Piners Nursing Home
1800 Pueblo Ave · Napa, CA · 94558 · 7072247925
49 certified beds For profit - Individual
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Actual harm · G March 26, 2026 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 11, 2026 · Pharmacy Service
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Potential for harm · D March 26, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 11, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 11, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected May 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 30, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 30, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · F August 28, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 30, 2025 · Nursing and Physician Services
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Potential for harm · F August 28, 2025
Have 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.
Corrected October 30, 2025 · Nursing and Physician Services
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Potential for harm · F August 28, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 30, 2025 · Pharmacy Service
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Potential for harm · F August 28, 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 October 30, 2025 · Pharmacy Service
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Potential for harm · F August 28, 2025
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected October 30, 2025 · Administration
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Potential for harm · D August 28, 2025
Provide and implement an infection prevention and control program.
Corrected October 30, 2025 · Infection Control
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Potential for harm · D August 28, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected October 30, 2025 · Infection Control
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Potential for harm · F August 28, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 30, 2025 · Environmental
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Potential for harm · D February 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 26, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 26, 2024 · Quality of Life and Care
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Potential for harm · E April 26, 2024
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 May 26, 2024 · Quality of Life and Care
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Potential for harm · D April 26, 2024
Observe each nurse aide's job performance and give regular training.
Corrected May 26, 2024 · Nursing and Physician Services
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Potential for harm · E April 26, 2024
Ensure 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.
Corrected May 26, 2024 · Nutrition and Dietary
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Potential for harm · F April 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 26, 2024 · Nutrition and Dietary
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Potential for harm · F April 26, 2024
Provide and implement an infection prevention and control program.
Corrected May 26, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2026 | Payment Denial | 11 days |
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 555207 · certified since June 27, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.