|
23.9%
12.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.4% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-30
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-30
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-09-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-30
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-09-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-30
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-09-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-20
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-05-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-05-20
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-05-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-05-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-05-20
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-04-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-04-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-05
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-04-05
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-01
Health
Dispose of garbage and refuse properly.
Corrected 2025-10-01
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-10-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-10-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-01
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-10-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-01
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-10-01
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-04
Health
Post nurse staffing information every day.
Corrected 2024-05-20
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-05-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-20
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-05-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-20
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-05-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-04-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-04-19
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-04-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-19
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-04-19
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-04-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-04-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-04-19
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-04-19
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-19
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
Petaluma, CA
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Petaluma, CA
1-star overall rating with 1-star inspections with $32,280 in total fines with 24 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Petaluma, CA
1-star overall rating with 1-star inspections with abuse icon flag with $142,514 in total fines with 20 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Jump out