California › Marin County › San Rafael
Northgate Postacute Care
40 Professional Center Parkway, San Rafael, CA 94903
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 52 beds, Northgate Postacute Care serves San Rafael in Marin County, California and has taken Medicare and Medicaid residents since 1974.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 65 health deficiencies across the three most recent survey cycles (18, 18, 29 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 125.0 per 100 beds, more than the state median of 51.1.
CMS lists 5 penalties in the period covered: fines totalling $113K.
Reported nurse staffing is 4.1 hours per resident per day (0.2 RN), close to the California median of 4.2; nursing staff turnover is 45.5%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Marin Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 65 | 45 | 44 | 28.7 |
| Citations per 100 beds | 125.0 | 56.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.2 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 45.5% | 40.0% | 36.4% | 45.8% |
| Fines listed | $112,869 | $8,278 | $0 | — |
County and state figures are medians across facilities (11 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Aug 2025, 24 Sep 2021.
Severity mix: G ×2 H ×1 D ×39 E ×19 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Complaint investigation | 29 Jun 2026 |
| 11 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Jun 2026 |
| 7 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | G | Complaint investigation | 8 Jan 2026 |
| 7 Jan 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 8 Jan 2026 |
| 21 Aug 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0584 | 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. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0761 | 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 | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 16 Sep 2025 |
| 21 Aug 2025 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 16 Sep 2025 |
| 28 Mar 2025 | F0572 | Give residents a notice of rights, rules, services and charges. | D | Complaint investigation | 2 May 2025 |
| 28 Mar 2025 | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | Complaint investigation | 2 May 2025 |
| 6 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Mar 2025 |
| 3 Mar 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 7 Mar 2025 |
| 9 Jan 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Complaint investigation | 15 Jan 2025 |
| 3 Dec 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 18 Dec 2024 |
| 19 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 5 Jul 2024 |
| 19 Jun 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 5 Jul 2024 |
| 14 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Dec 2023 |
| 14 Dec 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 15 Dec 2023 |
| 29 Sep 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | H | Complaint investigation | 24 Nov 2023 |
| 29 Sep 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint investigation | 27 Oct 2023 |
| 29 Sep 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Complaint investigation | 27 Oct 2023 |
| 29 Sep 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 27 Oct 2023 |
| 29 Sep 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Complaint investigation | 27 Oct 2023 |
| 29 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 27 Oct 2023 |
| 29 Sep 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 14 Nov 2023 |
| 29 Sep 2023 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 27 Oct 2023 |
| 24 Sep 2021 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0886 | Perform COVID19 testing on residents and staff. | E | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0584 | 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. | D | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Nov 2021 |
| 24 Sep 2021 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard survey | 24 Nov 2021 |
| 3 Feb 2020 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey (under dispute review) | 13 Oct 2020 |
| 3 Feb 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0761 | 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 | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 13 Oct 2020 |
| 3 Feb 2020 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Oct 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Sep 2023 | Fine | $94,521 | |
| 11 Sep 2023 | Fine | $4,587 | |
| 5 Sep 2023 | Fine | $4,587 | |
| 28 Aug 2023 | Fine | $4,587 | |
| 21 Aug 2023 | Fine | $4,587 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 45.5%, RNs 80.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.7% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.8% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Chain: Rmg Capital Partners (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rmg Capital Partners, LLC | 5% or greater direct ownership interest | 100% | 01/01/2019 |
| Reliant Management Group, LLC | Operational/managerial control | NOT APPLICABLE | 04/16/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pine Ridge Care Center | San Rafael | 101 | 5 | 3 | 5 | 43 | 42.6 | — | 12 Feb 2026 |
| The Tamalpais | Greenbrae | 52 | 5 | 4 | 5 | 14 | 26.9 | — | 11 Sep 2025 |
| Villa Marin | San Rafael | 31 | 5 | 4 | 4 | 21 | 67.7 | — | 18 Nov 2025 |
| South Marin Health & Wellness Center | Greenbrae | 72 | 4 | 3 | 4 | 37 | 51.4 | — | 23 Jan 2026 |
| Professional Post Acute Center | San Rafael | 99 | 3 | 2 | 4 | 77 | 77.8 | $148K | 8 May 2026 |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | San Rafael | 80 | 3 | 2 | 3 | 45 | 56.3 | — | 9 Jun 2026 |
| Marin Post Acuteabuse icon | San Rafael | 168 | 2 | 2 | 2 | 46 | 27.4 | $11K | 25 Jun 2026 |
| San Rafael Healthcare & Wellness Center, LP | San Rafael | 54 | 2 | 2 | 4 | 55 | 101.9 | $8K | 1 Jul 2026 |
All 11 facilities in Marin County
Questions and answers
How many deficiencies has Northgate Postacute Care been cited for?
65 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Northgate Postacute Care been fined?
Yes. CMS lists fines totalling $113K in the period covered.
How does staffing at Northgate Postacute Care compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Northgate Postacute Care?
It is part of the Rmg Capital Partners chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Rmg Capital Partners, LLC and Reliant Management Group, LLC. Individual owners and managers are not listed on this site.
When was Northgate Postacute Care last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 21 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.