★★★☆☆CMS 3/536 bedsGovernmentMedicaid
- Nurse hours
- 10.32 /day
- Staff turnover
- 31%
- Serious cites
- 0
State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.
★★★★★CMS 5/569 bedsNon-profitMedicaid
- Nurse hours
- 4.82 /day
- Staff turnover
- 42%
- Serious cites
- 0
Nurse staffing at The Meadows of Napa Valley runs about 4.82 hours per resident per day, roughly a quarter above the national average, and weekends dip only about 8% below weekday levels, so coverage stays fairly steady. The nonprofit's 41.7% turnover is modestly better than the 45.8% national figure. The tradeoff shows up in its record: 23 deficiencies, including one at the harm level and two abuse-related citations, with the last inspection in November 2024. Strong staffing and a five-star inspection rating sit alongside some serious past findings, which is the tension worth weighing when you visit.
★★★☆☆CMS 3/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.81 /day
- Staff turnover
- 25%
- Serious cites
- 0
Napa Valley Care Center runs 130 certified beds under for-profit LLC ownership, and its staffing sits at 3.81 nurse hours per resident day, just under the national average of 3.86, with weekends running about 10% lighter than weekdays. What stands out is retention: 24.6% annual turnover against a national average of 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in its inspection record, 63 deficiencies, including two at the harm level and two abuse-related, plus one $30,259 fine, with the most recent inspection in July 2025. Quality measures score well; the health inspection side is where the trouble sits.
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.07 /day
- Staff turnover
- 39%
- Serious cites
- 0
Napa Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.07 nurse hours per resident day against a national average of 3.86, with turnover at 38.6% versus 45.8% nationally. That's real, and it shows up in the four-out-of-five staffing star. The problem is what inspections keep finding. Forty-nine deficiencies on the current record, four of them at harm or jeopardy level and one tied to abuse, plus two fines totaling $173,323. Weekends run about 16% lighter than weekdays, so the coverage that looks solid on paper thins out when families visit. Good aides, recurring serious findings, that combination is worth asking about directly before you sign anything.
★☆☆☆☆CMS 1/549 bedsFor-profitMedicaid
- Nurse hours
- 5.92 /day
- Staff turnover
- n/a
- Serious cites
- 0
Piners Nursing Home runs on unusually heavy staffing for a 49-bed for-profit, 5.92 nurse hours per resident day, about 53% above the national average, though weekends dip roughly 16% below its own weekday levels. That nurse coverage is the one clear strength in the numbers. The rest is harder to defend: 33 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Two out of five stars on health inspections and two on quality measures, with the most recent inspection in late August 2025. One fine, $13,065. Plenty of hands on deck, but the care those hands are delivering has repeatedly fallen short.