I placed my dad here and overall I'm very pleased - the staff (Amber and team) are caring, responsive, and made the move-in smooth. The community is clean, homey, and active with lots of outings and programs; memory care is available and it's conveniently close to medical services. Meals are generally good but portions and menu variety can be inconsistent. A few staffing and billing/fee transparency issues popped up, but on balance I'd recommend this community to other families.
The Inn on Villa Lane is an assisted living community dedicated to providing compassionate and comprehensive care for older adults, with specialized services for individuals living with Alzheimer’s disease and related forms of dementia. The community offers a range of care options, including residential care, respite care, and hospice care, allowing residents and their families to find the support that best meets their needs. Unique operational protocols at The Inn on Villa Lane have been developed with a focus on enriching each resident’s quality of life while maintaining the highest standards of security and safety throughout the community.
Upon entering The Inn on Villa Lane, visitors and residents are welcomed into a setting distinguished by warm colors, an abundance of natural light, soaring vaulted ceilings, and beautiful, home-like decor. Multiple comfortable seating areas throughout the community provide inviting spaces for residents and their families to relax together, fostering meaningful connections and enjoyable visits. The atmosphere is further enhanced by calming surround sound music, which contributes to a tranquil and welcoming environment.
The community places a strong emphasis on offering life-affirming and encouraging activities, carefully tailored to align with each resident’s individual abilities and levels of cognition. These activities are available through the Respite and Residential Care programs, designed to engage every person in meaningful and enjoyable pursuits. Residents also benefit from the expansive courtyard, a secure outdoor environment that encourages independence and allows for the enjoyment of fresh air and sunshine whenever they choose. This thoughtful design empowers residents to freely experience the outdoors within a safe and supportive setting.
At The Inn on Villa Lane, the belief is held that life is not something that merely happens—it is what we make of it. The entire community is committed to assisting residents in living active, joyful, and fulfilling lives each day. The staff at The Inn on Villa Lane are recognized for their compassionate expertise, particularly in the field of memory care, working with patience and dedication to enhance the well-being of each person. Through this nurturing approach, residents experience a sense of dignity and respect, and families find reassurance knowing their loved ones are in a caring environment devoted to their happiness.
People often ask...
The Inn on Villa Lane offers competitive pricing, with rates starting at a cost of $3,595 per month.
The Inn on Villa Lane offers assisted living, memory care, and board and care.
There are 12 photos of The Inn on Villa Lane on Mirador.
The full address for this community is 3255 Villa Ln, Napa, CA, 94558.
Yes, The Inn on Villa Lane offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
92
Inspections
18
Type A Citations
9
Type B Citations
6
Years of reports
09 Jul 2025
09 Jul 2025
Investigated allegations that medication was not dispensed as prescribed and that soiled garments were left out; found no evidence that fentanyl patches were mishandled, with records showing proper placement, timing, and documented disposal. Observed no ongoing unsanitary conditions and that the resident could reposition themselves as needed.
10 Jun 2025
10 Jun 2025
Identified details of a reported incident on 05/31/2025 involving staff and several residents; no deficiencies were cited.
§ 9058
10 Jun 2025
10 Jun 2025
Found safety and regulatory requirements met, with water temperatures within range, medications securely stored, and staff and resident files complete. Observed residents engaged in activities, functioning egress devices, and up-to-date disaster plans and drills.
§ 9058
01 Apr 2025
01 Apr 2025
Investigated unannounced, reviewed records and interviewed staff; found no evidence to support the allegation of on-site marijuana distribution, noting residents may leave and use recreational marijuana. Medications were stored securely, and staffing remained within regulation, with no supervision gaps identified—Unsubstantiated.
01 Apr 2025
01 Apr 2025
Investigated findings indicated no evidence to prove the allegation of indoor smoking by residents, though a strict no-smoking indoors policy exists and staff remind residents to use outdoor areas. Records showed residents were sometimes found sleeping in areas other than their rooms or in other residents’ rooms; they are checked on and assisted back to their rooms, with care plans updated as needed, and emergency services contacted when necessary.
23 Sept 2024
23 Sept 2024
Confirmd clean and safe environment, proper storage of medications and supplies, and need for further documentation regarding resident care plans.
27 Aug 2024
27 Aug 2024
Identified that on 08/17/2024 a resident received a wrong dose of medication; after ingestion, staff noticed the error and notified the physician, who advised monitoring for changes. Noted that the dosage had been changed several times in recent months and was not flagged at the last change, with a repeat violation within 12 months resulting in an immediate civil penalty of $250.
27 Aug 2024
27 Aug 2024
Confirmed the resident received the wrong dose of medication due to a medication error.
§ 87465(a)(4)
19 Jul 2024
19 Jul 2024
Found resident and staff records complete, medications secured, and safety measures up to date, with water temperatures within required ranges and adequate food supplies. Observed unobstructed walkways and exits, locked toxins, central medication storage, and a functioning fire alarm system with recent drills.
19 Jul 2024
19 Jul 2024
Confirmed completion of required annual inspection at a two-story facility offering assisted living and memory care, noting compliance with regulations related to resident accommodations, staff qualifications, food storage, emergency preparedness, and documentation.
30 Apr 2024
30 Apr 2024
Found that the allegation that staff arranged for one resident to stay with another at night to remind them to call for help was based on an informal, voluntary arrangement between the residents. Determined that there was no staff direction or medical order for nighttime supervision beyond normal care, and no preponderance of evidence to prove or disprove the claim, leaving it unsubstantiated.
30 Apr 2024
30 Apr 2024
Confirmed that there was no evidence to support the allegation of staff making arrangements for one resident to assist another at night.
30 Jan 2024
30 Jan 2024
Investigated several resident incidents, including an inappropriate advance during dinner followed by a report of mild arm pain and a separate case of a resident sustaining a lower-back fracture requiring medical care. Reviewed a medication-dose discrepancy that was clarified; no deficiencies cited and the exit interview was conducted.
30 Jan 2024
30 Jan 2024
- Confirmed incident involving inappropriate behavior between residents during dinner.
- Found resident sustained a fracture without their knowledge.
- Investigated and confirmed medication error was observed in the medication book.
23 Oct 2023
23 Oct 2023
Found the complaint about medication mismanagement unfounded; records showed medications were administered as prescribed and any delay came from the physician not responding promptly.
23 Oct 2023
23 Oct 2023
Determined that the allegation of medication mismanagement was unfounded, as records showed communication with the physician and no missed doses for the resident.
11 Sept 2023
11 Sept 2023
Found that medications were not provided as ordered and that the special diet, including thickened liquids and chopped-texture meals, was not followed.
11 Sept 2023
11 Sept 2023
Confirmed allegations that specific medical orders were not followed by staff. Staff were observed not providing food and liquids to a resident as prescribed, leading to choking incidents.
§ 87465(a)(4)
22 Jun 2023
22 Jun 2023
Identified a deficiency: three of five direct-care staff lacked current first aid certification, despite all five having criminal record clearances. Five resident files were complete.
22 Jun 2023
22 Jun 2023
Identified deficiencies were noted during the inspection, including incomplete staff training and missing certifications. Various documents were requested for submission by a specified deadline.
§ 87411(c)(1)
19 May 2023
19 May 2023
Identified a medication error where a resident received the wrong dose, a repeat violation within 12 months, resulting in a $250 civil penalty.
19 May 2023
19 May 2023
Confirmed medication error resulting in wrong dose given to resident. Penalty issued for repeat violation.
§ 87465(a)(4)
27 Apr 2023
27 Apr 2023
Investigated the allegation of abuse after bruises were observed on a resident; found no evidence of physical abuse but identified medication errors by staff. Five residents refused their morning medications, and a later technician gave the missed doses without updating the MAR, potentially harming residents.
27 Apr 2023
27 Apr 2023
Investigated an emotional outburst incident involving a resident assaulting a staff member and reported several medication errors made by staff during medication administration. Confirmed that an investigation regarding bruises on a resident found no evidence of physical abuse.
§ 87465
09 Feb 2023
09 Feb 2023
Found no evidence that staff spoke to a resident in an inappropriate manner; six residents interviewed denied the allegation. Training on residents’ rights and staff training requirements were noted.
09 Feb 2023
09 Feb 2023
Found that the allegation that reporting requirements were not followed regarding incidents involving a resident did not meet the preponderance of evidence. Determined that residents’ personal rights were violated, based on interviews indicating fear and instances of physical pushing by a resident, and that the allegation that dangerous items were accessible to residents could not be proven.
09 Feb 2023
09 Feb 2023
Confirmed that reporting requirements were not met regarding incident involving a resident, substantiated violation of residents' personal rights, and found no evidence of accessible dangerous items.
§ 1569.269(a)(10)
10 Nov 2022
10 Nov 2022
Found no evidence to support the four specific allegations: the resident’s special diet was not followed; the resident was left in his room during lunch; nail care was not provided; and medication was not administered per physician's orders.
10 Nov 2022
10 Nov 2022
Found allegations regarding special diet, meal location, nail care, and medication administration to be unsubstantiated. No deficiencies cited during inspection.
01 Sept 2022
01 Sept 2022
Identified incidents of resident-on-resident and resident-on-staff altercations in memory care, with clarifications on the circumstances.
Completed an exit interview with the administrator.
01 Sept 2022
01 Sept 2022
Confirmed incidents of altercations between residents and staff reported in the memory care unit.
02 Aug 2022
02 Aug 2022
Found no deficiencies after an unannounced post-licensing visit. Noted clean, well-maintained premises with secure medications, grab bars and nonslip mats in bathrooms, pull cords, evacuation chairs at stairwells, functional fire safety measures, adequate food, and an observed daily activity schedule with required posters.
02 Aug 2022
02 Aug 2022
Confirmed no deficiencies found during the inspection.
11 Jul 2022
11 Jul 2022
Investigated the SOC341 allegation received on 06/30/2022, interviewed staff, and reviewed resident records; discussed yearly resident assessments for memory care unit residents.
11 Jul 2022
11 Jul 2022
Identified issues during inspection, discussed resident assessments with administrator, follow-up notes pending return of Wellness Coordinator.
23 Jun 2022
23 Jun 2022
Reviewed in a telephone interview, confirmed the applicant and administrator understood licensing requirements for a change of ownership, including operation, admissions, staffing, health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness; verified identity with a photo ID.
23 Jun 2022
23 Jun 2022
Confirmed understanding of California Code Title 22 Regulations during COMP II inspection.
21 Jun 2022
21 Jun 2022
Confirmed ownership change and completed pre-licensing with no deficiencies identified. Hospice waiver requested with the new application; 24-hour staffing planned and liability insurance to be provided upon licensing.
21 Jun 2022
21 Jun 2022
Confirmed no deficiencies found during inspection, facility meets all regulatory requirements for operation.
01 Jun 2022
01 Jun 2022
Verified identities of the applicant and administrator, confirmed understanding of Title 22 state rules, and noted license paperwork with photo ID; demonstrated understanding of operation, admissions policies, staffing and training, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
01 Jun 2022
01 Jun 2022
Confirmed understanding of regulations regarding facility operation, admission policies, staffing requirements, health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness during a recent inspection.
17 May 2022
17 May 2022
Identified two incidents of alleged abuse involving residents and staff: in the first, a caregiver allegedly grabbed and pushed two residents; no injuries observed and the caregiver left work.
Second, a resident was reportedly hit by another resident, resulting in redness on the head but no medical treatment needed, with responsible parties notified.
17 May 2022
17 May 2022
Reviewed recent incident reports and assessments involving alleged physical abuse of residents, noting no apparent injuries or signs of abuse present. Subsequent incident involving resident altercation resulted in minor injury, prompting updates to care plan for behavioral management.
12 Apr 2022
12 Apr 2022
Identified staffing shortages that caused slow response times and unmet care needs for a resident, including transfer training gaps and missed showers; room furnishings were found to be in compliance with standards.
§ 87411(a)
§ 1569.269(a)(6)
12 Apr 2022
12 Apr 2022
Investigated the allegation that staff did not allow an authorized representative to view resident records. Because statements from the administrator and the reporting party conflicted and there was no conclusive proof, the investigation could not determine whether the allegation occurred; only two hospitalization incidents were reported, and the administrator acknowledged the related regulation.
12 Apr 2022
12 Apr 2022
Confirmed allegations of insufficient staff and not meeting resident's needs, but found the claim of the room not being furnished per regulation to be unsubstantiated.
23 Mar 2022
23 Mar 2022
Identified that an itemized bill for service fees was not provided to the responsible party and that written notice of a care increase was not given. Identified staffing shortages in the memory care unit, with times when only one caregiver was on duty and calls for help were answered after long delays.
23 Mar 2022
23 Mar 2022
Confirmed that residents were not provided an itemized bill for service fee increases and that there was insufficient staff to meet residents' needs, leading to delayed response times and concerns about resident care.
24 Feb 2022
24 Feb 2022
Identified failure to follow physician’s medication orders, including not placing a refill for a resident’s narcotic pain medication. Found that a dose was missed because the medication was not on hand.
24 Feb 2022
24 Feb 2022
Found that the administrator failed to submit an incident report about a medication error that occurred on 1/29/22.
24 Feb 2022
24 Feb 2022
Confirmed deficiency in reporting medication error to regulatory agency, with potential for civil penalties.
§ 87411(a)
§ 87507(g)(4)
07 Feb 2022
07 Feb 2022
Identified an incident where a resident went missing for several hours, did not sign out, and returned around 10:40 PM after a health assessment noted no injuries and a prior medical record indicated unassisted outings were possible. Identified another incident in which a staff member gave a non-PRN sedative dose to a resident, leading to termination of the staff member and arrangements for psychiatry evaluation and a one-on-one companion.
§ 87465
07 Feb 2022
07 Feb 2022
Investigated incidents of a resident going missing and receiving the wrong medication.
§ 87465(a)(5)
10 Dec 2021
10 Dec 2021
Identified that the medication administration allegation was substantiated due to staff errors and not following a doctor’s crushed-medication order. Identified that the personal rights allegation was unsubstantiated based on observations and interviews.
§ 87411(a)
10 Dec 2021
10 Dec 2021
Identified that the administrator failed to submit death reports and timely incident reports for medication errors and resident-to-resident incidents within seven days.
10 Dec 2021
10 Dec 2021
Investigated a fall where staff did not promptly assist a resident due to a phone-transfer failure, reviewed a flu vaccine given without documented consent, and examined protection of personal items and resident interactions, finding a phone issue, missing consent records, and care plan gaps.
§ 87468(a)
§ 1569.269(a)(6)
10 Dec 2021
10 Dec 2021
Confirmed allegations of staff negligence leading to resident fall and failure to protect residents from aggressive behavior. Unsubstantiated claim of vaccination without consent. No deficiencies noted during inspection.
§ 87211
12 Nov 2021
12 Nov 2021
Investigated an abuse allegation involving a resident and staff, interviewed the administrator, collected records, and found no deficiencies, with additional documentation to be emailed by 11/16/21. Followed up on a resident's death that occurred on 10/25/21 and will be in touch after the death certificate is obtained.
12 Nov 2021
12 Nov 2021
Verified an unannounced annual inspection focused on infection control, including risk assessment and a site walk-through; observed adequate PPE, posted COVID-19 precautions, screenings with temperature checks, daily disinfection, and an approved COVID-19 mitigation plan. Identified no deficiencies.
12 Nov 2021
12 Nov 2021
Confirmed no deficiencies identified in infection control procedures and practices during annual inspection.
§ 87211
02 Nov 2021
02 Nov 2021
Found insufficient evidence to support the allegations that staff did not properly reassess the resident or failed to notify the responsible party of a change in condition, or that the resident’s grooming needs were not being met. No deficiencies cited.
02 Nov 2021
02 Nov 2021
Confirmed findings regarding allegations of not properly reassessing a resident, not notifying the responsible party of a change in condition, and not meeting grooming needs were unsubstantiated.
30 Sept 2021
30 Sept 2021
Identified a resident's suicide attempt on 9/17/21 with emergency responders summoned; harmful items were found in the resident's room; identified a separate incident where one resident was aggressive toward another, with the event reported to authorities on 9/30/21.
Reviewed two incident reports describing resident-to-resident aggression: on 4/8/2021 one resident yelled at and pushed another, causing abrasions and requiring first aid; on 4/19/2021 another resident pushed a neighbor from a room, resulting in a head injury and a fall with medical evaluation. Notes described increased confusion for one resident, ongoing staff monitoring, prior altercations among residents, and involvement of a regional memory care specialist.
29 Apr 2021
29 Apr 2021
Found four residents required two-person assist; none not on Hospice had wounds; towels/linens and personal laundry were handled weekly, with shifts assigned for laundry tasks. Reviewed two incident reports: one about an unwitnessed fall with a compression fracture treated in the ER, and another about confusion with a urinary tract infection requiring ER care and hospitalization; no deficiencies were cited.
30 Aug 2021
30 Aug 2021
Investigated an alleged incident between two residents on 8/6/2021 in which one reportedly hit the other; a full assessment found no injury, and the affected resident moved to another apartment over the weekend with no further altercations.
30 Aug 2021
30 Aug 2021
Reviewed a reported incident between two residents, resulting in one resident being moved to a different location within the facility. No injuries were found, and appropriate actions were taken by the facility to address the situation.
29 Jun 2021
29 Jun 2021
Identified ongoing surveillance testing and staffing activity while reviewing a 2021 complaint; outstanding items include resident reappraisal, reporting requirements, and fall-management guidelines, with no citations issued at this time.
29 Jun 2021
29 Jun 2021
Identified deficiencies in resident care and reporting requirements were addressed during a recent visit.
28 May 2021
28 May 2021
Found the pressure injuries allegation unfounded. Found the remaining concerns—ADL assistance delays, rough handling, changes in condition, food quality, and clean linens—unfounded or not supported by evidence.
28 May 2021
28 May 2021
Investigated four allegations: staff lacked required medication training; care for a resident did not meet needs; a resident’s personal items went missing; medications were accessible to residents. Found insufficient medication training hours for staff; no evidence supported missing items or medications being accessible to residents.
28 May 2021
28 May 2021
Found that there was not enough staff to meet resident needs, evidenced by long alarm response times and staffing minimums not consistently met. Noted multiple injuries from resident altercations beginning in early 2021, with incidents linked to staffing shortages.
§ 87465(a)
§ 87411(a)
28 May 2021
28 May 2021
Confirmed allegations of staffing shortages and resident altercations at the facility.
06 May 2021
06 May 2021
Identified the allegation that a resident experienced multiple falls and that post-fall investigations and care plan reviews were not completed. Found evidence of changes in cognitive status and mobility linked to those falls.
06 May 2021
06 May 2021
Confirmed multiple falls and changes in mental status of a resident, leading to a substantiated allegation.
§ 1569.69(b)
29 Apr 2021
29 Apr 2021
Reviewed incidents of falls, injuries, and medical conditions at the facility, with no deficiencies cited.
22 Apr 2021
22 Apr 2021
Reviewed incidents of resident altercations resulting in injuries and collaborated with facility staff to implement safety measures and monitor residents closely. Conducted a tour of the kitchen and dining area and found no deficiencies.
§ 87309(a)
29 Mar 2021
29 Mar 2021
Reviewed two incidents: the first on 3/19/2021 involved a resident entering another resident’s room and an altercation that left a skin tear and confusion; the second on 2/2/2021 involved a resident requesting hospital care for numbness and rib pain, 911 was called, and the resident was later found to have multiple rib fractures and is recovering with a walker and pain management; no citations were issued.
18 Mar 2021
18 Mar 2021
Reviewed incidents involving residents: one on 3/04/2021 where two residents grabbed at each other and yelled in a bathroom, and another on 3/11/2021 where a resident wandered to a nearby restaurant and was brought back with no injuries; noted a prior altercation on 2/24/2021; reports were requested within the required timeframes; no deficiencies cited.
29 Mar 2021
29 Mar 2021
Reviewed incidents involving altercations and medical emergencies at the facility. No deficiencies were cited.
01 Mar 2021
01 Mar 2021
Identified two incidents: one where a resident entered another resident’s room, leading to a confrontation with water thrown and a finger bitten; staff separated them and no injuries occurred. Investigated an unwitnessed fall resulting in a left hip fracture for another resident, who had surgery and returned to the home with physical therapy, a private caregiver, and checks every two hours; the incident report was pending and no citations were issued at the time.
18 Mar 2021
18 Mar 2021
Reviewed incidents involving residents grabbing at each other, as well as a resident walking to a local restaurant and needing assistance in remembering where they lived. No deficiencies were cited during the inspection.
§ 87211(a)(1)
§ 87208
§ 87463(c)
15 Mar 2021
15 Mar 2021
Found that fees for services were increased for the resident in the fall of last year without written notice to the resident or the responsible party, though there were verbal discussions. Found that the allegation that the resident was charged for services not received lacked sufficient evidence to prove it.
15 Mar 2021
15 Mar 2021
Confirmed allegations of fee increases without written notice, while allegations of services being charged for but not received were deemed unsubstantiated.
01 Mar 2021
01 Mar 2021
Reviewed incidents involving resident altercations and a resident fall resulting in a hip fracture. No citations issued.
22 Feb 2021
22 Feb 2021
Investigated five self-reported incidents involving changes in condition, hospitalizations, a discharge-instruction issue, and a medication error; two residents died after hospital stays, one had a rapid heartbeat requiring ER and transfer to higher care, another had an ER visit with discharge instructions not provided, and a fifth involved a double-dose medication incident with retraining. Found no deficiencies cited.
26 Jan 2021
26 Jan 2021
Identified two self-reported incidents dated 1/14/2021: one involved a staff member inappropriately speaking to and grabbing a resident, leading to termination; no injuries or adverse effects were reported. A second incident involved a staff member placing a resident's pendant out of reach, with suspension during the ongoing investigation; no injuries or adverse effects were reported.
22 Feb 2021
22 Feb 2021
Investigated multiple incidents involving residents' changing health conditions and medication errors, with no deficiencies found at the time of the inspection.
§ 87507(f)
26 Jan 2021
26 Jan 2021
Confirmed two separate incidents involving inappropriate behavior towards residents, resulting in termination and suspension of staff members involved. No adverse effects reported on the residents.
29 Apr 2020
29 Apr 2020
Confirmed a report of a resident attempting suicide by taking pills, triggering immediate emergency response by staff and subsequent hospital evaluation.
04 Dec 2019
04 Dec 2019
Confirmed clean and well-maintained conditions during inspection. Identified minor deficiencies in records and documentation.
