The home failed to ensure residents’ medications were free from unnecessary drugs. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: G
Nursing home report
Piner's Nursing Home
Registered name: PINERS NURSING HOME
NAPA, CA · Medicare-certified · 49 beds
Needs attention
For-profit
Data as of July 1, 2026
2 of 5 overall
Piner's Nursing Home in Napa, CA has a 2 out of 5 overall rating, with 2-star health inspection and quality measures scores but 4-star staffing. It reports 5.92 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $13,065 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
5.9154 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $13,065recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.9154.
Staffing detail
- Registered nurses
- 0.97
- Licensed practical nurses
- 1.34
- Nurse aides
- 3.60
- Weekend nursing
- 4.99
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—23.8%—
Residents with a fall causing major injury
3.7%3.3%No change
Residents with pressure ulcers (bedsores)
0%4%Worsening
Residents with a urinary tract infection
8%7.1%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
36.4%42.9%Worsening
Residents whose ability to walk got worse
—23%—
Long-stay residents on antianxiety or sleep medication
4.8%9.1%Worsening
Short-stay residents newly given an antipsychotic
0%4.2%Worsening
Residents with a long-term catheter
3.5%0%Improving
Residents with new or worsening incontinence
31.7%26.6%Improving
Residents with depressive symptoms
8.3%7.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—85%—
Short-stay residents given the pneumonia vaccine
68.4%68.2%No change
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $13,065 was recorded.
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,065 in total fines · 1 payment denial.
- 11 days
Medicare/Medicaid payment denial
Mar 26, 2026
- $13,065
Federal fine
Mar 26, 2026
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 29.4 residents on an average day (60% of 49 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.