46.9/100
Below average
705 Trancas St., Napa, CA 94558
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
4 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$173,323 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 17, 2026 (6 months ago).
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.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Actual harm to a resident
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| SERRANO, NOEL | Individual | CONTRACTED MANAGING EMPLOYEE | — |
| HADLEY, SPENCER | Individual | W-2 MANAGING EMPLOYEE | — |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — |
| PROVIDENCE GROUP WINE COUNTRY LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
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Napa Post Acute holds an ElderGrade of D (46.9 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.07 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 49 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Napa Post Acute is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.