Inspection citations
12’21
12’24
17’25
4’26
45 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Mar 30, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Mar 30, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 10, 2026 | D · 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 |
| Jan 22, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Dec 18, 2025 | D · potential | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Routine |
| Dec 18, 2025 | D · potential | 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. | Routine |
| Dec 18, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Dec 18, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Dec 18, 2025 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Dec 18, 2025 | 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 |
| Dec 18, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Dec 18, 2025 | F · potential | Dispose of garbage and refuse properly. | Complaint |
| Dec 18, 2025 | D · potential | Provide or get specialized rehabilitative services as required for a resident. | Routine |
| Dec 18, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 18, 2025 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Sep 16, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Apr 22, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 11, 2025 | D · potential | 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. | Complaint |
| Feb 25, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 13, 2025 | G · harm | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | Complaint |
| Feb 12, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Nov 23, 2024 | E · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Nov 23, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Nov 23, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Nov 23, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Nov 23, 2024 | D · 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 |
| Nov 23, 2024 | D · potential | Provide or get specialized rehabilitative services as required for a resident. | Routine |
| Nov 22, 2024 | G · harm | Provide appropriate foot care. | Complaint |
| Sep 23, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Apr 4, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Apr 4, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 20, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jan 26, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| May 28, 2021 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 28, 2021 | E · potential | 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. | Routine |
| May 28, 2021 | D · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| May 28, 2021 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 28, 2021 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 28, 2021 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| May 28, 2021 | F · 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 28, 2021 | D · potential | 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. | Routine |
| May 28, 2021 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 28, 2021 | D · potential | Provide or get specialized rehabilitative services as required for a resident. | Routine |
| May 28, 2021 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| May 28, 2021 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
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
Vineyard Post Acute
101 Monroe Street, Petaluma, CA 94954 · (707) 763-4109
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555120
- Certified beds
- 99
- Legal owner
- Petalumaidence Opco LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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