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
Staffing
RN hours / resident day
0.43
Registered nurse staffing
LPN hours / resident day
1.26
Licensed practical nurse staffing
Aide hours / resident day
2.55
Nurse aide staffing
Weekend hours
3.79
Weekend nurse staffing
RN turnover
20%
Annual RN turnover
Total nurse turnover
30%
Annual nurse turnover
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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
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
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