Starfile / California

NAPA VALLEY CARE CENTER

3275 VILLA LANE, NAPA, CA 94558 · CCN 555161

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$30,259

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (65)2 actual harm

1. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

5. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

6. DF0759Ensure medication error rates are not 5 percent or greater.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

7. DF0760Ensure that residents are free from significant medication errors.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

8. DF0761Ensure 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.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

9. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-25 · Health · corrected 2025-08-21

   Potential for more than minimal harm

10. DF0814Dispose of garbage and refuse properly.2025-07-25 · Health · corrected 2025-08-21

    Potential for more than minimal harm

11. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-07-25 · Health · corrected 2025-08-21

    Potential for more than minimal harm

12. EF0880Provide and implement an infection prevention and control program.2025-07-25 · Health · corrected 2025-08-21

    Potential for more than minimal harm

13. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-07-25 · Health · corrected 2025-08-21

    Potential for more than minimal harm

14. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-12 · Health · corrected 2025-05-15

    Potential for more than minimal harm

15. EF0880Provide and implement an infection prevention and control program.2025-04-08 · Health · corrected 2025-04-24

    Potential for more than minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-21 · Health · corrected 2025-03-11

    Potential for more than minimal harm

17. DF0625Notify 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.2025-01-09 · Health · corrected 2025-02-10

    Potential for more than minimal harm

18. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-10-08 · Health · corrected 2024-11-13

    Potential for more than minimal harm

19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-08 · Health · corrected 2024-11-13

    Potential for more than minimal harm

20. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-08 · Health · corrected 2024-11-13

    Potential for more than minimal harm

21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-08 · Health · corrected 2024-11-13

    Potential for more than minimal harm

22. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-10-08 · Health · corrected 2024-11-13

    Potential for more than minimal harm

23. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-24 · Health · corrected 2024-08-20

    Potential for more than minimal harm

24. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-24 · Health · corrected 2024-08-20

    Potential for more than minimal harm

25. EF0881Implement a program that monitors antibiotic use.2024-07-24 · Health · corrected 2024-08-21

    Potential for more than minimal harm

26. DF0584Honor 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.2024-02-16 · Health · corrected 2024-04-02

    Potential for more than minimal harm

27. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-02-16 · Health · corrected 2024-04-02

    Potential for more than minimal harm

28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-16 · Health · corrected 2024-04-02

    Potential for more than minimal harm

29. FF0880Provide and implement an infection prevention and control program.2024-02-16 · Health · corrected 2024-04-02

    Potential for more than minimal harm

30. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-10 · Health · corrected 2024-01-24

    Potential for more than minimal harm

31. DF0584Honor 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.2023-12-19 · Health · corrected 2024-01-09

    Potential for more than minimal harm

32. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-10-18 · Health · corrected 2023-11-26

    Potential for more than minimal harm

33. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-18 · Health · corrected 2023-11-26

    Potential for more than minimal harm

34. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-09-21 · Health · corrected 2023-11-05

    Potential for more than minimal harm

35. EF0760Ensure that residents are free from significant medication errors.2023-09-21 · Health · corrected 2023-11-05

    Potential for more than minimal harm

36. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-09-13 · Health · corrected 2023-10-06

    Potential for more than minimal harm

37. GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-13 · Health · corrected 2023-10-06

    Actual harm

38. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-13 · Health · corrected 2023-10-06

    Potential for more than minimal harm

39. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-13 · Health · corrected 2023-10-06

    Potential for more than minimal harm

40. DF0838Conduct 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.2023-09-13 · Health · corrected 2023-10-06

    Potential for more than minimal harm

41. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-25 · Health · corrected 2023-05-26

    Potential for more than minimal harm

42. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-18 · Health · corrected 2023-05-20

    Potential for more than minimal harm

43. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-17 · Health · corrected 2023-05-26

    Potential for more than minimal harm

44. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

45. DF0637Assess the resident when there is a significant change in condition2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

46. DF0641Ensure each resident receives an accurate assessment.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

47. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

48. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

49. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

50. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

51. GF0685Assist a resident in gaining access to vision and hearing services.2021-09-21 · Health · corrected 2022-02-16

    Actual harm

52. DF0692Provide enough food/fluids to maintain a resident's health.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

53. DF0693Ensure 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.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

54. EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

55. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

56. EF0803Ensure 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.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

57. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

58. EF0808Ensure 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.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

59. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

60. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

61. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

62. FF0880Provide and implement an infection prevention and control program.2021-09-21 · Health · corrected 2022-02-16

    Potential for more than minimal harm

63. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-08-07 · Health · corrected 2019-09-18

    Potential for more than minimal harm

64. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-08-07 · Health · corrected 2019-09-18

    Potential for more than minimal harm

65. DF0758Implement 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.2019-08-07 · Health · corrected 2019-09-18

    Potential for more than minimal harm

Ownership

Other facilities in NAPA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.