The Meadows of Napa Valley

1900 Atrium Parkway · Napa, CA · 94559 · 7072577885

69 certified beds Non profit - Corporation Chain: Pacific Retirement Services Part of a CCRC

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 70
Serious harm & abuse 20% 94
Staffing 20% 87
Federal penalties 15% 100
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.653.48 min · 4.1 strong
RN hours / resident-day0.870.55–0.75
Weekend hours / resident-day4.27≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (23 in the current record)

  • Potential for harm · D November 8, 2024

    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 December 5, 2024 · Resident Rights

  • Potential for harm · D November 8, 2024

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected December 5, 2024 · Quality of Life and Care

  • Potential for harm · D November 8, 2024

    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 December 5, 2024 · Pharmacy Service

  • Potential for harm · D November 8, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 5, 2024 · Infection Control

  • Potential for harm · D November 8, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 5, 2024 · Quality of Life and Care

  • Potential for harm · D July 3, 2023 · found via complaint

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected July 19, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G January 27, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 27, 2023 · Quality of Life and Care

  • Potential for harm · D January 27, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 27, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 27, 2023

    Post nurse staffing information every day.

    Corrected February 27, 2023 · Nursing and Physician Services

  • Potential for harm · E January 27, 2023

    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 February 27, 2023 · Pharmacy Service

  • Potential for harm · D July 2, 2019

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 6, 2019 · Resident Rights

  • Potential for harm · E July 2, 2019

    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 September 6, 2019 · Resident Rights

  • Potential for harm · D July 2, 2019

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 6, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E July 2, 2019

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected September 6, 2019 · Quality of Life and Care

  • Potential for harm · D July 2, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 6, 2019 · Quality of Life and Care

  • Potential for harm · D July 2, 2019

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 6, 2019 · Quality of Life and Care

  • Potential for harm · E July 2, 2019

    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 September 6, 2019 · Nursing and Physician Services

  • Potential for harm · D July 2, 2019

    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 September 6, 2019 · Pharmacy Service

  • Potential for harm · E July 2, 2019

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected September 6, 2019 · Nutrition and Dietary

  • Potential for harm · D July 2, 2019

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected September 6, 2019 · Nutrition and Dietary

  • Potential for harm · D July 2, 2019

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 6, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E July 2, 2019

    Provide and implement an infection prevention and control program.

    Corrected September 6, 2019 · Infection Control

  • Potential for harm · E July 2, 2019

    Implement a program that monitors antibiotic use.

    Corrected September 6, 2019 · Infection Control

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 555639 · certified since June 12, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.