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.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 94
Staffing 20% 20
Federal penalties 15% 82
Trend 10% 39
Context 5% 100

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-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (33 in the current record)

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D August 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 30, 2025 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
March 26, 2026Payment Denial11 days

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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.