Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Meadows Of Napa Valley during CMS and state inspections, most recent first.
A facility failed to maintain a shower room in good condition, leading to potential safety hazards. A resident reported poor drainage, and an observation confirmed water pooling and broken tiles with sharp edges. Maintenance staff acknowledged ongoing issues with hair clogging the drain and broken tiles not being repaired due to a lack of matching tiles. The facility's policy emphasized a safe environment, but no work orders were recorded for the shower room over a month-long period.
A resident with a cerebral infarction diagnosis was not consistently wearing her hearing aids, affecting her communication abilities. Despite a care plan indicating the need for hearing aids, staff observations over several days showed the resident without them. A CNA confirmed the aids were not put on during the morning shift, and another CNA noted the resident's refusal to wear them, which was not documented. The facility's policy on sensory-disabled care was not consistently followed.
A resident with a history of heart failure and falls was left unattended on the toilet, resulting in a fatal fall. Despite previous incidents and a moderate cognitive impairment, the facility did not increase supervision or implement effective fall prevention strategies. The facility's policy on fall reduction was not adequately followed, contributing to the resident's death.
The facility failed to ensure safe storage and disposal of medications, as loose, unidentified pills and an expired bubble pack of narcotics were found in a medication cart. Night shift nurses were responsible for checking carts for expired and unlabeled medications, but these items were not identified and removed. The facility's policy emphasized proper management of medications to ensure safety.
A facility failed to ensure proper use of PPE for a resident requiring Enhanced Barrier Precautions (EBP) to prevent MDRO transmission. Two CNAs assisted a resident with a transfer, wearing only gloves despite signage requiring both gloves and gowns. The DON and IP confirmed the correct signage was posted, but there was confusion about PPE requirements. After consulting a Regional Consultant, the DON acknowledged the need for both gloves and gowns for all listed activities.
Shower Room Maintenance Deficiency
Penalty
Summary
The facility failed to maintain the shower room in the 400 hallway in good working condition, leading to potential safety hazards for residents. During an interview, a resident reported that the water in the shower room did not drain properly. An observation confirmed that after running the water for five minutes, it pooled on the shower floor and took an additional five minutes to drain completely. Additionally, broken tiles with sharp edges were found on the shower room floor, posing a risk of injury to residents' feet. Maintenance Staff E acknowledged that the pooling water was an ongoing issue due to hair accumulation in the drain, which he cleared weekly. Maintenance Staff E also revealed that the broken tile had been an issue for about a year, but it had not been repaired because the facility could not find matching tiles. Maintenance Lead G confirmed that the shower room was only checked every 3-4 weeks when a work order was submitted, and no regular checks were performed. The facility's policy on environmental safety, last revised in February 2015, emphasized providing a clean and safe environment for residents, yet no work orders were recorded for the shower room from late September to early November 2024.
Failure to Ensure Resident Wore Hearing Aids
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident 19, wore her hearing aids daily, which was necessary for effective communication with staff. Resident 19 was admitted with a medical diagnosis of cerebral infarction and had a care plan indicating the use of hearing aids for adequate hearing ability. However, observations over several days revealed that Resident 19 was not wearing her hearing aids, which affected her ability to understand and communicate effectively during activities such as bible studies. Interviews with staff revealed that there was a lack of consistent action to ensure Resident 19 wore her hearing aids. A Certified Nurse Assistant (CNA) confirmed that the hearing aids were not put on during the morning shift, and another CNA reported that Resident 19 had refused to wear them, but this refusal was not documented in the progress notes. The facility's policy on sensory-disabled care emphasized the importance of preparing hearing aids for residents who are unable to do so themselves, but this was not consistently followed, leading to the deficiency.
Inadequate Supervision Leads to Resident's Fatal Fall
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents for a resident, resulting in a severe injury and subsequent death. The resident, who had a history of acute on chronic heart failure, difficulty walking, and muscle weakness, was left unattended on the toilet by a staff member. Despite the resident's request for privacy, the staff member left the room, and the resident was later found on the floor, having sustained a spinal cord compression due to a fall. The resident had a documented history of falls and was identified as having a moderate cognitive impairment, which required additional assistance with daily activities. Previous incidents included an assisted fall in the shower room and an un-witnessed fall while attempting to reach for a blanket. Despite these incidents, the facility did not increase supervision or implement effective fall prevention strategies, as confirmed by the Director of Nursing (DON). The facility's policy on fall reduction and management emphasized the need for direct supervision for residents at risk of falls, especially during toileting. However, this policy was not adequately followed, as evidenced by the lack of increased supervision after the resident's previous falls. The DON acknowledged that the intervention of transferring the resident to the emergency room after a fall was not a sufficient preventive measure, and the staff's failure to remain with the resident in the bathroom directly contributed to the fatal incident.
Medication Storage and Disposal Deficiency
Penalty
Summary
The facility failed to ensure the safe storage and disposal of medications, as evidenced by the discovery of loose, unidentified pills and an expired bubble pack of narcotics in a medication cart. During an observation, four loose pills, which were unlabeled and unidentifiable, were found in the cart's drawer bins. Additionally, a bubble pack labeled as Oxycodone 5MG TAB with an expiration date of 11/01/24 was found in the narcotic bin, containing five pills. The presence of these items indicated a lapse in the facility's medication management practices. Interviews with staff revealed that the night shift nurses were responsible for checking medication carts daily for expired and unlabeled medications. However, the loose pills and expired narcotics were not identified and removed as required. The Licensed Nurse confirmed that the loose pills should have been discarded and the expired narcotics should have been given to the Director of Nursing for disposal. The Director of Nursing reiterated that all medications should be checked for labels and expiration dates, and expired narcotics should be brought to her for disposal. The facility's policy on medication administration emphasized the importance of managing discontinued and out-of-date medications in accordance with regulations to ensure safety.
Inadequate Use of PPE for Resident Requiring Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that staff used appropriate Personal Protective Equipment (PPE) for a resident requiring Enhanced Barrier Precautions (EBP) to prevent the transmission of multidrug-resistant organisms (MDROs). During an observation, two Certified Nurse Assistants (CNAs) assisted a resident with a transfer from a wheelchair to a toilet, wearing only gloves despite signage indicating that both gloves and gowns were required for such high-contact activities. The CNAs were unsure about the PPE requirements, with one CNA stating that gowns were only necessary for changing linens or briefs and during wound care, contrary to the posted instructions. The Director of Nursing (DON) and the Infection Preventionist (IP) confirmed that the facility followed CDC standards for infection control and that the correct EBP signage was posted. However, there was a misunderstanding about when gowns were required, as the DON initially believed EBP was only necessary during wound care. After consulting with a Regional Consultant, the DON acknowledged that both gloves and gowns were required for all activities listed on the signage, including resident transfers. The facility's policy on infection control precautions indicated that EBP should be used broadly for residents meeting certain criteria, but staff received conflicting information, leading to the deficiency.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 653 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Napa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dept Of State Hospitals - Napa D/p Snf | 1.7 mi | ★★★★★ | 25 | 0 |
| Piners Nursing Home | 2.6 mi | ★★★★★ | 40 | 0 |
| Napa Valley Care Center | 3.2 mi | ★★★★★ | 1 | 0 |
| Napa Post Acute | 3.4 mi | ★★★★★ | 29 | 1 |
| Broadway Villa Post Acute | 8.7 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.