NAPA VALLEY CARE CENTER
NAPA VALLEY CARE CENTER is a 130-bed nursing home in NAPA, California. CMS has certified it for Medicare and Medicaid since 1984-01-19. It averages 126.3 residents a day.
What harm was found in the violations cited at NAPA VALLEY CARE CENTER?
CMS lists 64 health-inspection deficiencies for NAPA VALLEY CARE CENTER since 2019-08-07, 42 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-07-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-02 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2026-05-20 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-07-25 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-07-25 | F0628, F0656, F0684, F0695, F0725, F0759, F0760, F0761, F0814, F0825, F0921 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Dispose of garbage and refuse properly. / Provide or get specialized rehabilitative services as required for a resident. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-05-12 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-04-08 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-02-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-01-09 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D |
| 2024-10-08 | F0658, F0725 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-10-08 | F0557, F0609, F0689 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-07-24 | F0725, F0881 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Implement a program that monitors antibiotic use. | E |
| 2024-07-24 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-02-16 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-02-16 | F0804, F0812 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-02-16 | F0584 | 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. | D |
| 2024-01-10 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-12-19 | F0584 | 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. | D |
| 2023-10-18 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E |
| 2023-10-18 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
| 2023-09-21 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2023-09-21 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2023-09-13 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G |
| 2023-09-13 | F0725, F0804 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2023-09-13 | F0557, F0838 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D |
| 2021-09-21 | F0685 | Assist a resident in gaining access to vision and hearing services. | G |
| 2021-09-21 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2021-09-21 | F0656, F0657, F0740, F0802, F0803, F0806, F0808, F0868 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E |
| 2021-09-21 | F0580, F0637, F0641, F0645, F0676, F0692, F0693, F0865 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Have a plan that describes the process for conducting QAPI and QAA activities. | D |
| 2019-08-07 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2019-08-07 | F0756, F0758 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
Why was NAPA VALLEY CARE CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2023-09-13 | Fine | $30,259 |
How is NAPA VALLEY CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.81493 | 4.51570 |
| Total nursing staff turnover (%) | 24.6 | 36.7 |
| Average number of residents per day | 126.3 | 87.9 |
Who owns NAPA VALLEY CARE CENTER, and what chain is it in?
NAPA VALLEY CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name PETUNIA HOLDINGS, LLC and belongs to the PACS GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | HUDSON RIVER OPCO LLC | since 11/05/2021 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BAY BRIDGE CAPITAL PARTNERS, LLC | since 11/05/2021 |
| CONTRACTED MANAGING EMPLOYEE | SERRANO, NOEL | since 05/11/2023 |
| W-2 MANAGING EMPLOYEE | HADLEY, SPENCER | since 11/05/2021 |
| CORPORATE OFFICER | APT, FREDERICK, JERGENSEN, JOSHUA, MITCHELL, JOHN | since 01/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | HADLEY, SPENCER | since 11/05/2021 |
Were you or a family member harmed at NAPA VALLEY CARE CENTER?