Federal inspection record · CMS data as of October 1, 2026
Napa Community Health Center
1800 Pueblo Ave, Napa, CA · (707) 224-7925
- Certified beds
- 49
- Residents per day
- 26
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 27, 1985
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Napa Community Health Center carries 211 inspection points. That is fewer than 9% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
37 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Everything else, by area of care
Resident Rights8F
- F
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- F
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.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary6F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Quality of Life and Care5F
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
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.
- F
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental3F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Keep all essential equipment working safely.
- F
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Respond appropriately to all alleged violations.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Assessment and Care Planning1D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nursing and Physician Services1D
- D
Observe each nurse aide's job performance and give regular training.
Inspection history
2026-06-05
23 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2024-04-26
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-01-25
5 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 6 h 5 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.
This home
6 h 5 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$31,430 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-05 | Fine | $8,492 |
| 2026-06-05 | Fine | $14,446 |
| 2026-03-26 | Fine | $8,492 |
| 2026-03-26 | Payment Denial · 11 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2.7 pts worse | 4.9 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 98.3% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine15.5 pts worse | 82.4% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts worse | 4.3% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2 pts worse | 9.6% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 3.5% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts better | 8.9% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts worse | 22.2% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.6 pts worse | 22.5% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased22.4 pts worse | 32.6% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection8.7 pts worse | 9.9% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence18 pts worse | 27.8% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.5% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.5 pts worse | 65.1% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.6 pts worse | 18.7% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts worse | 3.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.7 pts worse | 71.4% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts worse | 26.8% | 22.6% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Piner, Gary | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Piner, Jeremy | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Piners Nursing Home Inc | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Reeves, Dane | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness11F
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- E
Establish staff and initial training requirements.
- D
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- D
Install corridor and hallway doors that block smoke.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems5F
- E
Ensure proper usage of power strips and extension cords.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Egress2E
- D
Have properly located and lighted "Exit" signs.
- E
Have properly located and lighted "Exit" signs.
Construction1D
- D
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 47 min
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- $0
-
Napa Post Acute
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- Nursing / resident / day
- 4 h 2 min
- Fines
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-
The Meadows Of Napa Valley Care Center
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- F
- Nursing / resident / day
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- Fines
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