Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NAPA POST ACUTE

NAPA, CA · 120 certified beds · Last Life Safety survey February 17, 2026

CMS Certification Number 056153 · first certified December 1969

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

Ownership changed December 16, 2016 (change of ownership)from BEVERLY HEALTH AND REHABILITIATION SERVICES, INC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CA

38 citations — more than 95% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was February 2026. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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8 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

7 of the 38 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

9 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 38 Life Safety citations above. The Physical Environment Index

F-0584 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.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	38
Median facility in CA	19
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 18, 2022	9
March 7, 2025	17
February 17, 2026	12

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2026-02-17
K-0363	Install corridor and hallway doors that block smoke.	3	2026-02-17
E-0039	Conduct testing and exercise requirements.	3	2026-02-17
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2026-02-17
K-0161	Use approved construction type or materials.	2	2026-02-17
K-0919	Meet requirements for the use of electrical equipment.	2	2026-02-17
K-0324	Provide properly protected cooking facilities.	2	2026-02-17
K-0293	Have properly located and lighted "Exit" signs.	2	2026-02-17

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Gas, Vacuum, and Electrical Systems Deficiencies 8
Emergency Preparedness Deficiencies 7
Miscellaneous Deficiencies 5
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Gas, Vacuum, and Electrical Systems Deficiencies	8
Emergency Preparedness Deficiencies	7
Miscellaneous Deficiencies	5
Egress Deficiencies	2
Construction Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 17, 2026 — 12 citations

Citations issued on February 17, 2026
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 25, 2026)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (March 25, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 5, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 20, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 25, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 5, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 8, 2026)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 8, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 25, 2026)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (March 25, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 8, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 15, 2026)

March 7, 2025 — 17 citations

Citations issued on March 7, 2025
Tag	What the surveyor checks	Status
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (March 25, 2025)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (March 15, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (April 17, 2025)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (March 15, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (April 1, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (March 13, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 10, 2025)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (March 15, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 15, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 20, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 15, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 20, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 1, 2025)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 13, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 15, 2025)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (March 25, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 12, 2025)

November 18, 2022 — 9 citations

Citations issued on November 18, 2022
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (January 17, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (January 17, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (January 17, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (January 17, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 17, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (January 17, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 17, 2023)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (January 17, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 17, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.