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Nursing HomeMedicaid Investigative

Piners Nursing Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1800 Pueblo Ave, Napa, CA 9455849 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
1.8/5

based on 5 Google reviews

5
4
3
2
1

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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (14 vs median 13.0)

Bottom 25% in CA · Meets national RN staffing standard · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

This facility presents significant safety risks, specifically regarding the management of fall-risk patients and physical supervision. If you choose this facility, you must implement your own private monitoring, as recent families have reported repeated falls and physical injuries under the facility's care.

Google Reviews

Google Reviews

5 reviews on Google
Families should exercise extreme caution as recent reviews describe severe safety failures, including multiple falls and physical injuries to residents recovering from brain injuries. While one older review is positive, the most recent feedback highlights a critical lack of supervision and incompetent care for high-risk patients.

Quality Themes

Tap a score for details
FoodN/AStaff1.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms2.0ValueN/A

Concerns

  • Frequent patient falls and lack of supervision for high-risk residents (mentioned by 2 reviewers)
  • Physical injuries including bruises and head impacts during transfers

Rating Trends

Tap a year to see what changed

2345.02016(1)1.02023(1)1.02024(1)1.02025(2)

Distribution · 5 analyzed

5
1
4
0
3
0
2
0
1
4

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1What specific steps are in place to ensure residents are closely monitored and supervised, especially during high-risk times of the day?
  • 2Can you walk me through your protocols for safe transfers to ensure residents remain comfortable and injury-free?
  • 3How do you approach training and supporting your staff to ensure the highest quality of care for every resident?
  • 4What is the best way for us to stay in regular, clear communication with the nursing team regarding updates on our loved one?
  • 5In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?
  • 6What kind of daily activities or social engagement opportunities are available to help residents stay active and connected?

Personalized based on this facility's data


Key Review Excerpts

She had fallen out of her wheel chair and bed multiple times while under their care. We told them she was a fall risk the first day.

Rehab patient's family · 2025☆☆☆☆

They were suppose to rebuilitate her you would think they would try to help rebuilitate but no. walked in multiple times to her in a wheelchair in a corner with staff nearby she sat there for like 30 minutes they dropped her 4 times hit her head bruises on arms

Long-term resident's family · 2025☆☆☆☆
Source: 5 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
19.4%
CA
10.7%
Napa
13.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.0%
Worse than Avg
Here
29.0%
US
15.3%
CA
10.5%
Napa
14.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
14.4%
CA
10.4%
Napa
9.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
19.5%
CA
13.7%
Napa
7.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.7%
Worse than Avg
Here
17.7%
US
15.4%
CA
11.6%
Napa
8.8%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility8.3%
Worse than Avg
Here
8.3%
US
1.6%
CA
1.2%
Napa
1.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility63.2%
Worse than Avg
Here
63.2%
US
81.8%
CA
94.2%
Napa
97.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.0%
Mixed vs Avgs
Here
85.0%
US
79.7%
CA
93.2%
Napa
90.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
US
1.6%
CA
1.5%
Napa
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
Above state avg (15.4)
6 complaint-triggered

Piners Nursing Home has persistent operational challenges with 62 deficiencies across five surveys, including two complaint-triggered incidents involving failure to properly respond to alleged violations. The facility consistently struggles with emergency preparedness, fire safety systems, and infection control, with many issues recurring across multiple inspections despite corrections. While all deficiencies show correction dates, the pattern suggests ongoing difficulties maintaining compliance standards that families should carefully consider.

Mar 26, 2026Complaint
4
0757Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Aug 28, 2025Routine
25
0726Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have 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.

0755Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

0837Potential for harm · WidespreadCorrected

Administration Deficiencies

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Feb 12, 2025Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Apr 26, 2024Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0808Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Sep 12, 2023Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 25, 2023Routine
18
0584Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

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.

0689Potential for harm · WidespreadCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0919Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0037Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0926Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Piners Nursing Home

Organization Type

for profit

Ownership & Management

Owners

Piners Nursing Home INC

Owner · Organization

Piner, Gary

Owner

Key personnel

Piner, JeremyW-2 Managing EmployeeReeves, DaneW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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