Public Record
North Bay Post Acute
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 98
- Avg. residents per day
- 95.9
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 117
- Inspections on file
- 20
- Last inspection
- 2026-01-09
*CMS
*CMS
*CMS
Citations
117 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0700Generalpotential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 0584Generalpotential for harm
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.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0754Generalpotential for harm
Provide properly sized and located linen or trash receptacles.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0926Generalpotential for harm
Have policies on smoking.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0791Generalpotential for harm
Provide or obtain dental services for each resident.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0600Seriousactual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0658Seriousactual harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0912Generalpotential for harm
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- 0943Generalpotential for harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0761Generalpotential for harm
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.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0919Generalpotential for harm
Meet requirements for the use of electrical equipment.
- 0712Generalpotential for harm
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0032Generalpotential for harm
Provide primary/alternate means for communication.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0584Generalpotential for harm
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.
- 0606Generalpotential for harm
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0685Generalpotential for harm
Assist a resident in gaining access to vision and hearing services.
- 0726Generalpotential for harm
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.
- 0742Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- 0745Generalpotential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0791Generalpotential for harm
Provide or obtain dental services for each resident.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0865Generalpotential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0622Generalpotential for harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- 0561Generalpotential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0812Seriousimmediate jeopardy
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0835Generalpotential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0584Generalpotential for harm
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.
- 0825Generalpotential for harm
Provide or get specialized rehabilitative services as required for a resident.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0727Generalpotential for harm
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.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0640Generalpotential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0637Generalpotential for harm
Assess the resident when there is a significant change in condition
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0346Generalpotential for harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0347Generalpotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0354Generalpotential for harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0920Generalpotential for harm
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0741Generalpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0699Generalpotential for harm
Provide care or services that was trauma informed and/or culturally competent.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0926Generalpotential for harm
Have policies on smoking.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0801Generalpotential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- 0761Generalpotential for harm
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.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection20 deficiencies
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Based on interview and record review, the facility failed to notify…
Read full statement of deficiencies - View inspection reportInspection20 deficiencies
- View inspection reportInspection1 deficiency
- Inspection1 deficiency
F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and…
Read full statement of deficiencies - Inspection2 deficiencies
F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observations, interviews and record reviews, the facility failed to ensure the provision of a sanitary environment that would prevent the development and…
Read full statement of deficiencies - Inspection1 deficiency
F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to implement its abuse policy when Certified Nursing Assistant B (CNA B) was allowed to return to work after a physical and…
Read full statement of deficiencies - Inspection1 deficiency
F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure one resident (Resident 1) of three sampled residents received…
Read full statement of deficiencies - Inspection1 deficiency
F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Actual harm Based on interview and record review, the facility failed to ensure 1 of 2 sampled residents (Resident 1), who had a history of COPD (chronic obstructive pulmonary disease; a…
Read full statement of deficiencies - View inspection reportInspection37 deficiencies
- Inspection37 deficiencies
F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure resident hand-outs (weekly menu, activities calendar…
Read full statement of deficiencies
Showing the 10 most recent inspections. 11 earlier inspections are also on record.
FAQ
Questions and answers
- What is North Bay Post Acute?
- North Bay Post Acute is a Medicare- and Medicaid-certified nursing home in Petaluma, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 056120.
- What is the CMS rating for North Bay Post Acute?
- North Bay Post Acute has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does North Bay Post Acute have?
- North Bay Post Acute is certified for 98 beds. It serves an average of 95.9 residents per day.
- How many citations does North Bay Post Acute have?
- North Bay Post Acute has 117 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was North Bay Post Acute last inspected?
- North Bay Post Acute was last inspected on January 9, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/056120-north-bay-post-acute