Facility profile · CCN 555161
Napa Valley Care Center
65 federal citations on record , and 1 federal enforcement actions totaling $30,259.
Record summary
Federal record · Q1 202665
Total citations
41
Last 3 years
2
Actual harm+
1
Federal penalties
$30,259
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
65 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 25, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Jul 25, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 25, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Jul 25, 2025 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Jul 25, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 25, 2025 | F761 | 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. | D | Standard |
| Jul 25, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jul 25, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 25, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Jul 25, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 25, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 25, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 25, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| May 12, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 8, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Feb 21, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 9, 2025 | F625 | Notify 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. | D | Complaint |
| Oct 8, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Oct 8, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 8, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Oct 8, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 8, 2024 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Jul 24, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Complaint |
| Jul 24, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Jul 24, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Feb 16, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Feb 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Feb 16, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Feb 16, 2024 | F584 | 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. | D | Complaint |
| Jan 10, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Dec 19, 2023 | F584 | 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. | D | Complaint |
| Oct 18, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint |
| Oct 18, 2023 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint |
| Sep 21, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Sep 21, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Sep 13, 2023 | F838 | Conduct 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. | D | Complaint |
| Sep 13, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Sep 13, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Sep 13, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint |
| Sep 13, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Apr 25, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Apr 18, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 17, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Sep 21, 2021 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Sep 21, 2021 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Sep 21, 2021 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Sep 21, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 21, 2021 | F808 | 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. | E | Standard |
| Sep 21, 2021 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard |
| Sep 21, 2021 | F803 | Ensure 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. | E | Standard |
| Sep 21, 2021 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Sep 21, 2021 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Standard |
| Sep 21, 2021 | F693 | Ensure 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. | D | Standard |
| Sep 21, 2021 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 21, 2021 | F685 | Assist a resident in gaining access to vision and hearing services. | G | Standard |
| Sep 21, 2021 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Sep 21, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Sep 21, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Sep 21, 2021 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Sep 21, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 21, 2021 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Sep 21, 2021 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Aug 7, 2019 | F758 | Implement 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. | D | Standard |
| Aug 7, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 7, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $30,259 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 13, 2023 | Fine | $30,259 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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