Piner's Guest Home
State licensed1800 Pueblo Avenue, Napa, CA 94558
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
About Piners Nursing Home
Piners Nursing Home provides skilled nursing and rehabilitation care in Napa, California, where experienced staff support recovery and healing with personalized attention. Our facility combines clinical expertise with compassionate care to help residents regain independence and quality of life.
Community at a glance
Capacity
49 residents
Location
Napa, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1800 PUEBLO AVE, Napa, California 94558
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 5, 2026, state inspectors cited 23 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 5 hours 55 minutes with each resident a day, above the California average of 4 hours 31 minutes.
Medicare fined Piners Nursing Home 3 times in the last three years, $31,430 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 55 minutesAbove the California average |
| Registered nurse time per resident, per day | 58 minutesAbove the California average |
Inspections
32 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 5, 2026 · Standard inspection · 19 citations
Ensure services provided by the nursing facility meet professional standards of quality.
Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningCorrected Jul 7, 2026Provide enough food/fluids to maintain a resident's health.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 7, 2026Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jul 7, 2026Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 7, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jul 7, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Jul 7, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 7, 2026Dispose of garbage and refuse properly.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 7, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Jul 7, 2026Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Jul 7, 2026Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 7, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 7, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 7, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 7, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 7, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 7, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 7, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 7, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 7, 2026
March 26, 2026 · Complaint investigation · 4 citations
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Apr 29, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 11, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 29, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 11, 2026
February 12, 2025 · Complaint investigation · 1 citation+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 12, 2025
April 26, 2024 · Standard inspection · 8 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected May 26, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 26, 2024Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected May 26, 2024Keep all essential equipment working safely.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected May 26, 2024Provide 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.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 26, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 26, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 26, 2024Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected May 26, 2024
Fines and payment denials
3 fines totaling $31,430 and 1 Medicare payment denial in the last three years.
- June 5, 2026Fine: $8,492
- June 5, 2026Fine: $14,446
- March 26, 2026Fine: $8,492
- March 26, 2026Payment denial, 11 days
About the home, per Medicare
- Ownership
- For profit - Individual
- Legal business name
- Piners Nursing Home Inc
- Medicare-certified beds
- 49
- Average residents per day
- 29
- Accepts
- Medicare and Medicaid
- First certified
- June 27, 1985
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 555207
Location
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1800 PUEBLO AVENapa, CA 94558
12 other communities within 10 miles
Senior living near Napa
Assisted Living Of Napa Valley-sherman
State licensed1460 Sherman Ave, Napa, CA 94558
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
Pueblo House
State licensed2600 Brown St, Napa, CA 94558
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
Questions about Piners Nursing Home
How did Piners Nursing Home do on its last inspection?+
State inspectors visited on June 5, 2026 and cited 23 health deficiencies, 4 of them from complaint investigations. The California average is 15.5.
How much nursing care does each resident get at Piners Nursing Home?+
Nurses and aides spend 5 hours 55 minutes with each resident per day, including 58 minutes from registered nurses.
Has Piners Nursing Home been fined by Medicare?+
Yes. Medicare fined Piners Nursing Home 3 times in the last three years, totaling $31,430.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.