Napa, CA

Piners Nursing Home

1-star overall rating with 2-star inspections with 14 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

1800 Pueblo Ave, Napa, CA

(707) 224-7925

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

49

Certified beds

Average residents

34

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1985-06-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

3.07

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.96

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.89

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

4.27

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.89

CMS adjusted RN staffing hours

Adjusted total hours

4.99

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,014

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 21.21% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

1.16

Performance 7.49% · Measure score 1.16 · Achievement 1.16 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

4.34

Baseline 4.52 hours · Performance 4.31 hours · Measure score 4.34 · Achievement 4.34 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.37%
10.72%
0.4 pts better
No Different than the National Rate · Eligible stays 42 · Observed rate 9.52% · Lower 95% interval 6.52%
Discharge to community 61.04%
50.57%
10.5 pts better
No Different than the National Rate · Eligible stays 35 · Observed rate 62.86% · Lower 95% interval 49.61%
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up 84.62%
95.27%
10.6 pts worse
Numerator 33 · Denominator 39
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 39
Discharge self-care score 88.89%
53.69%
35.2 pts better
Numerator 24 · Denominator 27
Discharge mobility score 81.48%
50.94%
30.5 pts better
Numerator 22 · Denominator 27
Pressure ulcers or injuries, new or worsened 2.56%
2.29%
0.3 pts worse
Numerator 1 · Denominator 39 · Adjusted rate 2.46%
Healthcare-associated infections requiring hospitalization 7.49%
7.12%
0.4 pts worse
No Different than the National Rate · Eligible stays 33 · Observed rate 9.09% · Lower 95% interval 3.83%
Staff COVID-19 vaccination coverage 85.71%
8.2%
77.5 pts better
Numerator 66 · Denominator 77
Staff flu vaccination coverage 76.13%
42%
34.1 pts better
Numerator 118 · Denominator 155
Discharge function score 81.48%
56.45%
25 pts better
Numerator 22 · Denominator 27
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
98.5%
0.4 pts worse
93.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
1.6%
1.2 pts worse
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 3.7% · Q4 3.6% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 9.7%
6.8%
2.9 pts worse
11.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.0% · Q3 8.3% · Q4 11.5% · 4Q avg 9.7%
Percentage of long-stay residents who lose too much weight 6.2%
4.1%
2.1 pts worse
5.4%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q4 0.0% · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.0%
13.7%
6.7 pts better
19.6%
12.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q3 4.8% · Q4 12.5% · 4Q avg 7.0%
Percentage of long-stay residents who received an antipsychotic medication 11.9%
14.2%
2.3 pts better
16.7%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.9% · 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 39.1%
11.0%
28.1 pts worse
16.3%
22.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 39.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 31.2%
10.7%
20.5 pts worse
14.9%
16.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q4 36.4% · 4Q avg 31.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.0%
1.0%
2 pts worse
1.0%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.1% · Q3 3.5% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 6.9%
1.2%
5.7 pts worse
1.7%
5.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 0.0% · Q3 8.0% · Q4 7.7% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.3%
10.9%
22.4 pts worse
19.8%
13.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 40.4% · Q3 31.7% · Q4 24.0% · 4Q avg 33.3%
Percentage of long-stay residents with pressure ulcers 0.0%
4.7%
4.7 pts better
5.1%
5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine 65.8%
94.0%
28.2 pts worse
81.7%
15.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 68.4% · Q2 70.0% · Q3 68.4% · Q4 54.5% · 4Q avg 65.8%
Percentage of short-stay residents who had an outpatient emergency department visit 13.6%
11.2%
2.4 pts worse
12.0%
1.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 12.9% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.5%
0.4 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.2% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85.0%
93.2%
8.2 pts worse
79.7%
5.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.5%
23.2%
10.3 pts worse
23.9%
9.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 33.5% · Observed 35.5% · Expected 25.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

14 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

11 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2024-04-26 · Fire 2024-04-26

9 health deficiencies

Top issue: Infection Control (2 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2023-01-25 · Fire 2023-01-25

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-28

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-10-31

F · Potential for more than minimal harm 2025-08-28

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-10-24

F · Potential for more than minimal harm 2025-08-28

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-08-28

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-09-24

F · Potential for more than minimal harm 2025-08-28

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-24

F · Potential for more than minimal harm 2025-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-08-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-08-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-24

F · Potential for more than minimal harm 2025-08-28

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-09-26

F · Potential for more than minimal harm 2025-08-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-24

F · Potential for more than minimal harm 2024-04-26

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-04-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-04-26

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-04-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-04-26

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-04-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-26

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-30

E · Potential for more than minimal harm 2023-01-25

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-03-01

E · Potential for more than minimal harm 2023-01-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-03-01

E · Potential for more than minimal harm 2023-01-25

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-03-01

E · Potential for more than minimal harm 2023-01-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-01

E · Potential for more than minimal harm 2023-01-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-01

E · Potential for more than minimal harm 2023-01-25

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-25

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-25

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-25

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-03-01

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-28

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-08-28

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-08-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-08-28

F761 · Pharmacy Service Deficiencies

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 2025-10-30

F · Potential for more than minimal harm 2025-08-28

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-08-28

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-08-28

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-02-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-02-12

F · Potential for more than minimal harm 2024-04-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-26

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-05-26

E · Potential for more than minimal harm 2024-04-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-26

E · Potential for more than minimal harm 2024-04-26

F688 · Quality of Life and Care Deficiencies

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 2024-05-26

E · Potential for more than minimal harm 2024-04-26

F808 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-05-26

E · Potential for more than minimal harm 2024-04-26

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-05-26

D · Potential for more than minimal harm 2024-04-26

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-05-26

D · Potential for more than minimal harm 2023-09-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-10-17

F · Potential for more than minimal harm 2023-01-25

F584 · Resident Rights Deficiencies

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 2023-02-25

F · Potential for more than minimal harm 2023-01-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-02-25

F · Potential for more than minimal harm 2023-01-25

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-02-25

E · Potential for more than minimal harm 2023-01-25

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-02-25

E · Potential for more than minimal harm 2023-01-25

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-02-25

Penalties and ownership

What sits behind the stars

Ownership

Piner, Gary

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 1985-06-27
Piner, Jeremy

W-2 Managing Employee · Individual

0% 1 facilities 2014-11-25
Piners Nursing Home Inc

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 1985-07-01
Reeves, Dane

W-2 Managing Employee · Individual

0% 1 facilities 2014-01-14

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