Inspection citations
2’23
4’24
3’25
16’26
25 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| May 15, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 15, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 15, 2026 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| May 15, 2026 | D · potential | Assess the resident when there is a significant change in condition | Complaint |
| May 15, 2026 | E · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| May 15, 2026 | F · potential | Ensure each resident receives an accurate assessment. | Routine |
| May 15, 2026 | E · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| May 15, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| May 15, 2026 | D · potential | 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. | Routine |
| May 15, 2026 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| May 15, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 15, 2026 | F · potential | 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. | Routine |
| May 15, 2026 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| May 15, 2026 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| May 15, 2026 | F · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Apr 2, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 8, 2025 | D · potential | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Complaint |
| May 22, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 22, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 30, 2024 | F · potential | 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. | Complaint |
| May 16, 2024 | E · potential | 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. | Routine |
| May 16, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 16, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Dec 18, 2023 | E · potential | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Complaint |
| Dec 18, 2023 | E · potential | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Dept of State Hospitals - Napa D/P SNF
2100 Napa-Vallejo Highway, Napa, CA 94558 · (707) 253-5000
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 05A357
- Certified beds
- 36
- Legal owner
- Legal Business Name Not Available
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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