Starfile / California

NORTH BAY POST ACUTE

300 DOUGLAS STREET, PETALUMA, CA 94952 · CCN 056120

Abuse icon

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

$142,514

Number of fines

2

Number of penalties

2

Payment denials

0

Inspection citations (91)1 immediate jeopardy3 actual harm

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

2. 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.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

4. EF0641Ensure each resident receives an accurate assessment.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

5. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

8. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-09 · Health · corrected 2026-02-05

   Potential for more than minimal harm

10. DF0791Provide or obtain dental services for each resident.2026-01-09 · Health · corrected 2026-02-05

    Potential for more than minimal harm

11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-09 · Health · corrected 2026-02-05

    Potential for more than minimal harm

12. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2026-01-09 · Health · corrected 2026-02-05

    Potential for more than minimal harm

13. FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-09 · Health · corrected 2026-02-05

    Potential for more than minimal harm

14. DF0926Have policies on smoking.2026-01-09 · Health · corrected 2026-02-05

    Potential for more than minimal harm

15. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-30 · Health · corrected 2026-01-16

    Potential for more than minimal harm

16. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-22 · Health · corrected 2025-11-11

    Actual harm

17. DF0880Provide and implement an infection prevention and control program.2025-07-15 · Health · corrected 2025-08-13

    Potential for more than minimal harm

18. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-07-15 · Health · corrected 2025-08-13

    Potential for more than minimal harm

19. DF0610Respond appropriately to all alleged violations.2025-04-28 · Health · corrected 2025-05-16

    Potential for more than minimal harm

20. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-25 · Health · corrected 2025-05-12

    Potential for more than minimal harm

21. GF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-07 · Health · corrected 2025-05-01

    Actual harm

22. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

23. DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

24. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

25. FF0584Honor 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.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

26. DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

27. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

28. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

29. EF0641Ensure each resident receives an accurate assessment.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

30. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

33. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

34. DF0685Assist a resident in gaining access to vision and hearing services.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

35. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

36. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

37. DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

38. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

39. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

40. 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.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

41. FF0759Ensure medication error rates are not 5 percent or greater.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

42. DF0760Ensure that residents are free from significant medication errors.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

43. EF0761Ensure 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.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

44. DF0791Provide or obtain dental services for each resident.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

45. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

46. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

47. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

48. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

49. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

50. FF0880Provide and implement an infection prevention and control program.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

51. EF0881Implement a program that monitors antibiotic use.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

52. EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

53. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-01-17 · Health · corrected 2025-03-13

    Potential for more than minimal harm

54. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-23 · Health · corrected 2025-01-03

    Potential for more than minimal harm

55. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-12 · Health · corrected 2024-12-27

    Potential for more than minimal harm

56. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-12-03 · Health · corrected 2024-12-27

    Potential for more than minimal harm

57. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-12-03 · Health · corrected 2024-12-27

    Potential for more than minimal harm

58. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-16 · Health · corrected 2024-10-07

    Potential for more than minimal harm

59. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-15 · Health · corrected 2024-08-14

    Potential for more than minimal harm

60. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-30 · Health · corrected 2024-05-24

    Potential for more than minimal harm

61. LF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-30 · Health · corrected 2024-05-24

    Immediate jeopardy

62. FF0814Dispose of garbage and refuse properly.2024-04-30 · Health · corrected 2024-05-24

    Potential for more than minimal harm

63. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-04-30 · Health · corrected 2024-05-24

    Potential for more than minimal harm

64. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-04-30 · Health · corrected 2024-05-24

    Potential for more than minimal harm

65. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-23 · Health · corrected 2023-09-12

    Potential for more than minimal harm

66. 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.2023-08-11 · Health · corrected 2023-10-28

    Potential for more than minimal harm

67. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-11 · Health · corrected 2023-10-28

    Potential for more than minimal harm

68. DF0825Provide or get specialized rehabilitative services as required for a resident.2023-08-11 · Health · corrected 2023-10-28

    Potential for more than minimal harm

69. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-23 · Health · corrected 2023-04-01

    Potential for more than minimal harm

70. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-23 · Health · corrected 2023-04-01

    Potential for more than minimal harm

71. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

72. DF0637Assess the resident when there is a significant change in condition2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

73. FF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

74. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

75. EF0641Ensure each resident receives an accurate assessment.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

76. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

77. FF0679Provide activities to meet all resident's needs.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

78. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-18 · Health · corrected 2023-03-13

    Actual harm

79. DF0692Provide enough food/fluids to maintain a resident's health.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

80. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

81. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

82. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

83. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

84. EF0759Ensure medication error rates are not 5 percent or greater.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

85. EF0761Ensure 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.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

86. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

87. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

88. EF0880Provide and implement an infection prevention and control program.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

89. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

90. FF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

91. EF0926Have policies on smoking.2023-01-18 · Health · corrected 2023-03-13

    Potential for more than minimal harm

Ownership

Other facilities in PETALUMA

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