14 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Napa, CA
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
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
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
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
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
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
| 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
| 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
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Infection Control (2 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Resident Rights (2 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-10-31
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-24
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-09-05
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-24
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
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-03
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-24
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-05-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-30
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-05-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-30
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-05-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-30
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-30
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-05-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-30
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-03-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-03-01
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-03-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-03-01
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-01
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-01
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-03-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-01
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-03-01
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-03-01
Inspection history
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
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
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
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
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
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
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-10-30
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-30
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
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-30
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-30
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
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-12
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-26
Health
Implement a program that monitors antibiotic use.
Corrected 2024-05-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-26
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
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
Health
Keep all essential equipment working safely.
Corrected 2024-05-26
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-26
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-17
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-25
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-02-25
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
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-02-25
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Nearby options
Napa, CA
3-star overall rating with 2-star inspections with $30,259 in total fines with 15 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Napa, CA
2-star overall rating with 2-star inspections with $65,143 in total fines with 10 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
Napa, CA
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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