Nursing home

North Bay Post Acute

300 Douglas Street, Petaluma, CA 94952

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle18
Findings with harm or immediate jeopardy, 3 cycles4
Fines, 3 years$179,613
Beds98
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse.

Inspection findings

Inspectors recorded 87 findings in the last three inspection cycles.

1 Immediate jeopardy3 Actual harm to a resident83 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Apr 14, 2026Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 1, 2026
Apr 14, 2026Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 1, 2026
Jan 9, 2026Building and environmentHave policies on smoking. (F0926)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
widespread
Corrected: Feb 5, 2026
Jan 9, 2026Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Feb 5, 2026
Jan 9, 2026Quality of life and careProvide or obtain dental services for each resident. (F0791)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Quality of life and careTry 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. (F0700)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
pattern
Corrected: Feb 5, 2026
Jan 9, 2026Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
pattern
Corrected: Feb 5, 2026
Jan 9, 2026Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Jan 9, 2026Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated
Corrected: Feb 5, 2026
Dec 30, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 16, 2026
Earlier inspections (70)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Oct 22, 2025Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)Actual harm to a resident
isolated · from a complaint
Corrected: Nov 11, 2025
Jul 15, 2025Building and environmentMake sure that a working call system is available in each resident's bathroom and bathing area. (F0919)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 13, 2025
Jul 15, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 13, 2025
Apr 28, 2025Abuse, neglect and exploitationRespond appropriately to all alleged violations. (F0610)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 16, 2025
Apr 25, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 12, 2025
Apr 7, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)Actual harm to a resident
isolated · from a complaint
Corrected: May 1, 2025
Jan 17, 2025Abuse, neglect and exploitationGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (F0943)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2025
Jan 17, 2025Infection controlImplement a program that monitors antibiotic use. (F0881)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2025
Jan 17, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025AdministrationHave a plan that describes the process for conducting QAPI and QAA activities. (F0865)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Quality of life and careProvide or obtain dental services for each resident. (F0791)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2025
Jan 17, 2025Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Quality of life and careProvide medically-related social services to help each resident achieve the highest possible quality of life. (F0745)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Quality of life and careProvide 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. (F0742)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Nursing and physician servicesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025Nursing and physician servicesEnsure that the resident and his/her doctor meet face-to-face at all required visits. (F0712)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Quality of life and careAssist a resident in gaining access to vision and hearing services. (F0685)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2025
Jan 17, 2025Resident rightsProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Abuse, neglect and exploitationDevelop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025Abuse, neglect and exploitationNot hire anyone with a finding of abuse, neglect, exploitation, or theft. (F0606)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident rightsHonor 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. (F0584)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2025
Jan 17, 2025Resident rightsHonor 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. (F0578)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Jan 17, 2025Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2025
Dec 23, 2024Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 3, 2025
Dec 12, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 27, 2024
Dec 3, 2024Resident rightsNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (F0622)No harm, but a risk of harm
pattern · from a complaint
Corrected: Dec 27, 2024
Dec 3, 2024Resident rightsHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (F0561)No harm, but a risk of harm
pattern · from a complaint
Corrected: Dec 27, 2024
Sep 16, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 7, 2024
May 15, 2024Resident rightsProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 14, 2024
Apr 30, 2024Building and environmentMake sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925)No harm, but a risk of harm
widespread · from a complaint
Corrected: May 24, 2024
Apr 30, 2024AdministrationAdminister the facility in a manner that enables it to use its resources effectively and efficiently. (F0835)No harm, but a risk of harm
widespread · from a complaint
Corrected: May 24, 2024
Apr 30, 2024Food and nutritionDispose of garbage and refuse properly. (F0814)No harm, but a risk of harm
widespread · from a complaint
Corrected: May 24, 2024
Apr 30, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)Immediate jeopardy
widespread · from a complaint
Corrected: May 24, 2024
Apr 30, 2024Nursing and physician servicesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725)No harm, but a risk of harm
pattern · from a complaint
Corrected: May 24, 2024
Jan 18, 2023Building and environmentHave policies on smoking. (F0926)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Building and environmentProvide 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. (F0920)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2023
Jan 18, 2023Infection controlDevelop and implement policies and procedures for flu and pneumonia vaccinations. (F0883)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Food and nutritionEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2023
Jan 18, 2023Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Nursing and physician servicesHave 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. (F0727)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2023
Jan 18, 2023Nursing and physician servicesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Quality of life and careProvide care or services that was trauma informed and/or culturally competent. (F0699)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2023
Jan 18, 2023Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2023
Jan 18, 2023Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)Actual harm to a resident
isolated
Corrected: Mar 13, 2023
Jan 18, 2023Quality of life and careProvide activities to meet all resident's needs. (F0679)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2023
Jan 18, 2023Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2023
Jan 18, 2023Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Resident assessment and care planningEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023
Jan 18, 2023Resident assessment and care planningAssure that each resident’s assessment is updated at least once every 3 months. (F0638)No harm, but a risk of harm
widespread
Corrected: Mar 13, 2023
Jan 18, 2023Resident assessment and care planningAssess the resident when there is a significant change in condition (F0637)No harm, but a risk of harm
isolated
Corrected: Mar 13, 2023
Jan 18, 2023Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
pattern
Corrected: Mar 13, 2023

Fines and payment denials

Federal fines in the last three years: $179,613 (3). Payment denials: 0.

DateTypeAmount
Oct 22, 2025Fine$36,736
Apr 7, 2025Fine$23,685
Apr 30, 2024Fine$119,192

Staffing

Nurse staff hours per resident per day4.18California median: 4.27
Registered nurse hours per resident per day0.82California median: 0.52
Nurse staff hours on weekends3.79California median: 3.85
Nursing staff who left within a yearno dataCalifornia median: 36.0%

About this home

Beds98
Residents per day, average92.1
OwnershipFor-profit, limited liability company
Legal business nameNorth Bay Post Acute LLC
In Medicare/Medicaid sinceNov 10, 1969

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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