| North Bay Post Acute | |
| 300 Douglas Street, Petaluma, California 94952 | |
| (707) 763-6887 | |
| Name | North Bay Post Acute |
|---|---|
| Location | 300 Douglas Street, Petaluma, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 98 |
| Occupancy Rate | 96.94% |
| Medicare ID (CCN) | 056120 |
| Legal Business Name | North Bay Post Acute LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1104413517 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | North Bay Post Acute, LLC |
| Doing Business As | North Bay Post Acute |
| Address | 300 Douglas St, Petaluma, CA 94952 |
| Phone Number | 707-763-6887 |
| NPI Number | 1104874940 |
| Match | Possible same name, address or phone number |
| Organization Name | Evergreen at Petaluma, L.L.C. |
| Doing Business As | Empres Post Acute Rehabilitation |
| Address | 300 Douglas St, Petaluma, CA 94952 |
| Phone Number | 707-763-6887 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.02 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.81 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.82 | 0.86 |
| Nurse aide hours per resident per day | 2.39 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.72 | 3.42 |
| RN hours per resident per day on the weekend | 0.68 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 3 |
| Total Amount of Fines in Dollars | $179,613 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 14, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2026 |
| Apr 14, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2026 |
| Jan 9, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, widespread | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | 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. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Jan 9, 2026 | Have policies on smoking. F0926, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Dec 30, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jan 16, 2026 |
| Oct 22, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Nov 11, 2025 |
| Jul 15, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Aug 13, 2025 |
| Jul 15, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Complaint inspection | Potential for harm, isolated | Corrected by Aug 13, 2025 |
| Apr 28, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 12, 2025 |
| Apr 7, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Actual harm, isolated | Corrected by May 1, 2025 |
| Jan 17, 2025 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Mar 13, 2025 |
| Jan 17, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, widespread | Corrected by Mar 13, 2025 |
| Jan 17, 2025 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Mar 13, 2025 |
| Jan 17, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, widespread | Corrected by Mar 13, 2025 |
| Jan 17, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 13, 2025 |
| Jan 17, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 13, 2025 |
| Jan 17, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Mar 13, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.08 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.06 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.23 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.3 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 10.2 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.62 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.29 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.88 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.75 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.16 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.08 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.04 | 15.38 |
Petaluma Post-acute Rehabilitation Location: 1115 B Street, Petaluma, California 94952 Phone: (707) 765-3030 |