Facility profile · CCN 056120
North Bay Post Acute
91 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $142,514.
Record summary
Federal record · Q1 202691
Total citations
68
Last 3 years
4
Actual harm+
2
Federal penalties
$142,514
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
91 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 9, 2026 | F926 | Have policies on smoking. | D | Standard |
| Jan 9, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Standard |
| Jan 9, 2026 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Jan 9, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 9, 2026 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jan 9, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 9, 2026 | F700 | Try 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. | D | Standard |
| Jan 9, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 9, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 9, 2026 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Jan 9, 2026 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jan 9, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jan 9, 2026 | 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 | Standard |
| Jan 9, 2026 | 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 |
| Dec 30, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Oct 22, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jul 15, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Jul 15, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 28, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 25, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Apr 7, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint |
| Jan 17, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Standard |
| Jan 17, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard |
| Jan 17, 2025 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Jan 17, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jan 17, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jan 17, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Jan 17, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jan 17, 2025 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Jan 17, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jan 17, 2025 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jan 17, 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. | E | Standard |
| Jan 17, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jan 17, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | F | Standard |
| Jan 17, 2025 | 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 |
| Jan 17, 2025 | 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 |
| Jan 17, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Jan 17, 2025 | F742 | Provide 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. | D | Standard |
| Jan 17, 2025 | F726 | 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. | F | Standard |
| Jan 17, 2025 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Jan 17, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jan 17, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 17, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jan 17, 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 |
| Jan 17, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Jan 17, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jan 17, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Jan 17, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | Standard |
| Jan 17, 2025 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard |
| Jan 17, 2025 | 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. | F | Standard |
| Jan 17, 2025 | F578 | Honor 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. | D | Standard |
| Jan 17, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jan 17, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Dec 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 12, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Dec 3, 2024 | 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. | E | Complaint |
| Dec 3, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint |
| Sep 16, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 15, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Apr 30, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Apr 30, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Apr 30, 2024 | F814 | Dispose of garbage and refuse properly. | F | Complaint |
| Apr 30, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Complaint |
| Apr 30, 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 |
| Aug 23, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Aug 11, 2023 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Aug 11, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 11, 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 |
| Mar 23, 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 |
| Mar 23, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 18, 2023 | F926 | Have policies on smoking. | E | Standard |
| Jan 18, 2023 | F920 | Provide 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. | F | Standard |
| Jan 18, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Jan 18, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 18, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Jan 18, 2023 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Jan 18, 2023 | 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. | E | Standard |
| Jan 18, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jan 18, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Jan 18, 2023 | F727 | 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. | D | Standard |
| Jan 18, 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 | Standard |
| Jan 18, 2023 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Jan 18, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jan 18, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Jan 18, 2023 | F679 | Provide activities to meet all resident's needs. | F | Standard |
| Jan 18, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 18, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jan 18, 2023 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| Jan 18, 2023 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | F | Standard |
| Jan 18, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jan 18, 2023 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $142,514 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 7, 2025 | Fine | $23,322 | — |
| Apr 30, 2024 | Fine | $119,192 | — |
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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