The Meadows of Napa Valley
1900 Atrium Parkway, Napa, CA 94559 · Napa County · 69 certified beds · avg 38 residents/day · certified since Jun 12, 1995
Part of chain: PACIFIC RETIREMENT SERVICES (10 facilities, chain avg rating 4.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 27, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 27, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 27, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 27, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 27, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jan 27, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jul 2, 2019 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jul 2, 2019 | E · Potential for harm, repeated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jul 2, 2019 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jul 2, 2019 | E · Potential for harm, repeated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Jul 2, 2019 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 2, 2019 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jul 2, 2019 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 2, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 2, 2019 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 2, 2019 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 2, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 2, 2019 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Jul 2, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 13 | 0 | E |
| 2023 | 4 | 1 | G ▲ |
| 2024 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.29 | 4.31 | 3.95 | top 10% in California; top 9% in the U.S. |
| Registered Nurse hours | 1.04 | 0.61 | 0.69 | top 10% in California; top 14% in the U.S. |
| Weekend total nurse staffing | 4.85 | 3.90 | 3.50 | top 8% in California; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.51 | 0.48 | top 19% in California; top 20% in the U.S. |
| Total nursing staff turnover (%) | 41.7 | 36.7 | 45.8 | bottom 33% in California; top 41% in the U.S. |
| RN turnover (%) | 30.0 | 38.1 | 42.9 | top 38% in California; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.82, RN 0.95, weekend 4.43. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Allen, Raymond | Individual | Corporate Director | NOT APPLICABLE | 04/15/2013 |
| Bbva USA | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/14/2016 |
| Bbva USA | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/14/2016 |
| Link, Raymond | Individual | Corporate Director | NOT APPLICABLE | 05/01/2008 |
| Oliver, Robin | Individual | Corporate Director | NOT APPLICABLE | 05/01/2006 |
| Olson, Terry | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Panchesson, Wayne | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/16/2001 |
| PRS Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/1999 |
| Reed, David | Individual | Corporate Director | NOT APPLICABLE | 05/19/2013 |
| Sholty, Eric | Individual | Corporate Officer | NOT APPLICABLE | 05/27/2018 |
| Worth, Gerald | Individual | Corporate Director | NOT APPLICABLE | 06/01/2002 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Dept of State Hospitals - Napa D/P SNF | 1.7 mi | Napa, CA | ★★★☆☆ | 2/5 | |
| Napa Community Health Center | 2.6 mi | Napa, CA | ★☆☆☆☆ | 1/5 | |
| Napa Valley Care Center | 3.2 mi | Napa, CA | ★★★☆☆ | 2/5 | |
| Napa Post Acute | 3.4 mi | Napa, CA | ★☆☆☆☆ | 1/5 | |
| Broadway Villa Post Acute | 8.7 mi | Sonoma, CA | ★★★★★ | 3/5 | |
| Sonoma Post Acute | 8.7 mi | Sonoma, CA | ★★★★☆ | 3/5 | |
| Veterans Home of California - Yountville - SNF | 8.8 mi | Yountville, CA | ★★★★★ | 4/5 | |
| Valley of the Moon Post Acute | 9.3 mi | Sonoma, CA | ★★★☆☆ | 2/5 | abuse |
| Solano Post Acute | 10.6 mi | Vallejo, CA | ★★☆☆☆ | 1/5 | |
| Springs Road Healthcare | 12.3 mi | Vallejo, CA | ★★★★★ | 4/5 | |
| Heartwood Avenue Healthcare | 12.8 mi | Vallejo, CA | ★★★☆☆ | 3/5 | |
| Greenfield Care Center of Fairfield | 13.6 mi | Fairfield, CA | —/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555639.