Complaint Investigation

North Bay Post Acute

October 22, 2025 · Petaluma, CA · 300 Douglas Street

Citations 1

CMS Rating 1/5

Beds 98

Provider ID 056120

Healthcare Facility

North Bay Post Acute

Petaluma, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

NORTH BAY POST ACUTE in PETALUMA, CA — inspection on October 22, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Actual Harm

indicated, Chief complaint.Altercation.[Resident 1] had an altercation with [Resident 2], [Resident 2] end up punching patient in the face, leaving a left eye ecchymosis [bruise], [Resident 2] now in jail.Objective [Assessment].Left eyelid and periphery with ecchymosis.

During an interview on 10/10/25 at 11:50 p.m., Case Manager B (CM B) stated she saw Resident 1 on 10/3/25 and Resident 1 told CM B that he asked Resident 2 to turn off the light and the conversation turned into a verbal argument then Resident 2 became physical.During a concurrent observation in Resident 1's room and interview on 10/10/25 at 12:49 p.m., Resident 1 was sitting up in bed with the blankets up around his face. Resident 1 refused to be interviewed and stated he wanted to be left alone.During a telephone interview on 10/13/25 at 1:56 p.m., Licensed Staff A (LS A) stated on 10/2/25 she heard yelling from Resident 1 and Resident 2's room and went to see what happened.

When she entered the room, she saw Resident 1's meal tray on the floor. LS A stated she saw Resident 1 had bruising under his left eye and asked if he wanted to go to the emergency room. Resident 1 refused so LS A offered Resident 1 an ice pack for his left eye. LS A stated when the police arrived Resident 1 wanted to press charges and Resident 2 was arrested and taken by the police. LS A stated she asked Resident 1 what happened, and he stated, he asked Resident 2 to turn out the light and the conversation turned into an argument resulting in Resident 2 punching Resident 1 in the left eye. LS A stated Resident 2 had not returned to the facility and was waiting for a court hearing.A review of the facility's policy titled, Alleged or Suspected Abuse and Crime Reporting, dated 2/21/25, indicated, Each Resident has the right to be free from abuse.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PETALUMA, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from NORTH BAY POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.