VACAVILLE CONVALESCENT & REHAB

585 NUT TREE COURT
VACAVILLE, CA, 95687
7074498000
CCN: 555349
4
Overall
4
Health
4
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CENTURION HEALTHCARE, INC
1128a1
Excluded 2013-04-18
INDEPENDENCE HOME HEALTHCARE,
1128b7
Excluded 2024-01-08
Ownership
NameRole%
NICCOLI, JOSEPH5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
NICCOLI, SUSAN5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
VACAVILLE HEALTHCARE INC5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
NICCOLI, JOSEPHCORPORATE DIRECTORNOT APPLICABLE
NICCOLI, SUSANCORPORATE DIRECTORNOT APPLICABLE
NICCOLI, SUSANCORPORATE OFFICERNOT APPLICABLE
VAN AKEN, TERRELLOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NICCOLI, JOSEPHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAYANAN, AIMILEEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VACAVILLE HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-02-06Fine$8K
Health Deficiencies (29)
2024-12-06 · Health
E
F947 · Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
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.
D
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2024-09-30 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-04-10 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-02-28 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
E
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2022-12-16 · Health
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
E
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2019-05-17 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F806 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F758 · Pharmacy Service Deficiencies
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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
F700 · Quality of Life and Care Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
F578 · Resident Rights Deficiencies
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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.59
3.68
RN Hrs/Resident/Day
0.98
0.54
LPN Hrs/Resident/Day
1.07
0.81
CNA Hrs/Resident/Day
3.54
2.33
PT Hrs/Resident/Day
0.19
0.12
Data as of 2026-03-01