California › Marin County › Novato
Novato Healthcare Center
1565 Hill Road, Novato, CA 94947
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 181 beds, Novato Healthcare Center serves Novato in Marin County, California and has taken Medicare and Medicaid residents since 2007.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 100 health deficiencies across the three most recent survey cycles (43, 33, 24 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 55.2 per 100 beds, about the same as the state median of 51.1.
CMS lists 3 penalties in the period covered: fines totalling $90K and 1 payment denial.
Reported nurse staffing is 4.0 hours per resident per day (0.5 RN), close to the California median of 4.2.
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 | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 100 | 45 | 44 | 28.7 |
| Citations per 100 beds | 55.2 | 56.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | — | 40.0% | 36.4% | 45.8% |
| Fines listed | $90,488 | $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: 13 Nov 2025, 11 Jan 2024.
Severity mix: G ×3 D ×60 E ×26 F ×11
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 |
|---|---|---|---|---|---|
| 17 Jun 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 10 Jul 2026 |
| 17 Jun 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 17 Jun 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 17 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 17 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 4 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Jun 2026 |
| 4 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Jun 2026 |
| 6 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 31 May 2026 |
| 16 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 May 2026 |
| 16 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 May 2026 |
| 25 Mar 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. | D | Complaint investigation | 30 Apr 2026 |
| 31 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Jan 2026 |
| 31 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Jan 2026 |
| 3 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 Dec 2025 |
| 20 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Dec 2025 |
| 20 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Dec 2025 |
| 13 Nov 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0578 | 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. | E | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 29 Nov 2025 |
| 13 Nov 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. | E | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 29 Nov 2025 |
| 13 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Nov 2025 |
| 13 Nov 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0726 | 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. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 29 Nov 2025 |
| 13 Nov 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 29 Nov 2025 |
| 8 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 7 Oct 2025 |
| 8 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 7 Oct 2025 |
| 8 Sep 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 7 Oct 2025 |
| 28 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Sep 2025 |
| 28 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 16 Sep 2025 |
| 20 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Aug 2025 |
| 8 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 16 Sep 2025 |
| 8 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 16 Sep 2025 |
| 18 Jul 2025 | F0895 | Have a Compliance and Ethics Program. | F | Complaint investigation | 1 Aug 2025 |
| 9 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 31 Jul 2025 |
| 9 Jul 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 31 Jul 2025 |
| 9 Jul 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 31 Jul 2025 |
| 3 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Jul 2025 |
| 19 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 20 Jun 2025 |
| 19 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | F | Complaint investigation | 10 Jul 2025 |
| 19 May 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint investigation | 10 Jul 2025 |
| 19 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Jun 2025 |
| 14 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 20 Jun 2025 |
| 14 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 20 Jun 2025 |
| 14 May 2025 | F0926 | Have policies on smoking. | E | Complaint investigation | 20 Jun 2025 |
| 14 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Jun 2025 |
| 14 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Jun 2025 |
| 1 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 28 May 2025 |
| 1 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 May 2025 |
| 25 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 18 May 2025 |
| 23 Apr 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 8 May 2025 |
| 5 Mar 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 3 Apr 2025 |
| 24 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Complaint investigation | 14 Mar 2025 |
| 24 Feb 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint investigation | 14 Mar 2025 |
| 9 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Feb 2025 |
| 9 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Feb 2025 |
| 9 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Feb 2025 |
| 5 Sep 2024 | 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 | 30 Sep 2024 |
| 4 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 27 Sep 2024 |
| 17 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Aug 2024 |
| 11 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Feb 2024 |
| 11 Jan 2024 | F0578 | 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. | D | Standard survey | 21 Feb 2024 |
| 11 Jan 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 21 Feb 2024 |
| 11 Jan 2024 | 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 | 21 Feb 2024 |
| 11 Jan 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 21 Feb 2024 |
| 11 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Feb 2024 |
| 11 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Feb 2024 |
| 25 Oct 2023 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 3 Nov 2023 |
| 9 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 25 Oct 2023 |
| 5 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Oct 2023 |
| 23 Apr 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 28 May 2021 |
| 23 Apr 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. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 28 May 2021 |
| 23 Apr 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 | 28 May 2021 |
| 23 Apr 2021 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 28 May 2021 |
| 23 Apr 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 | 28 May 2021 |
| 23 Apr 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 28 May 2021 |
| 23 Apr 2021 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 28 May 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Aug 2025 | Fine | $17,624 | |
| 23 Apr 2025 | Payment denial | — | 70 days |
| 23 Apr 2025 | Fine | $72,864 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff —, RNs —; — 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 | 17.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.4% | 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, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Asru LLC | 5% or greater direct ownership interest | 70% | 06/15/2007 |
| Corporate Interface Services LLC | Operational/managerial control | NOT APPLICABLE | 03/18/2024 |
| Rockport Administrative Services, LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2007 |
| Corporate Interface Services LLC | Adp of the snf | NOT APPLICABLE | 04/10/2025 |
| Rockport Administrative Services, LLC | Adp of the snf | NOT APPLICABLE | 04/10/2025 |
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 |
| Northgate Postacute Careabuse icon | San Rafael | 52 | 2 | 2 | 2 | 65 | 125.0 | $113K | 18 Jun 2026 |
All 11 facilities in Marin County
Questions and answers
How many deficiencies has Novato Healthcare Center been cited for?
100 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 Novato Healthcare Center been fined?
Yes. CMS lists fines totalling $90K in the period covered, plus 1 payment denial.
How does staffing at Novato Healthcare Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Novato Healthcare Center?
Ownership type is for-profit, individual. Organisations in the CMS ownership record include Asru LLC, Corporate Interface Services LLC and Rockport Administrative Services, LLC. Individual owners and managers are not listed on this site.
When was Novato Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 13 Nov 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.