Sonoma County, California · Nursing home
North Bay Post Acute
1 of 5 overall from CMS
300 Douglas Street, Petaluma, CA 94952
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 4.02 hours Below the state average of 4.52
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 87 4 at the harm level or above
- Fines in 3 years $179,613 3 fines
- Certified beds in use 96.9% of 98 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
North Bay Post Acute is a 98-bed nursing home in Petaluma, California (Sonoma County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.02 nurse staffing hours per resident per day, below the California average of 4.52. CMS lists 3 fines totaling $179,613 in the past three years.
- Certified beds
- 98
- Residents per day (average)
- 95.0
- Certified since
- 1969 (57 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask North Bay Post Acute
Chosen from this home's public data.
- CMS lists 3 fines totaling $179,613 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 18 health deficiencies in the latest inspection cycle (the standard inspection on Jan 9, 2026 plus complaint and infection-control inspections); the California average is 15.6. Which have been corrected?Inspection results in CMS data
- About 96.9% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 California average 3.2
- Health inspections 1 of 5 California average 2.8
- Staffing 3 of 5 California average 3.3
- Quality measures 3 of 5 California average 4.1
The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.02 h California average 4.52
- Nurse aides 2.39 h California average 2.65
- Licensed practical nurses 0.82 h California average 1.20
- Registered nurses 0.81 h California average 0.67
- All staff, weekends 3.72 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- California average36.7%
- Registered nurse turnoverNot reported
- California average38.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 6.1% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 10.1% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 10.2% | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 9.0% | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.2% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.1% | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 17.0% | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.41 | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.02 | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.9% | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 22.5% | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 87 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 20 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 22, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 9, 2026 | 18 | 6 |
| Jan 17, 2025 | 42 | 6 |
| Jan 18, 2023 | 27 | 16 |
California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (87)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 1, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 1, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 5, 2026)
-
FPotential for more than minimal harm, widespread
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 5, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 5, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Have policies on smoking.
Environmental · Deficient, Provider has date of correction (Feb 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jan 16, 2026)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 13, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Aug 13, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 16, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 12, 2025)
-
GActual harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 1, 2025)
-
FPotential for more than minimal harm, widespread
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.
Resident Rights · Deficient, Provider has date of correction (Mar 13, 2025)
-
FPotential for more than minimal harm, widespread
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 13, 2025)
-
FPotential for more than minimal harm, widespread
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 13, 2025)
-
FPotential for more than minimal harm, widespread
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Mar 13, 2025)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Mar 13, 2025)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Mar 13, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 13, 2025)
Showing the 30 most recent of 87.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 22, 2025 | Fine | $36,736 |
| Apr 7, 2025 | Fine | $23,685 |
| Apr 30, 2024 | Fine | $119,192 |
California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within California
Common questions
What is the CMS star rating for North Bay Post Acute?
North Bay Post Acute has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 3.
How many beds does North Bay Post Acute have?
North Bay Post Acute has 98 certified beds. It averages 95.0 residents per day, about 96.9% of its certified beds.
How much nursing care do residents get at North Bay Post Acute?
The home reports 4.02 hours of nurse staffing per resident per day, including 0.81 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has North Bay Post Acute been fined?
Yes. CMS lists 3 fines totaling $179,613 in the past three years.
Does North Bay Post Acute accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Hillcrest Post Acute 59beds 91.7%in use 4.38nurse hours a day
- 5 of 5 Petaluma Post-Acute Rehabilitation 90beds 86.9%in use 4.22nurse hours a day
- 2 of 5 Ridgeway Post Acute 79beds 94.4%in use 4.10nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Sonoma County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 056120. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.