Average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Napa Valley Care Center during CMS and state inspections, most recent first.
Surveyors observed that food items in the kitchen's walk-in fridge and freezer were not properly labeled or were expired, including parsley, red onions, fully cooked bacon, and gluten free white bread. Staff interviews revealed that kitchen staff did not consistently label or date food items, expecting the Dietary Manager to handle this task, which was not in line with facility policy requiring all refrigerated and frozen foods to be labeled, dated, and discarded by their use-by date.
The facility did not consistently follow infection prevention and control protocols, including delayed initiation of contact precautions for a resident with MRSA, improper storage of dirty items in a clean shower area, and failure to label and properly store personal care items. Additionally, Enhanced Barrier Precautions were not promptly implemented for a resident with a wound vac, and staff did not consistently use required PPE during high-contact care activities.
A resident with chronic respiratory failure was transferred to a hospital due to jaundice and confusion, but the facility did not provide written notification of the transfer or inform the resident or representative of bed-hold rights as required. The relevant documentation section was left blank, and the DON confirmed the absence of written notification.
A resident with a wound that tested positive for MRSA was placed on contact precautions, but the facility did not create a care plan addressing these precautions until a month later. This delay meant that the required individualized plan for infection control and care was not in place as required by facility policy.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, as observed by surveyors.
A resident did not receive safe and appropriate respiratory care when needed, as required by their condition.
The facility did not maintain adequate nursing staff to meet all residents' needs and failed to have a licensed nurse in charge on every shift, as required.
Surveyors found that the facility's medication administration practices resulted in a medication error rate of 5 percent or greater, exceeding the regulatory limit.
A resident with diabetes was given rapid-acting insulin by an LVN without being provided a meal or snack, contrary to physician orders and facility policy. The resident had not eaten after the injection, and staff interviews confirmed the insulin was administered too early, increasing the risk for hypoglycemia.
A medication cart containing drugs and biologicals was observed unlocked and unattended, contrary to facility policy requiring carts to be locked when not in use. Both the IP and DON confirmed that medication carts should always be secured to prevent unauthorized access.
Garbage and refuse were not properly disposed of, with open compactor and garbage can lids and trash bags left on the ground, leading to pest attraction and foul odors. Staff interviews confirmed that receptacles should be kept closed and the area clean to prevent unsanitary conditions.
A speech therapy evaluation ordered for a resident with Myasthenia Gravis and Parkinson's Disease was not completed, despite facility policy and staff responsibilities requiring timely completion of such consults. The omission was confirmed by the speech therapist and Director of Rehabilitation, with nursing staff acknowledging their role in verifying consult completion.
Three Stop sign banners used to prevent wandering were found with hair and lint on their velcro areas in a hallway, as confirmed by both the DSD and housekeeping staff. Housekeeping reported that while the banners were sanitized and replaced, the facility lacked tools to remove the debris, resulting in the banners not appearing clean.
A resident with advanced dementia and nonverbal status was found with extensive bruising and a fractured femur of unknown origin. Facility staff could not explain the cause of the injury, and the DON delayed reporting the incident to authorities, citing lack of investigation and unawareness of reporting requirements. The facility's policy requiring immediate reporting of such injuries was not followed.
Disposable razors were found left on top of or partially inserted into full sharps containers in three communal shower and tub rooms, with the sharp portions exposed and no protective covers. Staff and the IP acknowledged this was unsafe and not in line with facility policy, which requires immediate disposal of contaminated sharps and timely replacement of full containers.
A resident with multiple sclerosis and dementia fell and sustained a head hematoma during a transfer from bed to recliner using a mechanical lift. The incident occurred because a staff member operated the lift alone, contrary to facility policy and manufacturer guidelines requiring two staff members. The recliner tipped over due to improper positioning, leading to the fall.
A facility failed to provide a written notification of a hospital transfer for a resident with schizophrenia and a left femur fracture to her Responsible Party (RP). The resident was transferred for chest pain and fainting, but the RP was not successfully informed due to reliance on phone calls, which were unanswered. The facility's policy required written notice within 24 hours of an emergency transfer, but this was not followed, contributing to the deficiency.
The facility failed to provide adequate staffing, resulting in delayed responses to call lights and late provision of care for residents. A resident requiring maximal assistance reported waiting up to an hour for help, causing frustration and anxiety. Another resident, needing supervision for daily activities, experienced similar delays, leading to upset feelings. A third resident, with conditions like obstructive sleep apnea and anxiety, faced even longer wait times, particularly at night, fearing for her safety. Staff interviews confirmed short staffing issues, with some responsible for up to 12 residents, making timely responses challenging.
The facility failed to ensure staff awareness of the Antibiotic Stewardship Program, leading to inappropriate antibiotic use for a resident without proper indication. Despite negative test results, antibiotics were administered based on physician orders without reassessment, highlighting a significant gap in staff education and communication.
A licensed staff member at an LTC facility allowed a family member to administer medication to a resident, violating the facility's policy that only nurses should administer medications. The resident, who required maximal assistance due to chronic kidney disease, cachexia, and hyperlipidemia, was at risk due to this practice. Multiple staff members confirmed the policy breach, emphasizing the importance of nurse-administered medications for safety.
Failure to Properly Label and Discard Expired Food Items in Food Service Department
Penalty
Summary
The facility failed to store food in safe and sanitary conditions within the food service department. During an observation in the kitchen's walk-in fridge, surveyors found an opened bag of parsley with a date of 7/20/2025, a container with eight red onions with an expiration date of 7/12/2025, and two boxes of fully cooked bacon with no date. The Dietary Manager confirmed that the parsley and red onions were expired and should have been discarded, and that the bacon was not labeled. In a separate observation in freezer number 3, a bag of gluten free white bread was found with a use-by date of 7/6/2025, which was also expired. The Kitchen Aide acknowledged that this item was expired and should have been discarded. Interviews with the Registered Dietitian revealed that kitchen staff had not been labeling the received date and expiration date of food items, as they expected the Dietary Manager to perform this task. The Registered Dietitian stated this was not acceptable and that kitchen staff were also responsible for labeling and dating food products. Review of the facility's policy and procedure on Food Receiving and Storage confirmed that all foods stored in the refrigerator or freezer are required to be covered, labeled, and dated, and that refrigerated foods must be monitored and used by their use-by date or discarded.
Failure to Implement and Maintain Infection Control Practices
Penalty
Summary
The facility failed to implement and follow infection prevention and control practices in several instances. For one resident with a wound positive for MRSA, contact precautions were not initiated immediately upon identification of the multidrug-resistant organism (MDRO), despite facility policy requiring prompt initiation of transmission-based precautions. Although a contact precautions sign was eventually posted, there was a delay in placing the order and implementing the necessary precautions as soon as the culture results were received. In another instance, dirty linen barrels and a rolling commode were found stored in a clean shower area, rather than in the designated dirty utility area. The facility was unable to provide a policy regarding the proper storage of dirty items when requested. Additionally, in a resident's shared bathroom, an unlabeled urinal was found in the sink next to uncovered oral hygiene items, and another set of unlabeled hygiene items was found stored on top of a toilet lid. Staff confirmed that these items should have been labeled and stored at the resident's bedside or in the bedside cabinet, not in the bathroom or on the toilet. The facility also failed to implement Enhanced Barrier Precautions (EBP) in a timely manner for a resident with a wound vac. Although an order for EBP was eventually placed, there was a significant delay after the wound vac was ordered, and signage indicating EBP was not consistently present on the resident's door. The resident reported that staff had not consistently worn gowns when providing hygiene or wound care, and staff interviews confirmed that EBP requires the use of gowns and gloves for high-contact care activities. Facility policy states that EBP should be in place for residents with wounds or indwelling devices, with appropriate signage and personal protective equipment readily accessible.
Failure to Provide Written Transfer Notification and Bed-Hold Policy Information
Penalty
Summary
The facility failed to provide a written transfer notification to a resident or the resident's representative when the resident was transferred to an acute care hospital. The resident, who had a diagnosis of chronic respiratory failure, was observed to be jaundiced and confused, prompting the physician to order a hospital transfer. Documentation in the progress notes confirmed the transfer process, including the time the resident left the facility with emergency medical technicians. Upon review, the section of the Bed Hold Policy and Notification form that should have been completed at the time of transfer was found to be blank. This section is intended to document the resident's name, transfer details, and confirmation that the resident or representative was informed of their rights regarding bed-hold policies. The DON confirmed during an interview that there was no documented evidence that a written transfer notification was provided at the time of the resident's transfer.
Failure to Timely Initiate Care Plan for Resident on Contact Precautions
Penalty
Summary
The facility failed to initiate and create a care plan for a resident who was placed on contact precautions after testing positive for MRSA in a wound. The resident, who had a history of facial weakness following a cerebral infarction, was admitted with a wound that later tested positive for MRSA. Contact isolation precautions were started, and the Infection Preventionist was notified of the new orders and culture results. However, a review of the records revealed that the care plan addressing the resident's isolation precautions was not created until a month after the positive MRSA result and the initiation of contact precautions. During interviews and record reviews, it was confirmed that the care plan for isolation precautions was created significantly later than when the precautions were started. The facility's policy requires that a comprehensive, person-centered care plan with measurable objectives and timetables be developed and implemented for each resident, and that care plans are revised as residents' conditions change. The delay in creating the care plan meant that the necessary direction for care and treatment related to the resident's infection control needs was not documented or implemented in a timely manner.
Failure to Follow Treatment Orders and Resident Preferences
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, as well as the resident's preferences and goals. This deficiency was identified through surveyor observation and review of care practices, which revealed that care provided did not align with the established orders or the expressed wishes and objectives of the resident. Specific details regarding the resident's medical history or condition at the time of the deficiency are not provided in the report.
Failure to Provide Safe and Appropriate Respiratory Care
Penalty
Summary
A deficiency was identified regarding the provision of safe and appropriate respiratory care for a resident when needed. The report indicates that the facility failed to ensure that a resident received necessary respiratory care, as required by their condition. Specific details about the actions or inactions that led to this deficiency, as well as the resident's medical history or condition at the time, are not provided in the report excerpt.
Insufficient Nursing Staff and Licensed Nurse Coverage
Penalty
Summary
The facility failed to provide enough nursing staff each day to meet the needs of every resident and did not ensure that a licensed nurse was in charge on each shift. This deficiency was identified through surveyor observation and review of facility staffing practices, which revealed that staffing levels and licensed nurse coverage were insufficient to meet regulatory requirements.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
A medication error rate of 5 percent or greater was identified during the survey. This indicates that the facility failed to ensure that the administration of medications was performed with an acceptable level of accuracy, resulting in a higher than permitted rate of medication errors among residents. The deficiency was based on direct findings by surveyors regarding the facility's medication administration practices, as evidenced by the calculated error rate exceeding the regulatory threshold.
Insulin Administered at Incorrect Time Without Meal
Penalty
Summary
A significant medication error occurred when a resident with Type 2 Diabetes Mellitus was administered rapid-acting insulin (Insulin Aspart) at an inappropriate time. The medication label and physician orders specified that the insulin should be given before meals, but the nurse administered the insulin without ensuring the resident was about to eat or providing food. Observations confirmed that no food was present in the resident's room at the time of administration, and the resident had not eaten following the injection. The resident later reported feeling tired and stated that insulin is usually given approximately 30 minutes before meals, but on this occasion, it was given earlier than usual without a meal following. Interviews with facility staff, including the DON, the nurse involved, and the pharmacist, confirmed that the insulin was administered too early and not in accordance with the facility's policy or the physician's orders. The facility's policies on medication and insulin administration emphasize the importance of timing, particularly for rapid-acting insulin, which has an onset within 15 minutes and peaks within 0.5-1.5 hours. The failure to coordinate insulin administration with meal timing placed the resident at risk for complications associated with hypoglycemia.
Unattended and Unlocked Medication Cart
Penalty
Summary
A medication cart containing drugs and biologicals was found unlocked and unattended on Unit 1A during an observation with the Infection Preventionist. The Infection Preventionist confirmed that the cart should be locked when not in use. The Director of Nursing also stated in an interview that medication carts are required to be locked at all times when not in use. Review of the facility's policy and procedure on storage of medications indicated that compartments containing drugs and biologicals must be locked when not in use, and carts used to transport such items should not be left unattended if open or accessible to others.
Improper Garbage Disposal and Open Receptacles Attract Pests
Penalty
Summary
The facility failed to properly dispose of garbage and refuse, as evidenced by multiple observations of the garbage disposal area where the garbage compactor was left open and piles of trash bags were found on the ground, resulting in the presence of flies and a foul odor. During separate observations, a garbage can lid was also found open, allowing birds to access the contents. Interviews with the Housekeeping Supervisor, Housekeeping staff, and the Infection Preventionist confirmed that the compactor and garbage can lids should be kept closed to prevent odors and pest attraction, and that the area should be kept clean. Review of the FDA Food Code further supported the requirement for tight-fitting lids and proper cleaning to prevent unsanitary conditions.
Missed Speech Therapy Evaluation Order
Penalty
Summary
A speech therapy evaluation ordered by a physician for one resident with Myasthenia Gravis and Parkinson's Disease was not completed as required. The physician's order for the evaluation was placed, but 43 days later, there was no documentation in the resident's record indicating that the evaluation had been performed. The speech therapist confirmed that the evaluation was missed, and the Director of Rehabilitation acknowledged that such evaluations should be completed within approximately 48 hours of the order. Nursing staff interviewed stated that they were responsible for verifying that speech therapy consults were completed to ensure residents received the correct diet. The facility's policy indicated that specialized rehabilitative services, including speech pathology, are to be provided upon written physician order. Despite these policies and staff responsibilities, the required speech therapy evaluation was not conducted for the resident.
Unsanitary Stop Sign Banners Observed in Hallway
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment when three Stop sign banners hanging on Hallway 3A rails next to resident rooms were observed to have hair and lint on the velcro areas. During a concurrent observation and interview, both the Director of Staff Development and a member of the housekeeping staff confirmed the presence of hair and lint on the banners. The housekeeping staff stated that while the banners were sanitized and replaced, the facility did not have the appropriate tools to remove hair and lint from the velcro, resulting in the banners not appearing clean. Review of the facility's infection control policy indicated an objective to maintain a safe, sanitary, and comfortable environment for personnel, residents, visitors, and the general public.
Failure to Timely Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin for a resident who was nonverbal and unable to advocate for himself. The resident, who had Lewy Body dementia and multiple medical diagnoses, was found by CNAs to have deep purple discoloration, swelling, and pain in his left leg. Upon assessment by a nurse, the leg was noted to be in an abnormal position, very firm to the touch, and the resident exhibited facial grimacing when range of motion was attempted. Emergency medical services were called, and the resident was transported to the emergency department, where a comminuted and markedly displaced fracture of the left femur was diagnosed. There was no reported fall, and staff were unable to explain how the injury occurred. The Director of Nursing (DON) did not report the injury immediately to the appropriate authorities, stating that the facility had not completed its investigation and was unsure if the injury was of known or unknown origin. The investigation was not started until two days after the injury was discovered, and the DON was unaware of the requirement to report injuries of unknown origin within two hours if serious bodily injury is involved, or within 24 hours if not. Facility policy required immediate reporting of suspected abuse or injury of unknown source, but this was not followed in this case.
Plan Of Correction
POC accepted with Spencer Hadley, admin 6/3/25 at 3:40pm. BIC date 5/15/25. CM, HFES 35362 Preparation and/or execution of this response and Plan of Correction (POC) do not constitute an admission or agreement by the provider of truth or accuracy of alleged facts or conclusions set forth in this Statement of Deficiencies. This POC is prepared and/or executed solely for provisions of Federal and State required regulations. This POC is not an admission of noncompliance with cited regulation(s). F 609 How corrective action(s) will be accomplished: All Residents may potentially be affected by this deficiency. A facility wide audit was conducted by the Assistant Director of Nursing (ADON) on 5/15/25 to review with facility Primary Care Physician (PCP) all residents. Nine (9) residents were identified as high risk related to diseases and co-morbidities. Care plans and diagnosis were updated on 5/15/25. PCP reviewed and ordered supplements if not contraindicated. In addition, a facility wide staff interview was conducted on 5/5/25 to determine if there are any residents who have visible injuries of unknown origin that need to be reported as an unusual occurrence. The results of the interviews did not determine any injury of unknown origin, which will require investigation. How will facility identify other residents having the potential to be affected: Director of Staff Development (DSD) proactively gave an in-service to staff on skin discolorations reporting, root cause analysis collaboration with team including nurse and peers on 5/6/25. DSD and DON collaborated in providing in-service to staff on Unusual Occurrence Policy and Procedures including time frame and reporting to appropriate agencies on 5/14/25. Administrator/Designee is the ultimate person responsible for reporting injuries of unknown origin to the Department of Health and other agencies. What measures will be put into place or what systemic changes the facility will make to ensure that the deficient practice does not reoccur: Director of Staff Development (DSD) proactively gave an in-service to staff on skin discolorations reporting, root cause analysis collaboration with team including nurse and peers on 5/6/25. DSD and DON collaborated in providing in-service to staff on Unusual Occurrence Policy and Procedures including time frame and reporting to appropriate agencies on 5/14/25.
Improper Disposal of Disposable Razors in Communal Shower and Tub Rooms
Penalty
Summary
The facility failed to follow its infection control policy regarding the disposal of contaminated sharps, specifically disposable razors, in three communal shower and tub rooms. Observations revealed that disposable razors were found either on top of or partially inserted into the lids of sharps containers, with the sharp portions exposed and no protective covers in place. In each instance, the sharps containers were full of used disposable razors, and the razors left on or in the lids were not properly discarded. Staff interviews confirmed that this practice was unsafe and not in accordance with facility policy, which requires immediate disposal of contaminated sharps and replacement of containers when they are 75% to 80% full. The Infection Preventionist and the DON acknowledged that the containers were not being changed as required and that staff were not following proper procedures for sharps disposal. The DON also noted that while she did not believe CNAs would reuse razors on different residents, the improper storage of razors on top of sharps containers could lead to such an occurrence. Facility policy review confirmed that contaminated sharps should be discarded immediately and that full containers should be replaced to prevent injury and improper handling.
Resident Falls During Improper Mechanical Lift Transfer
Penalty
Summary
The facility failed to ensure the safety of a resident during a transfer from bed to recliner using a mechanical lift, resulting in the resident falling and sustaining a hematoma on the head. The incident occurred when a staff member operated the mechanical lift alone, contrary to the facility's policy and manufacturer guidelines, which require at least two staff members to be present during such transfers. The resident, who had multiple sclerosis and dementia, was not properly positioned on the recliner, causing it to tip over and the resident to fall. Interviews with staff revealed that the mechanical lift was frequently used in the facility, and it was standard practice to have two staff members present to ensure resident safety during transfers. The Director of Nursing confirmed that the fall was preventable and attributed it to the absence of a second staff member to assist with the transfer and ensure proper positioning of the resident. The facility's policy and the lift manufacturer's guidelines both emphasize the necessity of having two staff members present to safely conduct transfers using a mechanical lift.
Failure to Provide Written Notification of Hospital Transfer
Penalty
Summary
The facility failed to provide a written notification of a hospital transfer for a resident to her Responsible Party (RP). The resident, who had diagnoses including schizophrenia and a left femur fracture, was transferred to acute care for chest pain and fainting. Despite the facility's protocol to notify responsible parties via phone calls, the RP was not successfully informed. Licensed staff attempted to call the RP, leaving a voicemail, but did not receive a response. The Social Services Director indicated that written Transfer Notice Forms were only sent for planned transfers, not emergency ones, and the Notice of Proposed Transfer/Discharge form for the resident was incomplete, lacking a mailed certified section. The facility's policy required that notice of transfer or discharge, including bed-hold and return policies, be provided to the resident and representative within 24 hours of an emergency transfer. However, the policy was not followed, as the RP did not receive a written notice. The failure to notify the RP in writing had the potential to hinder the RP's ability to advocate for the resident's needs and coordinate care with the receiving hospital. The facility's reliance on phone calls, which were often unanswered, and the lack of a written notice contributed to the deficiency.
Inadequate Staffing Leads to Delayed Care
Penalty
Summary
The facility failed to provide adequate staffing to meet the needs of its residents, as evidenced by the experiences of three residents who reported delayed responses to call lights and late provision of care. Resident 2, who required maximal assistance for personal care due to conditions such as osteoarthritis and insomnia, expressed frustration and anxiety over the long wait times for assistance, which sometimes extended up to an hour. Resident 3, who needed supervision for activities of daily living due to muscle weakness and chronic pain, also reported waiting between 30 minutes to an hour for staff to respond to his call light, leading to feelings of frustration and upset. Resident 4, who required supervision to maximal assistance for activities of daily living and suffered from obstructive sleep apnea and anxiety disorder, reported even longer wait times, ranging from one to two hours, particularly during the night. This resident expressed fear for her safety, worrying that staff would not be available in case of a medical emergency. Interviews with both licensed and unlicensed staff confirmed the issue of short staffing, with some staff members responsible for up to 12 residents at a time, making it difficult to respond to call lights promptly and complete tasks in a timely manner. The facility's policy and procedure documents, which mandate answering call lights as soon as possible and providing sufficient staff to ensure resident safety, were not adhered to. Staff interviews consistently highlighted that call lights should be answered within 5 minutes to prevent safety risks, yet the actual response times were significantly longer, contributing to the residents' distress and potential safety hazards. The Director of Staff Development acknowledged that short staffing could lead to accidents, falls, and late provision of care, further emphasizing the facility's failure to meet its staffing requirements.
Lack of Awareness and Inappropriate Antibiotic Use
Penalty
Summary
The facility failed to ensure that six out of nine licensed staff were aware of the Antibiotic Stewardship Program (ASP), which is designed to promote the appropriate use of antimicrobials, including antibiotics. Interviews with Licensed Staff A, B, C, E, F, and G revealed a lack of familiarity with the ASP, indicating a significant gap in staff education and awareness. This lack of knowledge among the staff contributed to the inappropriate use of antibiotics, as they continued to follow physician orders without questioning the necessity or appropriateness of the prescriptions. The facility also failed to promote the appropriate use of antibiotics for a resident who was prescribed Augmentin ES-600 and Vancomycin without proper indication. The resident received these antibiotics for aspiration pneumonia and C.Diff prophylaxis, despite not meeting the criteria for active infection. The Chest X-Ray and infection screening form indicated no acute pneumonia, and there was no reassessment or documentation to justify the continued use of antibiotics. The Infection Preventionist confirmed that the resident did not meet the criteria for antibiotic use, yet the antibiotics were administered based on the physician's order. Interviews with various staff members, including the Director of Staff Development and the Infection Preventionist, highlighted a lack of reassessment and communication regarding the necessity of continued antibiotic therapy. The pharmacy consultant emphasized that antibiotics should only be used when indicated by positive laboratory or imaging results, and there should be ongoing assessments to determine the need for continued therapy. However, the facility did not document any reassessment or justification for the continued use of antibiotics, putting residents at risk for adverse outcomes associated with inappropriate antibiotic use.
Medication Administration Policy Violation
Penalty
Summary
The facility failed to ensure that residents received treatment and care in accordance with professional standards of practice when a licensed staff member allowed a family member to administer medication to a resident. This incident involved Resident 1, who was admitted with diagnoses including chronic kidney disease stage 3A, cachexia, and hyperlipidemia. The resident required maximal assistance for personal care, indicating a high level of dependency on staff for daily needs. Interviews with various staff members, including Licensed Staff A, B, C, the Director of Staff Development, and the Infection Preventionist, revealed that the facility's policy mandated that only nurses were permitted to administer medications to residents. Despite this policy, Licensed Staff C admitted to leaving medications with Resident 1's daughter for administration, particularly when the resident refused to take medications from her. This practice was not in line with the facility's policy, which was confirmed by multiple staff members who emphasized the importance of nurses administering medications to ensure safety and compliance. The facility's policy and procedure on administering medications, revised in December 2012, clearly stated that only licensed or permitted individuals were authorized to prepare, administer, and document medication administration. The Director of Staff Development and other staff members reiterated that leaving medications at the bedside or allowing family members to administer them posed a safety risk. The failure to adhere to these policies and procedures resulted in a deficiency, as it compromised the safety and proper care of the resident involved.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Napa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Napa Post Acute | 0.1 mi | ★★★★★ | 29 | 1 |
| Piners Nursing Home | 0.8 mi | ★★★★★ | 40 | 0 |
| The Meadows Of Napa Valley | 3.2 mi | ★★★★★ | 0 | 0 |
| Dept Of State Hospitals - Napa D/p Snf | 3.8 mi | ★★★★★ | 2 | 0 |
| Veterans Home Of California - Yountville - Snf | 6.3 mi | ★★★★★ | 16 | 0 |
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