Napa Post Acute
705 Trancas St. · Napa, CA · 94558 · 7072556060
120 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $166,430 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$166,430 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 2 · $231,573 |
Inspection citations (49 in the current record)
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Potential for harm · D April 7, 2026 · found via complaint
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 April 24, 2026 · Resident Rights
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Immediate jeopardy · J February 17, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 12, 2026 · Infection Control
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Actual harm · G February 17, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · D February 17, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · D February 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · D February 17, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 12, 2026 · Resident Rights
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Potential for harm · E February 17, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 17, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 17, 2026
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · D February 17, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 12, 2026 · Nutrition and Dietary
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Potential for harm · D February 17, 2026
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected March 12, 2026 · Environmental
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Potential for harm · E February 17, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 12, 2026 · Resident Rights
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Potential for harm · E February 17, 2026 · found via complaint
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 March 12, 2026 · Resident Rights
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Potential for harm · E February 17, 2026 · found via complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected March 12, 2026 · Nursing and Physician Services
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Potential for harm · F February 17, 2026 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 12, 2026 · Administration
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Potential for harm · E January 22, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 21, 2026 · Nursing and Physician Services
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Potential for harm · D January 7, 2026 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · F March 7, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · F March 7, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · D March 7, 2025
Ensure each resident receives an accurate assessment.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025
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 March 28, 2025 · Quality of Life and Care
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Potential for harm · D March 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D March 7, 2025
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 March 28, 2025 · Pharmacy Service
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Potential for harm · D March 7, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 28, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 7, 2026 | Fine | $166,430 |
| September 14, 2023 | Fine | $65,143 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056153 · certified since December 30, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.